Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 2nd Global Summit on Hormones and Endocrine Disorders New Orleans, Louisiana, USA.

Day 1 :

Conference Series Hormones 2016 International Conference Keynote Speaker Pandurangan Ramaraj photo
Biography:

Pandurangan Ramaraj is currently working in Department of Biochemistry, Kirksville College of Osteopathic Medicine, A.T.Still University of Health Sciencesrn, USA

Abstract:

Epidemiological SEER data showed a higher mortality rate in males than females in melanoma, suggesting a sex difference. Clinical findings that menstruating females were better protected in melanoma than post-menopausal women and men of any age, suggested the involvement of sex hormones in protecting menstruating females. But, these studies did not show any direct effect of sex hormone on melanoma cell growth. Our previous studies with mouse and human melanoma cell lines showed the direct effect of progesterone, a female sex hormone inhibiting the cell growth significantly. This observation raised the question whether androgens (DHEA, AD and T) were responsible for increased male mortality in melanoma, as androgens levels were higher in males than in females. But literature survey showed that androgens were essential for healthy skin. Androgens were involved in sebaceous gland growth and differentiation, wound healing, hair growth. So, we checked the effect of androgens on mouse melanoma (B16F10) cell growth in-vitro. Results showed that androgens [androstenedione (AD) and testosterone (T)] also inhibited melanoma cell growth in-vitro. In addition, supplementation of progesterone as low as 10 mM concentration to androgens showed a significant additive effect on the inhibition of cell growth in-vitro. This observation raised the question whether lack or deficiency of progesterone in males was responsible for increased mortality in males. So the study was extended to human melanoma (BLM) cells. Results showed that AD and T inhibited human melanoma cell growth also, but at 100 and 200 mM concentrations. Again addition of progesterone as low as 10 mM concentration to androgens showed an additive effect on melanoma cell growth inhibition on top of maximum inhibition by androgens alone.
Conclusion: These observations suggested that androgens might not be responsible for increased male mortality in melanoma, perhaps the deficiency of progesterone in males that increased male mortality in melanoma. This study was in line with a published study which showed a significant correlation between circulating estrogen and male breast cancer. This study was able to provide a possible biological basis of SEER data and also a possible biological basis of protection enjoyed by menstruating females in melanoma.rn

 

Keynote Forum

Donald Poirier

CHU de Quebec-Research center and University Laval, Canada

Keynote: A new family of aminosteroid derivatives to treat refractory cancers

Time : 10:25-11:05

Conference Series Hormones 2016 International Conference Keynote Speaker Donald Poirier photo
Biography:

Professor Donald Poirier received his training in chemistry (B.Sc., 1977-1980) and organic chemistry (PhD, 1980-1985) at Université Laval (Québec City, Canada). He subsequently specialized in medicinal chemistry (Post-doctoral training at CHUL - Research Center, 1986-1990) and more recently in solid phase synthesis of small molecules of therapeutic interest. He is especially interested in the development of inhibitors of steroidogenic enzymes (17b-hydroxysteroid dehydrogenases (types 1, 2, 3, 7, 10 and 12) and steroid sulfatase) and antitumor agents for the treatment of different cancers (breast, prostate, ovary, leukemia). In addition to the synthesis of small molecules by classical chemistry, he succeeded by developing solid-phase synthesis of C18-steroid (estrane), C19-steroid (androstane) and C21-steroid (pregnane) derivatives that enabled the generation of model libraries of targeted therapeutic compounds. Thus, he developed a new sulfamate linker for solid-phase synthesis that produces two classes (phenol and sulfamate) of relevant steroidal or nonsteroidal compounds according to the conditions of cleavage. He also developed a diethylsilylacetylene linker to generate libraries of acetylenic tertiary alcohols, which are well known to be biologically more stable than their corresponding secondary alcohols.

He is also interested to additional aspects of organic chemistry (synthesis, new methodologies, NMR analysis, etc.) and medicinal chemistry (structure-activity relationships, molecular modelisation, biological assays, etc.). He is professor at the Department of Molecular Medicine (Faculty of Medicine, Université Laval, Québec City, Canada) since July 1991, researcher at CHU de Québec - Research Center (Québec City) since 1991 and director of the Organic Synthesis Service (CHU de Québec) since 2008. Professor Poirier is member of professional organizations such as ACS, CIC, OCQ, ACFAS and CRCQ. He published 202 papers and 8 patents. He was also author or co-authors of 414 presentations (invited speaker, oral and poster presentations).

