Aromatase inhibitor provides the best suitable approach at present for the treatment of many estrogen dependent diseases. The estrogen dependent diseases like breast cancer and endometriosis can be treated more effectively with new third generation aromatase inhibitors. As in case of breast cancer after mastectomy (removal of breast) regression of advance breast cancer is observed and in case of endometriosis even after total hysterectomy (removal of uterus and ovary) the reoccurrence of endometriosis is observed. So estrogen deprivation remains a main key as a therapeutic approach to cure estrogen dependent diseases. The third generation aromatase inhibitors are available in the preparations like Letrozole, Anastrazole, Vorazole and some more preparations are available. Among these preparations of aromatase inhibitor Letrozole is consider to be a better therapeutic agent. As it is found that patient using Letrozole as an aromatase inhibitor are having lower plasma estrogen level as compared to another third generation aromatase inhibitor and more over calcium reabsorption in bone is also seen with Letrozole. In this study we have designed some new aromatase inhibitor and reported them as potentially new aromatase inhibitor by comparing their pharmagological properties with Letrozole and some synthesized derivatives of Letrozole (Downloaded from Zinc data base with 90% structural similarity) (http://zinc.docking.org/search/structure) by using molecular docking analysis and various free internet based Insilco tools.
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*Corresponding Author Address: Abhishek Thakur, Department of Pharmaceutical Sciences; Birla Institute of Technology, Mesra, Ranchi
Abhishek et al., World J Pharm Sci 2014; 2(1): 13-24
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Abhishek et al., World J Pharm Sci 2014; 2(1): 13-24
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REFERENCES
1. Goss PE, Strasser K. Aromatase inhibitors in the Treatment and Prevention of breast cancer. Journal of Clinical Oncology, 2001;
19(3): 881-894. 2. Ebert AD, Bartley J, David M. Aromatase inhibitors and Cyclooxygenase-2 (COX-2) inhibitors in endometriosis: New questions
–old answers. European Journal of Obstetrics & Gynecology and Reproductive Biology, 2005; 122(2): 144–150.
3. Vigano P, Mangioni S, Odorizzi MP, Chiodini A, Rocca S, Chiodo I. Use of estrogen antagonist and aromatase inhibitors in endometriosis. Current Opinion in Investigational Drugs (London, 2000), 2003; 4(10): 1209-1212.
4. Bulun SE, Yang S, Fang Z, Gurates B, Tamura M, Zhou J, Sebastian S, Journal of steroid biochemistry and molecular biology,
2001; 79; 1-5; 19-25. 5. Database of Breastcancer.org. May 30, 2013. http://www.breastcancer.org/treatment/hormonal/aromatase_inhibitors.
6. Smith IE, Dowsett M. Aromatase Inhibitors in Breast Cancer. The new England Journal of Medicine, 2003; 348; 2431-2442.
7. Lee VC, Ledger W. Aromatase inhibitors for ovulation induction and ovarian stimulation. Clinical Endocrinol, 2011, 74(5): 537-46.
8. Ellis MJ, Coop A, Singh B, Mauriac L, Cussac All, Janicke F, Miller WR, Evans DB, Dugan M, Brady C, Fehling EQ, Borgs M.
Letrozole Is More Effective Neoadjuvant Endocrine Therapy Than Tamoxifen for ErbB-1– and/or ErbB-2–Positive, Estrogen Receptor–Positive Primary Breast Cancer: Evidence From a Phase III Randomized Trial. Journal of Clinical Oncology, 2001;
19(18): 3808-3816.
9. Casper RF, Mitwally Md.FM. Aromatase Inhibitors for Ovulation Induction. The Journal of Clinical Endocrinology & Metabolism, 2006; 91(3): 760-771.
10. Mitwally MF, Casper RF. Aromatase inhibitors, a new option for inducing ovulation. Seminars in Reproductive Medicines,
2004; 22(1): 61-78. 11. Howe HL, Senie RT, Bzduch H, Herzfeld P. Early Abortion and Breast Cancer Risk among Women under Age 40. International
Journal of Epidemiology, 1989; 18(2): 300-304.
12. Database of Mayo clinic. http://www.mayoclinic.com/health/breast-cancer/WO00095. 13. Love RR, Philips J. Oophorectomy for Breast Cancer: History Revisited. Journal of National Cancer Institute, 2002; 94(19):
1433-1434. 14. Lakshmi R, Athira R, Mary JT, Vijayalakshmi,S. Breast Cancer risk factors: Preventable and Non-Preventable. International
Research Journal of Pharmacy, 2012; 3(10): 48-52.
15. Russo J, Tay LK, Russo IH. Differentiation of the mammary gland and susceptibility to carcinogenesis. Breast Cancer Research and Treatment, 1982; 2(1): 5-73.
16. Russo J, Russo IH. Susceptibility of the mammary gland to carcinogenesis. II. Pregnancy interruption as a risk factor in tumor
incidence. American Journal of Pathology, 1980; 100(2): 497–512. 17. WebMD; From http://www.webmd.com/breast-cancer/guide/preventive-mastectomy
18. Bulletti C, Coccia EA, Battistoni S, Borini A. Endometriosis and infertility. Journal of Assisted Reproduction and
Geneics, 2010; 27(8): 441–447. 19. Giudice LC. Endometriosis. The New England Journal of Medicine, 2010; 362: 2389-2398.
20. Manero MG, Royo P, Olartecoechea B, Alcázar JL. Endometriosis in a postmenopausal woman without previous hormonal
therapy: a case report. Journal of Medical Case Reports, 2009; 3:135.
21. Fedele L, Berlanda N. Emerging drugs for endometriosis. Informa healthcare, 2004; 9(1): 167-177.
M.A, Mamounas EP, Goldstein LJ, Whelan TJ, Powles TJ, Bryant J, Perkins C, Perotti J, Braun S, Langer AS, Browman GP, Somerfield MR. Assessment on the use of Aromatase inhibitors as adjuvant therapy for postmenopausal women with hormone
receptor- Positive breast cancer: Status report 2004. Journal of Clinical Oncology, 2005; 23(6): 619-629.
23. Nabholtz JM, Buzdar A, Pollak M, Harwin W, Burton G, Mangalik A, Steinberg M, Webster A, Euler MV. Anastrazole is superior to Tamoxifen as First-Line therapy for advance breast cancer in postmenopausal women: Results of North American
Multicenter Randomized Trial. Journal of Clinical Oncology, 2000; 18(22): 3758-3767.
24. Thakur A. Designing of Potential New Estrogen Antagonists for Treatment of Endometriosis: Designing of Ligands, Molecular Docking, Activity, ADME & Toxicity Prediction Study. International Journal of Pharmacy and Pharmaceutical Sciences, 2013;
5(3): 451-455.
25. Suvannang N, Nantasenamat C, Ayudhya CINa, Prachayasittikul V. Molecular Docking of Aromatase Inhibitors. Molecules, 2011; 5: 3597-3617.
26. Sanner MF. Python: a programming language for software integration and development. J Mol Graph Model, 1999; 17: 57-61.
27. Server of PHARMEXPERT Predictive services. http://pharmaexpert.ru/PASSonline/index.php. 28. Server of A comprehensive source and free tool for evaluating chemical AMEDT properties, http://www.admetexp.org/.
29. Server of Lazar Toxicity Predictions, http://lazar.in-silico.de/predict.
30. Server of Druglikeness and molecular property prediction, http://www.molsoft.com/mprop/.