选择性雄激素受体调节剂:一个批判性的评估
Peter Bond1, Diederik L Smit1,2, Tijs Verdegaal1,3
1Android Health Clinic, Department of Performance and Image-enhancing Drugs Research, Utrecht, Netherlands.
Frontiers in endocrinology
|October 13, 2025
概括
选择性雄激素受体调节剂 (SARMs) 旨在产生组织选择性合成代谢效应,但对传统雄激素的临床优势的证据尚不完整. 需要进一步的研究来证实它们的治疗益处和安全性.
科学领域:
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
- 分子生物学分子生物学
背景情况:
- 选择性雄激素受体调节剂 (SARMs) 的开发是为了将合成代谢效应与雄激素副作用分开.
- 实现组织选择性的历史尝试涉及修改雄激素的类固醇核.
研究的目的:
- 批判性地评估SARM组织选择性的证据.
- 为了比较SARM与传统的雄激素在有效性和临床实用性方面.
主要方法:
- 关于SARM的临床前和临床研究的审查.
- 对历史上雄激素研究和类固醇代谢的分析.
- 对差异性核心调节器招募和非基因组信号的证据评估.
主要成果:
- SARM显示出有利的临床前类固醇-雄激素比率,可能是由于缺乏类固醇代谢.
- 临床试验表明一些疗效,但缺乏与传统雄激素的对比.
- 缺少雌激素活性会给骨健康和性功能带来挑战.
结论:
- 在临床上,SARM的有意义的组织选择性仍然不确定.
- 支持SARM对传统雄激素的优越性的强有力的证据是不完整的.
- 对SARMs进行谨慎的解释和进一步的比较研究是有必要的.
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