exogenous hormones

外源性激素
  • 文章类型: Journal Article
    由于缺乏引发生殖事件的环境线索,异位两栖动物种群可能会经历生殖功能障碍。两栖动物辅助生殖技术(ART),特别是外源性激素方案,可以规避这些外部信号来诱导配子发生和配子释放。目前,哺乳动物生殖激素促性腺激素释放激素(GnRH)和人绒毛膜促性腺激素(hCG)的使用以物种特异性方式用于刺激两栖动物的繁殖。在所有育种方案中有效的激素或激素混合物将为保护从业者提供最佳选择,并且一些商业产品已经用于育种其他外热病。Ovaprim®,其中含有鲑鱼GnRH类似物(sGnRHa)和多巴胺拮抗剂多潘立酮(DOM),对鱼类养殖有效,对两栖动物可能有效。为了检验这个假设,我们单独用sGnRHa治疗福勒的蟾蜍(Anaxyrusfowleri),高或低剂量的Ovaprim®或hCG。然后我们比较了精子反应,精子数量和质量参数,以及每次治疗中动物质量随时间的变化。我们发现与单独施用sGnRHa相比,施用Ovaprim®导致更多的雄性产生具有更好运动性的精子。此外,Ovaprim®和sGnRHa治疗导致较低的反应率,较低的精子活动,更多的异常精子,与hCG治疗相比,精子的聚集更高。此外,Ovaprim®治疗的雄性获得了显著的质量,提示DOM的抗利尿作用。一起,这些结果表明,Ovaprim®和sGnRHa,在测试的浓度下,在非原位bufonid育种计划中可能是hCG的合适替代品,并且为鱼类开发的激素混合物可能对新世界蟾蜍物种的可转移性有限。
    Ex situ amphibian populations can experience reproductive dysfunction due to the absence of environmental cues that trigger reproductive events. Assisted reproductive technologies (ART) for amphibians, specifically exogenous hormone regimens, can circumvent these external signals to induce gametogenesis and gamete release. Currently, the use of the mammalian reproductive hormones gonadotropin-releasing hormone (GnRH) and human chorionic gonadotropin (hCG) are used in a species-specific manner to stimulate amphibian breeding. Hormones or hormone mixtures that are effective in all breeding scenarios would provide the best option for conservation practitioners and some commercial products are already in use for breeding other ectotherms. Ovaprim®, which contains salmon GnRH analogue (sGnRHa) and the dopamine antagonist domperidone (DOM), is effective in fish aquaculture and may be effective for amphibians. To test this hypothesis, we treated Fowler\'s toads (Anaxyrus fowleri) with either sGnRHa alone, a high or low dose of Ovaprim® or hCG. We then compared spermiation response, sperm quantity and quality parameters, and changes in animal mass over time within each treatment. We found administration of Ovaprim® resulted in more males producing sperm with better motility compared to administration of sGnRHa alone. In addition, the Ovaprim® and sGnRHa treatments resulted in lower response rates, lower sperm motilities, more abnormal sperm, and higher aggregations of sperm compared to the hCG treatment. Furthermore, Ovaprim®-treated males gained significant mass, suggesting an anti-diuretic effect of DOM. Together, these results show that neither Ovaprim® nor sGnRHa, at the concentrations tested, are likely suitable replacements for hCG in ex situ bufonid breeding programmes and that hormone mixtures developed for fish may have limited transferability to new world toad species.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    先前的研究已经调查了微小RNA(miRNA)表达谱对子宫内膜异位症的诊断潜力。然而,以前的绝大多数研究仅包括成年女性。因此,我们试图研究患有子宫内膜异位症的青少年和年轻成人中miRNAs的差异表达.
