Synthesis and biological activity of new halo-steroidal antiestrogens.
Abstract
Antiestrogen therapy is the most widely used endocrine manipulation for the treatment of breast cancer, especially in postmenopausal women. Unfortunately, the compounds presently available possess mixed agonistic/antagonistic activity, thus potentially limiting their therapeutic efficacy. Following the observations that an aliphatic chain at the 7 alpha-position of 17 beta-estradiol does not prevent binding to the estrogen receptor while halogenation of estradiol can increase the affinity of its binding (expressed as RBA) to the estrogen receptor, we have synthesized a series of new steroidal antiestrogens (6-10) which possess both an 7 alpha-undecanamide group and an halogen atom (Cl, Br, or I) at the 16 alpha-position. The stereochemistry of these compounds was unambiguously established by high-field (400-MHz) nuclear magnetic resonance. Some of the compounds obtained possess potent in vivo antiestrogenic activity. At the low twice daily 3-micrograms dose, 16 alpha-chloro 3,17 beta-diol amide, 16 alpha-iodo 3,17 beta-diol amide, 16 alpha-bromo 3,17 beta-diol amide, 16 alpha-chloro 3,17 alpha-diol amide, and 16 alpha-bromo 3,17 alpha-diol amide inhibit by 74, 63, 52, 35, and 60%, respectively, the estradiol-induced stimulation of uterine weight in ovariectomized Balb/c mice while 78-99% blockade of estradiol action is achieved at the 20-micrograms dose. These new antiestrogens show no estrogenic activity on uterine weight at the doses used while tamoxifen (2-[4-(1,2-diphenyl-1-butenyl)phenoxy]-N,N- dimethylethanamine) shows full estrogenic activity and is only a weak partial antiestrogen in the same assay.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The pure steroidal antiestrogen EM-139 not only completely reversed the effect of E2 but further inhibited cell number by 30% below control values (P<0.01).
“the pure steroidal antiestrogen EM-139 (228), on the other hand, not only completely reversed the effect of E 2 but further inhibited cell number by 30% below control values (P Ͻ 0.01; Fig. 18B).”
From Endocrine and intracrine sources of androgens in women: inhibition of breast cancer and other roles of androgens and their precursor dehydroepiandrosterone (2003) · cites this paper as [228]
Cited by
Sorted by citations
Labrie, F., Luu-The, V., Labrie, C., Bélanger, A., Simard, J., Lin, S.-X., & Pelletier, G. (2003) · Endocrine Reviews · doi:10.1210/er.2001-0031 · Cited by 544 · see citing works
“01) of E2-induced ZR-75-1 cell growth, whereas the pure steroidal antiestrogen EM-139 (228), on the other hand, not only completely reversed the effect of E2 but further inhibited cell number by 30% below control values (P 0.”
BackgroundInfluentialSelf-citationEvaluation of alternative methods of cervical cancer screening for resource-poor settings
Denny, L., Kuhn, L., Pollack, A. E., Wainwright, H., & Wright, T. C. (2000) · Cancer · doi:10.1002/1097-0142(20000815)89:4 · Cited by 250 · see citing works
Jordan, V. C. (2003) · Journal of Medicinal Chemistry · doi:10.1021/jm020450x · Cited by 398 · see citing works
Similarities and distinctions in the mode of action of different classes of antioestrogens.
Wakeling, A. E. (2000) · Endocrine Related Cancer · doi:10.1677/erc.0.0070017 · Cited by 191 · see citing works
“Following the discovery of ICI 164384, a number of other steroid-derived non-agonist antioestrogens have been reported, including further modifications of 7α-substituted oestradiol (Levesque et al. 1991) and 11β-amidoalkoxyphenyl oestradiol derivatives (e.”
Labrie, F., Labrie, C., Bélanger, A., Simard, J., Gauthier, S., Luu-The, V., Mérand, Y., Giguère, V., Candas, B., Luo, S., et al. (1999) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/s0960-0760(99)00065-5 · Cited by 161 · see citing works
“[16] C.”
