Discovery and Therapeutic Promise of Selective Androgen Receptor Modulators
Mol. Interv. 2005 5: 173-188.
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Androgens are critical for male development and the maintenance of male secondary characteristics, including increased muscle and bone mass and spermatogenesis. The use of testosterone for hormone replacement therapy in aging men has been stymied because of unwanted effects of testosterone on the prostate and cardiovascular system. Fortunately, new research on nonsteroidal selective androgen receptor modulators (SARMs) has demonstrated their ability to stimulate or maintain muscle and bone mass but with decreased pharmacologic effects on the prostate. These compounds, as compared to androgens, have better oral bioavailability, flexibility of structural modification, androgen receptor specificity, tissue selectivity, and lack many steroid-related side effects. Other research suggests that SARMs may well prove to be effective agents in the developing field of male-directed contraception.