    妇女健康研究:从青春期到成年期(A2A)是一个正在进行的WERFEPHect依从性纵向队列。我们的分析包括64例经手术证实的子宫内膜异位症患者(96%rASRMI/II期)和118例从未诊断出子宫内膜异位症的女性,其年龄(中位数=21岁)和抽血时使用激素的频率相匹配。将微小RNA测量分为发现期(10例和10个对照)和内部复制期(54例和108个对照)。在发现阶段使用PCR和严格的内部控制措施测定754个血浆miRNA的水平。病例间miRNA的相对表达量与使用2-ΔΔCt方法计算的对照。在通过激素使用分层的单变量分析中显著的miRNA包括在内部复制阶段。将内部复制阶段2:1分成训练和测试集,并利用FirePlexmiRNA测定来评估神经网络分析中的63个miRNA。利用验证阶段的测试集来计算来自包括激素作为协变量的训练集的最佳拟合模型的曲线下面积(AUC)。
    在发现阶段,49个miRNAs在子宫内膜异位症病例和对照之间差异表达。49种miRNA的关联因抽血时的激素使用而不同。内部复制期测试集中的神经网络分析确定了包含5个miRNA(miR-542-3p,let-7b-3p,miR-548i,miR-769-5p,miR-30c-1-3p),产生AUC=0.77(95%CI:0.67-0.87,p<0.001)。测试数据集中的灵敏度提高(83.3%vs.72.2%),而特异性降低(58.3%vs.72.2%)与训练集相比。
    结果表明,miR-542-3p,let-7b-3p,miR-548i,miR-769-5p,miR-30c-1-3p在患有子宫内膜异位症的青少年和年轻成人中可能失调。激素的使用是miRNA失调的重要调节剂,在miRNA诊断研究中应严格考虑。
    UNASSIGNED: Prior studies have investigated the diagnostic potential of microRNA (miRNA) expression profiles for endometriosis. However, the vast majority of previous studies have only included adult women. Therefore, we sought to investigate differential expression of miRNAs among adolescents and young adults with endometriosis.
    UNASSIGNED: The Women\'s Health Study: from Adolescence to Adulthood (A2A) is an ongoing WERF EPHect compliant longitudinal cohort. Our analysis included 64 patients with surgically-confirmed endometriosis (96% rASRM stage I/II) and 118 females never diagnosed with endometriosis frequency matched on age (median = 21 years) and hormone use at blood draw. MicroRNA measurement was separated into discovery (10 cases and 10 controls) and internal replication (54 cases and 108 controls) phases. The levels of 754 plasma miRNAs were assayed in the discovery phase using PCR with rigorous internal control measures, with the relative expression of miRNA among cases vs. controls calculated using the 2-ΔΔCt method. miRNAs that were significant in univariate analyses stratified by hormone use were included in the internal replication phase. The internal replication phase was split 2:1 into a training and testing set and utilized FirePlex miRNA assay to assess 63 miRNAs in neural network analyses. The testing set of the validation phase was utilized to calculate the area under the curve (AUC) of the best fit models from the training set including hormone use as a covariate.
    UNASSIGNED: In the discovery phase, 49 miRNAs were differentially expressed between endometriosis cases and controls. The associations of the 49 miRNAs differed by hormone use at the time of blood draw. Neural network analysis in the testing set of the internal replication phase determined a final model comprising 5 miRNAs (miR-542-3p, let-7b-3p, miR-548i, miR-769-5p, miR-30c-1-3p), yielding AUC = 0.77 (95% CI: 0.67-0.87, p < 0.001). Sensitivity in the testing dataset improved (83.3% vs. 72.2%) while the specificity decreased (58.3% vs. 72.2%) compared to the training set.
    UNASSIGNED: The results suggest that miR-542-3p, let-7b-3p, miR-548i, miR-769-5p, miR-30c-1-3p may be dysregulated among adolescent and young adults with endometriosis. Hormone use was a significant modifier of miRNA dysregulation and should be considered rigorously in miRNA diagnostic studies.