Abstract:

The development of cytotoxic agents that selectively promote the apoptosis of cancer cell while limiting the death of normal cells would represent a significant breakthrough in cancer therapy. The aminosteroid derivative RM-133 was recently developed in our research group as anticancer agents. RM-133, or {4-[(2β,3α,5α,17α)-3,17-dihydroxypregn-20-yn-2-yl]piperazin-1-yl}[(2S)-1-(quinolin-2-ylcarbonyl)pyrrolidin-2-yl]methanone, was synthesized from androsterone using a sequence of six steps in an overall yield of 14%. It is a promising selective pro-apoptotic agent showing antiproliferative activity (IC50 ranging from 0.1 to 4.5 µM) on various human cancer cell lines (HL-60, PANC-1, LNCaP, LAPC-4, MCF-7, T-47D and OVCAR-3). For in vivo assessment on animal models (xenografts), nude mice were inoculated in both flanks with human cancer cells (HL-60, MCF-7, PANC-1 or OVCAR-3) and tumors obtained after two-three weeks were treated or not with RM-133 using a mixture of ethanol (EtOH) and propylene glycol (PG) or dimethyl sulfoxide (DMSO) and 0.4% aqueous methylcellulose (MC) as vehicle for subcutaneous (sc) injection. The tumor size was measured twice weekly and the result expressed as percentage of the initial tumor. In a first series of experiments, RM-133 reduced the tumor growth of all four tested xenografts: HL-60 cells (leukemia) by 58% (60 mg/kg/day, sc, EtOH:PG/8:92), MCF-7 cells (breast cancer) by 60-84% (60 mg/kg/day, sc, EtOH:PG/8:92), PANC-1 cells (pancreas cancer) by 63% (240 mg/kg/2 days, sc, EtOH:MC/8:92), OVCAR-3 cells (ovary cancer) by 50% (60 mg/kg/day, sc, EtOH:MC/8:92). When tested at higher dose on the OVCAR-3 xenograft tumor model, RM-133 (2 x 240 mg/kg/2 days, sc, EtOH:MC/8:92) fully blocked (100%) the tumor growth. RM-133 was also well tolerated by mice and no weight loss was recorded. These interesting results, especially those obtained for two refractory cancers (pancreas and ovary), encourage us to pursue the optimization and mechanistic studies. In summary, steroid derivatives were synthesized and generated promising in vivo results against a series of cancer tumor models.

 

  • Hormones & Steroids

Session Introduction

Katherine Sherif

Professor of Medicine Vice Chair, Department of Medicine Thomas Jefferson University, USA

Title: Hormone Therapy: Two Decades of Treating Menopausal Symptoms & Improving Metabolic Parameters
Biography:

She is currently the professor of Medicine, Vice Chair at Department of Medicine Thomas Jefferson University, USA

Abstract:

Despite a large body of data describing the health benefits of hormone therapy, hormone prescribing rates remain low. Clinicians continue to cling to the belief that hormones are dangerous. The metabolic benefits of hormones are unequivocal but the issue is clouded by conflicting messages from the medical community, conservative recommendations from international associations and the tendency to repeat what you’ve heard instead of reading for yourself. My clinical lecture will: 1. broadly review the effects of estradiol and progesterone on female physiology 2. describe the risks and benefits of hormone replacement 3. make recommendations to use hormone therapy for primary care physicians

Mache Seibel

University of Massachusetts Medical School
USA

Title: The Estrogen Window: The Key Understanding Hormone Therapy
Biography:

Mache Seibel, MD is a distinguished alumnus of the University of Texas Medical Branch. He was a member of the Harvard Faculty of Medicine for 20 years and is currently a professor at the University of Massachusetts Medical School. Dr. Seibel is past Editor in Chief of Sexuality, Reproduction and Menopause and currently Editor of My Menopause Magazine and Founder of MenopauseBreakthrough.com online course for women in menopause. He has published over 200 scientific articles and chapters and written 15 books. His latest book is The Estrogen Window.