BackgroundSelf-citationGauthier, S., Caron, B., Cloutier, J., Dory, Y. L., Favre, A., Larouche, D., Mailhot, J., Ouellet, C., Schwerdtfeger, A., Leblanc, G., et al. (1997) · Journal of Medicinal Chemistry · doi:10.1021/jm970095o · Cited by 156 · see citing works
Self-citationSubstituted phenanthrenes with basic amino side chains: A new series of anti-breast cancer agents
Shagufta, S., Srivastava, A. K., Sharma, R., et al. (2005) · Bioorganic & Medicinal Chemistry · doi:10.1016/j.bmc.2005.10.002 · Cited by 122 · see citing works
New endocrine therapies for breast cancer
Howell, A., Downey, S. E., & Anderson, E. (1996) · European Journal of Cancer · doi:10.1016/0959-8049(96)00032-9 · Cited by 90 · see citing works
Lapointe, J., Fournier, A., Richard, V., & Labrie, C. (1999) · Endocrinology · doi:10.1210/endo.140.1.6410 · Cited by 76 · see citing works
Self-citationNovel compounds inhibit estrogen formation and action.
Labrie, C., Martel, C., Dufour, J. M., Lévesque, C., Mérand, Y., & Labrie, F. (1992) · PubMed · Cited by 73 · see citing works
Self-citationTremblay, M. R., & Poirier, D. (1998) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/s0960-0760(98)00043-0 · Cited by 74 · see citing works
Poulin, R., Baker, D., Poirier, D., & Labrie, F. (1991) · Breast Cancer Research and Treatment · doi:10.1007/bf01806369 · Cited by 73 · see citing works
Self-citationAmplification of the mdm2 gene and p53 abnormalities in uterine sarcomas
Seki, A., Kodama, J., Miyagi, Y., Kamimura, S., Yoshinouchi, M., & Kudo, T. (1997) · International Journal of Cancer · doi:10.1002/(sici)1097-0215(19970926)73:1 · Cited by 35 · see citing works
Self-citationLaplante, Y., Cadot, C., Fournier, M.-A., & Poirier, D. (2007) · Bioorganic & Medicinal Chemistry · doi:10.1016/j.bmc.2007.11.007 · Cited by 68 · see citing works
Response of Symbiotic Endomycorrhizal Fungi to Estrogens and Antiestrogens
Poulin, M.-J., Simard, J., Catford, J.-G., Librie, F., & Piché, Y. (1997) · Molecular Plant-Microbe Interactions · doi:10.1094/mpmi.1997.10.4.481 · Cited by 55 · see citing works
Williams, B. A., Makrigiannis, A. P., Blay, J., & Hoskin, D. W. (1997) · International Journal of Cancer · doi:10.1002/(sici)1097-0215(19971104)73:3 · Cited by 22 · see citing works
Self-citationInhibitors of type II 17β-hydroxysteroid dehydrogenase
Poirier, D., Bydal, P., Tremblay, M. R., Sam, K., & Luu-The, V. (2001) · Molecular and Cellular Endocrinology · doi:10.1016/s0303-7207(00)00427-5 · Cited by 50 · see citing works
Two unsuccessful clinical trials on endometriosis and a few lessons learned
Guo, S.-W., & Olive, D. L. (2007) · Gynecologic and Obstetric Investigation · doi:10.1159/000098413 · Cited by 49 · see citing works
“we believe that these lessons may help us improve the chance of designing successful clinical trials in the future. Fulvestrant and Raloxifene: Potential Therapies for Endometriosis? Fulvestrant Fulvestrant (FaslodexTM, AstraZeneca), or ICI 182780 its original compound name, was approved by the US Food and Drug Admini…”
BackgroundLabrie, F., Labrie, C., Bélanger, A., Simard, J., Giguère, V., Tremblay, A., & Tremblay, G. (2001) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/s0960-0760(01)00139-x · Cited by 49 · see citing works
“The first class of pure antiestrogens obtained were 7 -substituted estradiol derivatives [10,12,14,15,23–25], especially ICI 164,384, EM-139, and ICI 182,780 (Fig.”
