Effect of letrozole on the lipid profile in postmenopausal women with breast cancer

Autor: Elisaf, Moses S., Bairaktari, Eleni Th, Nikolaides, C., Kakaidi, B., Tzallas, C. S., Katsaraki, A., Pavlidis, Nicholas
Přispěvatelé: Pavlidis, Nicholas [0000-0002-2195-9961], Elisaf, Moses S. [0000-0003-0505-078X]
Jazyk: angličtina
Rok vydání: 2001
Předmět:
Cancer Research
Low density lipoprotein cholesterol
Lipids/*blood
Postmenopause/*blood
Triazoles/*adverse effects
chemistry.chemical_compound
Risk Factors
Drug activity
Antineoplastic agents
Apolipoprotein a1
Apolipoprotein e
Aromatase
Enzyme Inhibitors
Middle aged
High density lipoprotein cholesterol
Apolipoprotein b
Priority journal
Cholesterol
HDL/blood

Lipoprotein blood level
Apolipoprotein a-i
medicine.diagnostic_test
Letrozole
Enzyme inhibitors
Antineoplastic Agents/*adverse effects
Middle Aged
Lipid
Lipids
Postmenopause
Triglycerides/blood
Cholesterol
Cholesterol blood level
Apolipoproteins e
Cholesterol
LDL/blood

Oncology
Low-density lipoprotein
Hormonal therapy
Breast Neoplasms/blood/*drug therapy
lipids (amino acids
peptides
and proteins)

Female
medicine.drug
Human
Apolipoproteins b
Adult
Apolipoproteins E/blood
medicine.medical_specialty
Hdl
medicine.drug_class
Apolipoprotein A-I/blood
Clinical article
Breast carcinoma
Hypercholesterolemia
Lipoprotein(a)/blood
Antineoplastic Agents
Breast Neoplasms
Biology
Triacylglycerol
Article
Ldl
Apolipoproteins E
Diet restriction
Internal medicine
Nitriles
medicine
Humans
Triglycerides
Apolipoproteins B
Aged
Aromatase inhibitor
Apolipoprotein A-I
Cholesterol
HDL

Cholesterol
LDL

Triazoles
Lipid blood level
Apolipoproteins B/blood
Drug effect
Tamoxifen
Endocrinology
chemistry
Risk factors
Enzyme Inhibitors/*adverse effects
Nitriles/*adverse effects
biology.protein
Risk factor
Breast neoplasms
Lipid profile
Controlled study
Lipid parameters
Lipoprotein
Lipoprotein(a)
Zdroj: European journal of cancer
Popis: Hormonal therapy plays a central role in the overall treatment of breast cancer. Aromatase inhibitors can inhibit the aromatase enzyme system resulting in a reduction of oestrogens. Letrozole is a non-steroidal aromatase inhibitor that effectively blocks aromatase activity without interfering with adrenal steroid biosynthesis. The drug can significantly reduce the levels of plasma oestrogens, which remain suppressed throughout the treatment. Data are scarce concerning the influence of these drugs on serum lipid levels. In the present study, we evaluated the effects of letrozole on the serum lipid profile in postmenopausal women with breast cancer. A total of 20 patients with breast cancer were treated with letrozole, 2.5 mg once daily. After an overnight fast, serum lipid parameters (total cholesterol, high density lipoprotein (HDL) cholesterol, low density lipoprotein (LDL) cholesterol, triglycerides, apolipoproteins A1, B and E and lipoprotein (a)) were measured before treatment and at 8 and 16 weeks afterwards. A significant increase in total cholesterol (P = 0.05), LDL cholesterol (P < 0.01) and apolipoprotein B levels (P = 0.05) in the serum, as well as in the atherogenic risk ratios total cholesterol/HDL cholesterol (P < 0.005) and LDL cholesterol/HDL cholesterol (P < 0.005) was noticed after letrozole treatment. We conclude that letrozole administration in postmenopausal women with breast cancer has an unfavourable effect on the serum lipid profile. © 2001 Elsevier Science Ltd. All rights reserved. 37 12 1510 1513
Databáze: OpenAIRE