Abstract:

For nearly two decades, estrogen has been perceived as a source of symptom relief for menopause and causing an increased risk of breast cancer, dementia and heart disease. As a result, use of estrogen has declined to low levels and many doctors choose not to prescribe it. That left nearly a generation of menopausal women without treatment and as a result, created a negative effect on their health, their relationships and their work. However, new analysis of the existing information and a body of new work have shown that estrogen not only improves the symptoms of menopause but has the potential to reduce the risk of heart disease, dementia and breast cancer – if it is taken in the estrogen window. It can also improve women's quality of life and performance in the workplace. Once the estrogen window has closed, symptom relief is diminished and hormone therapy may increase the risk of breast cancer, dementia and heart disease. This presentation will define the estrogen window. It will reveal the background for how we got into this confused state, the impact not taking estrogen has had on women's lives, when estrogen should be taken to optimize benefits and lower risks, the differences in risk and benefit between estrogen alone and estrogen plus progestogen and how to minimize those risks, and when to stop estrogen. At the end of the presentation, the audience will have a clear, current and evidence based understanding of hormone therapy for the care of menopausal women.

Biography:

Post-specialization fellowship in Neurosciences and Reproductive Sciences University Hospital of Bern (Switzerland)

Abstract:

Endometrial cancer is one of the most common gynecologic malignancy, with an increasing number of cases diagnosed in pre-menopausal women, including 4% diagnosed in women less than 40 years of age. While hysterectomy with bilateral salpingo-oophorectomy with assessment of the retroperitoneal lymph nodes is standard initial treatment, younger women with early stage-disease may desire fertility sparing options. We report our experience with organ-preserving treatment applied in 48 patients of reproductive age with atypical hyperplasia or early-stage (1A) endometrial cancer. All of them would like to preserve their reproductive potential. All cases were treated with the combination of resectoscopic endometrial ablation, followed by the intrauterine-insertion of levonorgestrel intrauterine hormonal system containing 52 mg levonorgestrel (Mirena®, Bayer, Germany) for at least 12 months. Hysteroscopic three-monthly follow-up with endometrial biopsy was accomplished in 44 out of 48 patients. At 24 month-follow-up 41 patients obtained a complete remission. Furthermore, 15 of them became pregnant, 10 of them delivered at term and 1 has an ongoing pregnancy.
This type of therapy was effective for almost all cases and may be offered to be used as an alternative to radical surgery in women with atypical endometrial hyperplasia or early stage 1A well-differentiated endometrial cancer in women of reproductive age.

Biography:

Mark Feitelson is currently working in Department of Biology at Temple University, USA

Abstract:

Natural compounds have been shown to be of useful for the treatment of cancers in preclinical models, but given that cancers are multi-step, efforts have focused upon formulating combination therapies that target early stage tumors in a hypoxic environment, block epithelial-mesenchymal transition (EMT) during tumor metastasis, inhibit uncontrolled cell cycle progression, and target cancer stem cells to help prevent tumor relapse. Combinations of natural compounds will also be presented that are likely to be useful against estrogen dependent breast cancer as well as androgen dependent and independent stages of prostate cancer. Results will summarize what is likely to be the most important natural compounds and molecular targets that will results in arrested proliferation during tumor pathogenesis as well as recommendations for the application of natural compound combinations in preclinical models and in human clinical trials.

Biography:

Melody L. Fortune completed her Ph.D. from Mississippi State University while working full time at the Mississippi State Department of Health as the Director for the Breast and Cervical Cancer Program. She is currently the Assistant Professor in Healthcare Administration at Delta State University (DSU). She was awarded the Connected Educator Award during her first year at DSU. Prior to coming to DSU she founded the MS Witness Project; a 501(c) (3) faith based non-profit organization. She initiated the Pink Ribbon Gala in 2005, which funds raised assists those who have been diagnosed with cancer in Mississippi.

Abstract:

BACKGROUND: Public Health Law 101-354 was enacted to reduce breast and cervical cancer morbidity and mortality rates via education, screening, and adequate timely follow-up. The program has provided breast and cervical cancer screening for hundreds of thousands of women, followed by the National Breast and Cervical Cancer Early Detection Program Treatment Act, Public Law 106-354, which provided for treatment services for women diagnosed with malignant or pre-malignant conditions of the breast and/or cervix. Data were analyzed to determine whether women in Mississippi who were screened in the Breast and Cervical Cancer Program have been positively impacted by the enactment of this legislation by detecting breast cancer at an early stage, when it is more successfully treated.
OBJECTIVES: By the end of the session the participant will be able to understand how public health policies via Public Laws 101-354 and 106-354 impacted women in Mississippi. Participants will also gain better insight as to whether those two laws reduced late stage breast cancer rates for women in Mississippi.
DATA ANALYSIS: Secondary data for this study were obtained from the BCCP database for women screened over a ten year interval. The Breast and Cervical Cancer Program data were analyzed to determine the effectiveness of a public health policy that was implemented to influence breast and cervical cancer outcomes by providing a health care coverage for medically underserved women.
RESULTS: Findings from this study demonstrated that more women were diagnosed with breast cancer as a result of increased screenings. But, women in the BCCP continued to be diagnosed at later stages of breast cancer diseases.