BackgroundSelf-citationCouillard, S., Gutman, M., Labrie, C., et al. (1998) · PubMed · Cited by 46 · see citing works
Self-citationAyan, D. P., Maltais, R., Roy, J., & Poirier, D. (2012) · Molecular Cancer Therapeutics · doi:10.1158/1535-7163.mct-12-0299 · Cited by 44 · see citing works
“1 nmol/L) like the pure antiestrogen EM-139 (33)”
BackgroundInfluentialSourla, A., Luo, S., Labrie, C., Bélanger, A., & Labrie, F. (1997) · Endocrinology · doi:10.1210/endo.138.12.5560 · Cited by 46 · see citing works
Self-citationBydal, P., Luu-The, V., Labrie, F., & Poirier, D. (2008) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2008.03.020 · Cited by 36 · see citing works
Self-citationMartel, C., Labrie, C., Bélanger, A., et al. (1998) · Endocrinology · doi:10.1210/endo.139.5.5968 · Cited by 35 · see citing works
Self-citationHussey, S. L., He, E., & Peterson, B. R. (2002) · Organic Letters · doi:10.1021/ol0171261 · Cited by 33 · see citing works
Solid-Phase Synthesis of Hydroxysteroid Derivatives Using the Diethylsilyloxy Linker
Maltais, R., Tremblay, M. R., & Poirier, D. (2000) · Journal of Combinatorial Chemistry · doi:10.1021/cc0000242 · Cited by 32 · see citing works
Pelletier, J. D., Labrie, F., & Poirier, D. (1994) · Steroids · doi:10.1016/0039-128x(94)90072-8 · Cited by 32 · see citing works
Self-citationLuo, S., Sourla, A., Labrie, C., Gauthier, S., Mérand, Y., Bélanger, A., & Labrie, F. (1998) · Endocrinology · doi:10.1210/endo.139.5.5994 · Cited by 33 · see citing works
Doualla‐Bell, F., Lye, S. J., Labrie, F., et al. (1995) · Endocrinology · doi:10.1210/endo.136.12.7588277 · Cited by 31 · see citing works
Self-citationDevelopment of Estrogen Antagonists as Pharmaceutical Agents
Ray, S., & Dwivedy, I. (1997) · Advances in Drug Research · doi:10.1016/s0065-2490(97)80015-9 · Cited by 31 · see citing works
Seimbille, Y., Bénard, F., Rousseau, J. A., et al. (2004) · Nuclear Medicine and Biology · doi:10.1016/j.nucmedbio.2004.02.010 · Cited by 26 · see citing works
Sam, K., Labrie, F., & Poirier, D. (2000) · European Journal of Medicinal Chemistry · doi:10.1016/s0223-5234(00)00124-0 · Cited by 26 · see citing works
Self-citationPelletier, J. D., & Poirier, D. (1996) · Bioorganic & Medicinal Chemistry · doi:10.1016/0968-0896(96)00154-x · Cited by 25 · see citing works
Labrie, F., Labrie, C., BÉLANGER, A., Giguère, V., Simard, J., Mérand, Y., Gauthier, S., Luu-The, V., Candas, B., Martel, C., et al. (2001) · Advances in protein chemistry · doi:10.1016/s0065-3233(01)56009-x · Cited by 22 · see citing works
Self-citationQuest for steroidomimetics: Amino acids derived steroidal and nonsteroidal architectures
Shagufta, S., Ahmad, I., & Panda, G. (2017) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2017.03.054 · Cited by 21 · see citing works
Wölfling, J., Frank, É., Mernyák, E., et al. (2002) · Tetrahedron · doi:10.1016/s0040-4020(02)00742-1 · Cited by 22 · see citing works
17α-Alkan (or alkyn) amide derivatives of estradiol as inhibitors of steroid-sulfatase activity
Boivin, R. P., Labrie, F., & Poirier, D. (1999) · Steroids · doi:10.1016/s0039-128x(99)00060-4 · Cited by 20 · see citing works
Self-citationAN EXPEDITIOUS ROUTE TO 7α-SUBSTITUTED ESTRADIOL DERIVATIVES
Tedesco, R., Katzenellenbogen, J. A., & Napolitano, E. (1997) · Tetrahedron Letters · doi:10.1016/s0040-4039(97)10180-0 · Cited by 20 · see citing works
Li, S., L�vesque, C., Geng, C.-S., Yan, X., & Labrie, F. (1995) · Breast Cancer Research and Treatment · doi:10.1007/bf00665787 · Cited by 19 · see citing works
“For this reason, we have developed a series of steroidal antiestrogens devoid of estrogenic activity and acting as pure antiestrogens in all the in vivo and in vitro assays used [12-15].”
