Androgen replacement therapy is a promising strategy for the treatment of frailty; however, androgens pose risks for unwanted effects including virilization and hypertrophy of reproductive organs. Selective Androgen Receptor Modulators (SARMs) retain the anabolic properties of androgens in bone and muscle while having reduced effects in other tissues. We describe two structurally similar 4-aza-steroidal androgen receptor (AR) ligands, Cl-4AS-1, a full agonist, and TFM-4AS-1, which is a SARM. TFM-4AS-1 is a potent AR ligand (IC 50 , 38 nM) that partially activates an AR-dependent MMTV promoter (55% of maximal response) while antagonizing the N-terminal/C-terminal interaction within AR that is required for full receptor activation. Microarray analyses of MDA-MB-453 cells show that whereas Cl-4AS-1 behaves like 5␣-dihydrotestosterone (DHT), TFM-4AS-1 acts as a geneselective agonist, inducing some genes as effectively as DHT and others to a lesser extent or not at all. This gene-selective agonism manifests as tissue-selectivity: in ovariectomized rats, Cl-4AS-1 mimics DHT while TFM-4AS-1 promotes the accrual of bone and muscle mass while having reduced effects on reproductive organs and sebaceous glands. Moreover, TFM-4AS-1 does not promote prostate growth and antagonizes DHT in seminal vesicles. To confirm that the biochemical properties of TFM-4AS-1 confer tissue selectivity, we identified a structurally unrelated compound, FTBU-1, with partial agonist activity coupled with antagonism of the N-terminal/C-terminal interaction and found that it also behaves as a SARM. TFM-4AS-1 and FTBU-1 represent two new classes of SARMs and will allow for comparative studies aimed at understanding the biophysical and physiological basis of tissue-selective effects of nuclear receptor ligands.Androgens, primarily testosterone (T) 7 and its more potent derivative, 5␣-dihydrotestosterone (DHT), induce male reproductive physiology and secondary sexual traits such as facial hair and deepened voice. Additionally, in both genders androgens regulate bone and muscle anabolism, adipose mass, lipoprotein metabolism, and behavior (1-3). Androgens decline with age in both men and women (4), which contributes to age-related bone and muscle loss and increases in fat mass (5). Several studies report low testosterone as a risk factor for age-related diseases including osteoporosis (6), sarcopenia (7), atherosclerosis (8), type II diabetes/metabolic syndrome and obesity (9), cognitive impairment (10), and depression (11). Restoring androgens to youthful levels could thus slow unfavorable changes in body composition and improve mood, motivation, and general health. Unfortunately, current androgens induce male secondary sexual traits such as acne and hirsutism, an effect known as virilization, (12) and pose concerns related to unwanted effects in the prostate and other reproductive organs (13-15). Therefore, androgens are limited by concerns over safety and tolerability.Androgens exert their physiological effects by activating the androgen receptor ...