Speaker
Biography:

Paul J. Davis is currently working in Albany College of Pharmacy and Health Sciences, USA

Abstract:

The principal secretory product of the thyroid gland, L-thyroxine (T4), is anti-apoptotic at physiological concentrations in a number of cancer cell lines. Among the mechanisms of anti-apoptosis activated by the hormone are interference with the Ser-15 phosphorylation (activation) of p53 and with TNFa/Fas-induced apoptosis. The hormone also decreases cellular abundance and activation of proteolytic caspases and of BAX and causes increased expression of X-linked inhibitor of apoptosis (XIAP). The anti-apoptotic effects of thyroid hormone largely are initiated at a cell surface thyroid hormone receptor on the extracellular domain of integrin avb3 that is amply expressed and activated in cancer cells. Tetraiodothyroacetic acid (tetrac) is a T4 derivative that, in a model of resveratrol-induced p53-dependent apoptosis in glioma cells, blocks the anti-apoptotic action of thyroid hormone, permitting specific serine phosphorylation of p53 and apoptosis to proceed. In a nanoparticulate formulation limiting its action to avb3, tetrac modulates integrin-dependent effects on gene expression in human cancer cell lines that include stimulation of expression of a panel of pro-apoptotic genes and downregulated transcription of defensive anti-apoptotic XIAP and MCL1 genes. By a variety of mechanisms, thyroid hormone (T4) acts as an endogenous anti-apoptotic factor that may oppose chemotherapy-induced apoptosis in avb3-expressing cancer cells. It is possible to oppose this anti-apoptotic activity pharmacologically by reducing circulating levels of T4 or by blocking effects of T4 that are initiated at avb3.

 

Dr Peter Tunbridge

Private Clinical Practice
Adelaide
South Australia

Title: There is more to cancer than just genes
Biography:

Dr Tunbridge is in private clinical practice in Adelaide, South Australia. He specialises in treatment of complex metabolic disorders, thyroid disease and disorders of oestrogen metabolism. His background in Science is in Immunology, Biochemistry and Immunology. Before studying Medicine, he worked on the thiamine pathway and was the first to discover a genetic basis to thiamine deficiency which was subsequently shown to be the MTHFR gene polymorphism. He has recently finished a meta-analysis of the relationship of the MTHFR with E2 metabolism and its effect on intracellular glucose metabolism. He is currently setting up a research programme to examine the role of intra-cellular levels of T3 causing conversion of glucose into Ground Substance and how this may be the actual cause of all arthritis. He holds the position of Lecturer in Clinical Medicine at Adelaide University. He is Foundation Editor, and Editor-in-Chief of the International online Medical Journal on Steroids, “Global Hormonal Health” He is an Author with 2 published books to date, “The Human Code”, and “Short Pants”

Abstract:

The current model for cancer is no longer valid.
There are too many unanswered questions in its aetiology, physiology and clinical outcomes.
This presentation is to outline a totally new model based on;
1. Visceral fat stem cells
2. Glucose overload metabolism
3. The role of Ground Substance
4. The role of Hormones
5. The actual cause of metastases
6. What the Oncogene represents
Hopefully this model which is based on a meta-analysis of current published, peer reviewed literature will stimulate new ideas and treatments.

Rene Wenzl

Medical University of Vienna, Austria

Title: Hormonal treatment in patients with Endometriosis
Biography:

Rene Wenzl has completed his residency in Obstetrics and Gynecology from Medical School of Vienna in 1995 and Master degree of Science from Donau-Universität-Krems in 2005. He has been a senior physician at the Department of OB/GYN in 2004 and was announced as Head of the Centre for Endometriosis at the Medical University of Vienna in 2010. His scientific dedication applies to the research of pathogenesis and effective treatment of endometriosis and its concomitant diseases. He is fellow member for various societies such as The Johns Hopkins Medical and Surgical Association, European Society for Gynecological Endoscopy and New York Academy of Science. He has published more than 70 papers in reputed journals and is serving as an Editorial Board Member of repute.

