Tamoxifen-Induced Nonalcoholic Steatohepatitis

Autor: Hideaki Enzan, Katsumi Toda, Masafumi Ono, Toshiji Saibara, Akihiko Wakatsuki, Saburo Onishi, Yasuhiro Ogawa, Nan Xu, Yoshihisa Nemoto
Rok vydání: 2003
Předmět:
Zdroj: HCV/Oxidative Stress and Liver Disease ISBN: 9784431670070
DOI: 10.1007/978-4-431-67005-6_11
Popis: Tamoxifen is a potent antagonist of estrogen and evidently improves the prognosis of patients with estrogen receptor-positive breast cancer. However, although tamoxifen has been shown to induce hepatic steatosis in one-third of nonobese breast cancer patients, the pathogenic mechanisms have not yet been defined. Impaired fatty acid beta oxidation has been proposed as a possible pathogenic mechanism involved in tamoxifen-induced hepatic steatosis, because fatty acid beta oxidation activity is impaired in aromatase-deficient mice lacking intrinsic estrogen, and because either estradiol supplementation or administration of bezafibrate improved impaired beta oxidation activity to prevent the progression of hepatic steatosis. Previously, we investigated why tamoxifen is such a potent estrogen antagonist and found that the serum estradiol level was extremely low (
Databáze: OpenAIRE