MethodSelf-citationSynthesis and receptor-binding examination of 16-hydroxymethyl-3,17-estradiol stereoisomers
Tapolcsányi, P., Woelfling, J., Falkay, G., Márki, Á., Minorics, R., & Schneider, G. (2002) · Steroids · doi:10.1016/s0039-128x(02)00020-x · Cited by 20 · see citing works
Seimbille, Y., Bénard, F., & van Lier, J. E. (2002) · Journal of the Chemical Society Perkin Transactions 1 · doi:10.1039/b205571f · Cited by 18 · see citing works
Poirier, D., Mérand, Y., Labrie, C., et al. (1996) · Bioorganic & Medicinal Chemistry Letters · doi:10.1016/0960-894x(96)00472-6 · Cited by 17 · see citing works
Self-citationAuger, S., Mérand, Y., Pelletier, J. D., et al. (1995) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/0960-0760(95)00014-q · Cited by 16 · see citing works
Self-citationLi, S., Martel, C., Dauvois, S., Bèlanger, A., & Labrie, F. (1994) · Endocrinology · doi:10.1210/endo.134.3.8119175 · Cited by 14 · see citing works
Self-citationLabrie, F., Li, S., Labrie, C., L�vesque, C., & M�rand, Y. (1995) · Breast Cancer Research and Treatment · doi:10.1007/bf00665948 · Cited by 14 · see citing works
“Recently, a new class of compounds derived from structures originally developed for the affinity chromatography of the estrogen receptor [12] have been shown to exert pure antiestrogenic activity both in vivo and in vitro [13-17].”
BackgroundMethodSelf-citationDoualla‐Bell, F. (1995) · Biology of Reproduction · doi:10.1095/biolreprod52.6.1358 · Cited by 14 · see citing works
Synthesis and biological activity of 17α-alkynylamide derivatives of estradiol
Poirier, D., Labrie, C., Mérand, Y., et al. (1991) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/0960-0760(91)90090-r · Cited by 14 · see citing works
Self-citationNovel Steroidal 1,4‐Diketones and Pyridazine Derivatives as Potential Antiestrogens
Ismail, K. A., El‐Tombary, A. A., Aboulwafa, O. M., et al. (1996) · Archiv der Pharmazie · doi:10.1002/ardp.19963291002 · Cited by 13 · see citing works
Design, synthesis, and evaluation of cyclofenil derivatives for potential SPECT imaging agents
Zhu, H., Huang, L., Zhang, Y., et al. (2010) · JBIC Journal of Biological Inorganic Chemistry · doi:10.1007/s00775-010-0627-0 · Cited by 12 · see citing works
Ali, H., Rousseau, J. A., Paquette, B., et al. (2003) · Steroids · doi:10.1016/j.steroids.2003.09.005 · Cited by 12 · see citing works
Labrie, F. (2006) · Endocrine Related Cancer · doi:10.1677/erc.1.00883 · Cited by 12 · see citing works
“…attention has thus focused on the development of blockers of estrogen biosynthesis and action (Wakeling & Bowler 1988, Dauvois et al. 1991, de Launoit et al. 1991, Lévesque et al. 1991, Gronemeyer et al. 1992, Labrie et al. 1992a, 1995a, Gauthier et al. 1997) for the treatment of breast cancer.”
