Multiple nuclear receptor signaling pathways mediate the actions of synthetic progestins in target cells

Nicole L. Moore, Theresa E. Hickey, Lisa M. Butler, Wayne D. Tilley

Research output: Contribution to journalReview article

26 Citations (Scopus)

Abstract

Synthetic progestins are used clinically to treat a variety of women's health issues. Although progestins are designed to signal through the progesterone receptor (PR) to elicit specific pharmacological effects, they can also variably bind to and influence the activity of other nuclear receptors within target tissues, particularly the androgen and glucocorticoid receptors and, in some cases, they regulate mineralocorticoid and estrogen receptors. This article reviews current knowledge on progestin cross-talk to nuclear receptors other than PR, their resultant effect on receptor function in different in vitro models and the potential consequences of this activity for breast, ovarian and endometrial cancer. The impact of cell and tissue context, assay type, steroid metabolism and hormonal milieu in determining progestin-mediated activity are also presented. Collectively this review highlights the complexity of progestin action and the need for consideration of multiple mechanisms that act in concert to influence their ultimate biological activity.

Original languageEnglish
Pages (from-to)60-70
Number of pages11
JournalMolecular and Cellular Endocrinology
Volume357
Issue number1-2
DOIs
Publication statusPublished - 24 Jun 2012

Keywords

  • Androgen receptor
  • Breast cancer
  • Endometrial cancer
  • Glucocorticoid receptor
  • Ovarian cancer
  • Progestin

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Biology
  • Endocrinology

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