 

Abstract:

Endometriosis is a painful, chronic disease occurring when endometrium is located outside the uterus, affecting at least 6 million women worldwide. Symptoms like dysmenorrhea, dyspareunia, dysuria, fatigue or other gastrointestinal indications such as diarrhea, constipation, nausea are responsible for severe aggravation of women’s life. Endometriosis compromises the quality of life of countless women worldwide and is a leading cause of disability. Clinical symptoms of endometriosis can be very heterogeneous leading to a long interval between onset of symptoms (commonly 7 years) and surgical diagnosis. Treatment for endometriosis is usually with medications or surgery. Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. That's because the rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow the growth and prevent new implants of endometrial tissue such as hormonal contraceptives, Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists, Progesterone and progestin or Danazol. The lecture should provide an overview of current treatment options apart from surgical interventions such as laparoscopy and hysterectomy.

 

Speaker
Biography:

Davis is a graduate of Harvard Medical School and had his postgraduate medical training at Albert Einstein College of Medicine and the NIH. His academic positions have included Chair, Department of Medicine, Albany Medical College. He has served as President, American Thyroid Association, as a member of the Board of Directors of the American Board of Internal Medicine and he is Co-Head, Faculty of 1000–Endocrinology. He serves on multiple Editorial Boards of His scientific interests include molecular mechanisms of actions of nonpeptide hormones, particularly, thyroid hormone. He and his colleagues described the cell surface receptor for thyroid hormone on integrin avb3 that underlies the pro-angiogenic activity of the hormone and the proliferative action of the hormone on cancer cells. He has co-authored more than 200 original research articles and 30 textbook chapters and he has edited three medical textbooks.

 

Abstract:

Plasma membrane integrin avb3 is extensively involved in angiogenesis. Generously expressed on dividing endothelial cells and tumor cells, avb3 mediates cell-cell interactions and interactions with angiogenesis-relevant extracellular matrix (ECM) proteins such as osteopontin, vitronectin and von Willebrand factor. avb3 also engages in crosstalk with adjacent vascular growth factor receptors. We have described small molecule ligands of the integrin, such as thyroid hormone, that exert extensive control over blood vessel formation. Acting at the integrin, L-thyroxine (T4) (< 10-10 M free hormone) and 3,3’,5-triiodo-L-thyronine (T3) rapidly stimulate angiogenesis in the chick chorioallantoic membrane (CAM) model and Matrigel® microtubule formation system. Nanoparticulate T4 (agarose-T4) does not gain access to the cell interior and is equipotent angiogenically to unmodified T4. T4 is equipotent to VEGF and bFGF in the CAM model. The hormone receptor on avb3 mediates upregulation by T4 of a set of genes relevant to angiogenesis, including basic fibroblast growth factor (bFGF; FGF2) and several matrix metalloproteinases (MMPs). T4 also supports endothelial cell migration towards a vitronectin cue. Tetraiodothyroacetic acid (tetrac), a deaminated derivative of T4, inhibits binding of T4 and T3 to avb3 and, unmodified or reformulated as a poly(lactic-co-glycolic acid) nanoparticle (Nanotetrac; Nano-diamino-tetrac; NDAT), this agent antagonizes all of the pro-angiogenic actions of T4 and T3. Nanotetrac is anti-angiogenic by additional mechanisms unrelated to the binding of T4 and T3. These avb3-dependent actions include inhibition of the angiogenic actions of VEGF, bFGF and PDGF—reflecting, we propose, disruption of crosstalk between the integrin and nearby receptors for vascular growth factors—and stimulation of expression of the anti-angiogenic thrombospondin 1 (TSP1) gene in tumor cells. Also relevant to angiogenesis are the actions of Nanotetrac to decrease expression of VEGFA, EGFR, MMP-2, MMP-9 genes and miR-21 abundance. The microRNA increases cellular HIF-1a and VEGF content. Finally, resveratrol and testosterone are other small molecule ligands of avb3 that modulate angiogenesis. The pro-angiogenic action of resveratrol has been shown to be expressed via the avb3 receptor site for stilbenes, but the possibility that the dihydrotestosterone effect on HIF-1a is avb3-requiring has not yet been examined. In summary, integrin avb3 has small molecule ligands that regulate angiogenesis. A set of disparate thyroid hormone analogues is the best studied of such ligands and by multiple molecular mechanisms these analogues are pro- or anti-angiogenic.

 

  • Growth Supplements
  • Steroids in Women Health