Self-citationA stereoselective synthesis of 7α-(3′-carboxypropyl)estradiol from a noncontrolled substance
Adamczyk, M., Johnson, D. D., & Reddy, R. E. (1997) · Steroids · doi:10.1016/s0039-128x(97)00088-3 · Cited by 11 · see citing works
Beauregard, J., Croteau, É., Ahmed, N. A., et al. (2007) · Nuclear Medicine and Biology · doi:10.1016/j.nucmedbio.2007.01.001 · Cited by 10 · see citing works
“Nevertheless, a wide range of FES RBA has been reported in the literature [5,11,13,14], attributable to differences in experimental protocols.”
BackgroundZhu, D., Campbell, R. L., Labrie, F., & Lin, S. (1999) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/s0960-0760(99)00111-9 · Cited by 10 · see citing works
Self-citationDionne, P., Singh, S. M., & Labrie, F. (1994) · Steroids · doi:10.1016/0039-128x(94)90064-7 · Cited by 10 · see citing works
Self-citationNgatcha, B. T., Laplante, Y., Labrie, F., Luu-The, V., & Poirier, D. (2005) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2005.10.023 · Cited by 9 · see citing works
Self-citationA new, stereoselective approach to C(7)-alkylated estra-1,3,5(10)-triene derivatives
Künzer, H., Thiel, M., Sauer, G., et al. (1994) · Tetrahedron Letters · doi:10.1016/0040-4039(94)88321-1 · Cited by 8 · see citing works
Synthesis and evaluation of 7α-(3-[18F]fluoropropyl) estradiol
Okamoto, M., Naka, K., Kitagawa, Y., et al. (2015) · Nuclear Medicine and Biology · doi:10.1016/j.nucmedbio.2015.03.005 · Cited by 7 · see citing works
“However, the RBA values of 16α-FES differ widely between previous reports ranging from 35% to 108% [21–24].”
BackgroundNeighboring group participation
Szájli, Á., Woelfling, J., Mernyák, E., Minorics, R., Márki, Á., Falkay, G., & Schneider, G. (2005) · Steroids · doi:10.1016/j.steroids.2005.09.008 · Cited by 7 · see citing works
Synthesis and receptor-binding examination of 16-hydroxymethyl-3,17-estradiol stereoisomers
Tapolcsányi, P., Wölfling, J., Falkay, G., et al. (2002) · Steroids · doi:10.1016/s0039-128x(01)00191-x · Cited by 7 · see citing works
Jansen, G. H., Franke, H. R., Wolbers, F., et al. (2008) · Climacteric · doi:10.1080/13697130802232500 · Cited by 6 · see citing works
Wakeling, A. E. (1999) · Handbook of experimental pharmacology · doi:10.1007/978-3-642-60107-1_9 · Cited by 6 · see citing works
A novel and stereoselective synthesis of 7α-alkynylestra-1,3,5(10)-triene-3,17β-estradiol
Ahmed, N. A., & van Lier, J. E. (2007) · Tetrahedron Letters · doi:10.1016/j.tetlet.2007.06.098 · Cited by 5 · see citing works
Chang, K.-H., Jenkins, M. N., Wu, H., et al. (2003) · Tetrahedron Letters · doi:10.1016/s0040-4039(02)02875-7 · Cited by 4 · see citing works
El‐Tombary, A. A. (1997) · Archiv der Pharmazie · doi:10.1002/ardp.19973300906 · Cited by 4 · see citing works
Du, H., Liu, K., & Li, W. (2006) · Synthetic Communications · doi:10.1080/00397910500408522 · Cited by 3 · see citing works
Third- and Fourth-Generation SERMs
Labrie, F., Labrie, C., Bélanger, A., & Simard, J. (2002) · Humana Press eBooks · doi:10.1007/978-1-59259-157-2_9 · Cited by 3 · see citing works
Self-citationCamerini, A., Rondini, M., Garrone, O., Valsuani, C., Donati, S., Siclari, O., Sgambato, A., Tartarelli, G., Vincenti, M., Mattiot, V. P., et al. (2009) · Cancer Biology & Therapy · doi:10.4161/cbt.8.15.8959 · Cited by 2 · see citing works
Entwicklungsstrategien für Arzneistoffe zur Therapie hormonabhängiger Tumoren
Angerer, E. V. (1996) · Pharmazie in unserer Zeit · doi:10.1002/pauz.19960250207 · Cited by 2 · see citing works
Li, T., Zhu, D., Labrie, F., & Lin, S. (2018) · Health · doi:10.4236/health.2018.108081 · Cited by 1 · see citing works
“N-n-Butyl-N-methyl-ll-(16'α-chloro-3',17'βdihydroxyes-tra-1',3',5'(10')-trien-7'α-yl) undecanamide (EM-139) is a 7α-alkyl, 16α-halo estradiol derivative which was first synthesized as a pure antiestrogen (Figure 1) [19].”
