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Updated: Aug 30, 2026

Chemiluminescence-based Assays for Detection of Nitric Oxide and its Derivatives from Autoxidation and Nitrosated Compounds
Published on: February 16, 2022
Nitrosation, nitration, and autoxidation of the selective estrogen receptor modulator raloxifene by nitric oxide,
Violeta Toader1, Xudong Xu, Adrian Nicolescu
1Department of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, University of Illinois at Chicago, 833 Wood Street, Chicago, Illinois 60612-7231, USA.
Abstract:
The regulation of estrogenic and antiestrogenic effects by selective estrogen receptor modulators (SERMs) provides the basis for use in long-term therapy in cancer chemoprevention and postmenopausal osteoporosis. However, the evidence for carcinogenic properties within this class requires study of potential pathways of toxicity. There is strong evidence for the elevation of cellular levels of NO in tissue treated with SERMs, including the benzothiophene derivative, raloxifene, in part via up-regulation of nitric oxide synthases. Therefore, the reactions of 17beta-estradiol (E(2)), raloxifene, and an isomer with NO, peroxynitrite, and reactive nitrogen/oxygen species (RNOS) generated from NO(2)(-)/H(2)O(2) systems were examined. Peroxynitrite from bolus injection or slow release from higher concentrations of 3-morpholinosydnonimine (SIN-1) reacted with the benzothiophenes and E(2) to give aromatic ring nitration, whereas peroxynitrite, produced from the slow decomposition of lower concentrations of SIN-1, was relatively unreactive toward E(2) and yielded oxidation and nitrosation products with raloxifene and its isomer. The oxidation and nitrosation products formed were characterized as a dimer and quinone oxime derivative. Interestingly, the reaction of the benzothiophenes with NO in aerobic solution efficiently generated the same oxidation products. Stable quinone oximes are not unprecedented but have not been previously reported as products of RNOS-mediated metabolism. The reaction of glutathione (GSH) with the quinone oxime gave both GSH adducts from Michael addition and reduction to the corresponding o-aminophenol. The ready autoxidation of raloxifene, observed in the presence of NO, is the first such observation on the reactivity of SERMs and is potentially a general phenomenon of significance to SERM chemical toxicology.
Insights
Selective estrogen receptor modulators (SERMs) can form toxic reactive nitrogen/oxygen species (RNOS). Raloxifene and estradiol react with RNOS, forming nitration and oxidation products, indicating potential SERM toxicity pathways.
Area of Science:
- Chemical toxicology
- Pharmacology
- Biochemistry
Background:
- Selective estrogen receptor modulators (SERMs) are used for cancer chemoprevention and osteoporosis.
- Evidence suggests SERMs may have carcinogenic properties.
- SERMs, like raloxifene, elevate nitric oxide (NO) levels in tissues.
Purpose of the Study:
- To investigate the reactions of estradiol (E(2)), raloxifene, and its isomer with NO and reactive nitrogen/oxygen species (RNOS).
- To identify potential toxicity pathways associated with SERM use.
Main Methods:
- Examined reactions of E(2) and raloxifene with peroxynitrite and RNOS generated from NO(2)(-)/H(2)O(2) systems.
- Characterized nitration, oxidation, and nitrosation products.
- Investigated reactions with glutathione (GSH) and NO in aerobic solution.
Main Results:
- Peroxynitrite caused aromatic ring nitration of E(2) and benzothiophenes.
- Raloxifene and its isomer formed oxidation and nitrosation products, including a dimer and quinone oxime derivative.
- Raloxifene readily autoxidized in the presence of NO, forming oxidation products similar to those from RNOS.
Conclusions:
- SERMs can react with NO and RNOS to form potentially toxic compounds.
- The formation of quinone oximes and autoxidation of raloxifene represent novel findings in SERM metabolism.
- These reactions highlight significant pathways for SERM chemical toxicology.
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