“…The X-ray structures of the ligand-binding domains of ER␣ and ER with 17-estradiol (estradiol), raloxifene, 4-hydroxy-tamoxifen, diethylstilbestrol or genistein, revealed the molecular determinants of ER subtypespecific ligand binding and regulation of transcription ( [1,2] and references therein). While the affinity of ligand binding to either form of ER primarily reflects the presence of two hydroxyl groups with an O-O distance close to that between the 3-and 17-hydroxyl groups of estradiol, the ability of raloxifene and 4-hydroxy-tamoxifen to display tissue-specific ER antagonist activity depends on their lengthy side chains, which can stabilize receptor conformations capable of recruiting transcriptional co-repressors rather than co-activators depending on the relative levels of expression of these co-regulators in a particular cell or tissue [1,2,4]. Ligands lacking lengthy extensions but possessing core features (e.g.…”