BackgroundSelf-citationHormones, Estrogens and Antiestrogens
Guo, J. Z., Hahn, D. W., & Wachter, M. P. (2000) · Kirk-Othmer Encyclopedia of Chemical Technology · doi:10.1002/0471238961.05192018072115.a01 · Cited by 1 · see citing works
ESTROGENS, ANTIESTROGENS, AND OTHER ESTRANE COMPOUNDS
Leclercq, G. (1992) · Elsevier eBooks · doi:10.1016/b978-0-12-105952-1.50007-9 · Cited by 1 · see citing works
Vogel, H. G. (2007) · Springer eBooks · doi:10.1007/978-3-540-70995-4_15 · Cited by 1 · see citing works
Simpkins, N. S., & Cha, J. K. (2006) · Encyclopedia of Reagents for Organic Synthesis · doi:10.1002/047084289x.rb388.pub2
Ellmén, J. (2012) · UTUPub (University of Turku)
Vogel, H. G., Vogel, W. H., Schölkens, B. A., Sandow, J., Müller, G. A., & Vogel, W. F. (2002) · Springer eBooks · doi:10.1007/3-540-29837-1_15
Wakeling, A. E. (2009) · Humana Press eBooks · doi:10.1007/978-1-59259-152-7_7
Sandow, J. (2015) · Springer eBooks · doi:10.1007/978-3-319-05392-9_77
Vogel, H. G., & Vogel, W. H. (1997) · Springer eBooks · doi:10.1007/978-3-662-03333-3_13
Sandow, J. (2015) · Springer eBooks · doi:10.1007/978-3-642-27728-3_77-1
Antiestrogens and Partial Agonists
Angerer, E. V. (1999) · Handbook of experimental pharmacology · doi:10.1007/978-3-642-58616-3_4
- Authors
- Levesque, C., Merand, Y., Dufour, J. M., Labrie, C., & Labrie, F.
- Venue
- Journal of Medicinal Chemistry
- Publisher
- American Chemical Society (ACS)
- Published
- 1991-05
- Volume
- 34
- Issue
- 5
- Pages
- 1624-1630
- ISSN
- 0022-2623 (ISSN-L)
- 1520-4804
- OpenAlex
- W2019517738
- Cited by
- 81
- References
- 0
- Citations by year
- 2018: 1 · 2017: 1 · 2015: 3 · 2012: 2
- FWCI
- 1.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Medicinal Chemistry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Physical Sciences › Chemistry › Organic Chemistry › Synthesis and biological activity
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Steroid Chemistry and Biochemistry
- Keywords
- estrogen receptor binding affinity, breast cancer endocrine therapy, uterine weight, tamoxifen comparison, estrogenic activity, structure-activity relationship
- MeSH terms
- Animals, Chemistry, Estradiol, Estrogen Antagonists, Female, Mice, Inbred BALB C, Structure-Activity Relationship, Uterus, Mice, Chemical Phenomena
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review