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How Arimidex drug (anastozole) works

Anastozole is an aromatase inhibitor. This means it blocks the enzyme aromatase (found in the body's muscle, skin, breast and fat), which is used to convert androgens (hormones produced by the adrenal glands) into estrogen. In the absence of estrogen, tumors dependent on this hormone for growth will shrink.

The use of hormone therapy to treat cancer is based on the observation that receptors for specific hormones that are needed for cell growth are on the surface of some tumor cells. Hormone therapies work by stopping the production of a certain hormone, blocking hormone receptors, or substituting chemically similar agents for the active hormone, which cannot be used by the tumor cell. The different types of hormone therapies are categorized by their function and/or the type of hormone that is effected.

Arimidex is a type-II aromatase inhibitor (usually just called an AI). In the case of Arimidex, or any Type-I inhibitor, it works by binding to the substrate (the aromatase enzyme) thus rendering it inactive and therefore unable to convert testosterone into estrogen.

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