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Tamoxifen is a SERM, a PKC inhibitor and an anti-angiogenetic factor. Tamoxifen i is metabolized to 4-hydroxytamoxifen 4-OHT and endoxifen by CYP2D6 and CYP3A4. In breast cancer, tamoxifen activity is dependent upon PAX2. Blocks estradiol-stimulated VEGF production in breast tumor cells.