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  • 文章类型: Journal Article
    最常用的估计肾小球滤过率的方程包含二元男女性别系数,这对变性者的护理具有重要意义,性别多样化,和非二进制(TGD)的人。“出生时的性别”或二进制“性别认同”是否最适合计算估计的肾小球滤过率(eGFR)尚不清楚。此外,使用性别确认激素疗法(GAHT)来发展身体变化以使TGD患者与他们确认的性别保持一致越来越普遍,并可能导致血清肌酐和胱抑素C的变化,常用于估算肾小球滤过率的生物标志物。目前缺乏评估GAHT的TGD个体的慢性肾脏病(CKD)患病率和结果的文献,使得难以评估GAHT对肾功能的任何影响。血清肌酐的变化是否反映肾小球滤过率的变化或仅仅是肌肉质量的变化尚不清楚。因此,我们提出了一个整体框架来评估TGD患者的肾功能。该框架侧重于肾脏疾病的患病率,危险因素,性激素,eGFR,其他肾功能评估工具,以及缓解TGD人群的健康不平等。
    The most commonly used equations to estimate glomerular filtration rate incorporate a binary male-female sex coefficient, which has important implications for the care of transgender, gender-diverse, and nonbinary (TGD) people. Whether \"sex assigned at birth\" or a binary \"gender identity\" is most appropriate for the computation of estimated glomerular filtration rate (eGFR) is unknown. Furthermore, the use of gender-affirming hormone therapy (GAHT) for the development of physical changes to align TGD people with their affirmed gender is increasingly common, and may result in changes in serum creatinine and cystatin C, the biomarkers commonly used to estimate glomerular filtration rate. The paucity of current literature evaluating chronic kidney disease (CKD) prevalence and outcomes in TGD individuals on GAHT makes it difficult to assess any effects of GAHT on kidney function. Whether alterations in serum creatinine reflect changes in glomerular filtration rate or simply changes in muscle mass is unknown. Therefore, we propose a holistic framework to evaluate kidney function in TGD people. The framework focuses on kidney disease prevalence, risk factors, sex hormones, eGFR, other kidney function assessment tools, and the mitigation of health inequities in TGD people.
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  • 文章类型: Journal Article
    The need to improve access to health services for the transgender community has become evident, especially concerning cardiovascular risk, which is higher compared to the general population. Surgical procedures and hormone therapies are common in this population to affirm gender identity, but they pose challenges as they are associated with disruptions in lipid metabolism, body fat concentration, and insulin resistance. Additionally, there is an increased risk of adverse cardiovascular events such as venous thromboembolism, stroke, and myocardial infarction. The influence of sex hormones on the electrophysiological properties of the heart has been studied, highlighting gender differences that may predispose the transgender population to cardiac arrhythmias. Exogenous hormone therapy, for both transgender women and men, can affect the QT interval and increase the risk of arrhythmias, including atrial fibrillation. Although the incidence of arrhythmias in the transgender population is not entirely clear, evidence suggests the need for careful cardiovascular monitoring and consideration of risk factors before initiating hormone therapies.
    La necesidad de mejorar el acceso a servicios de salud para la comunidad transgénero se ha vuelto evidente, especialmente en relación con el riesgo cardiovascular, que es más alto en comparación con la población general. Los procedimientos quirúrgicos y las terapias hormonales son comunes en esta población para reafirmar la identidad de género, pero plantean desafíos, ya que se asocian con alteraciones en el metabolismo de lípidos, la concentración de grasa corporal y la resistencia a la insulina. Además, existe un aumento en el riesgo de eventos cardiovasculares adversos, como tromboembolia venosa, accidente cerebrovascular e infarto de miocardio. La influencia de las hormonas sexuales en las propiedades electrofisiológicas del corazón ha sido estudiada, destacando diferencias entre géneros que pueden predisponer a la población transgénero a arritmias cardiacas. La terapia hormonal exógena, tanto para mujeres como para hombres trans, puede afectar el intervalo QT y aumentar el riesgo de arritmias, incluida la fibrilación auricular. Aunque la incidencia de arritmias en la población transgénero aún no está completamente clara, la evidencia sugiere la necesidad de un monitoreo cardiovascular cuidadoso y la consideración de factores de riesgo antes de iniciar terapias hormonales.
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  • 文章类型: Journal Article
    随着全球气候变化,生育期光照不足已成为制约玉米产量的主要因素之一。外源激素的施用是缓解非生物胁迫对作物生产力的可行措施。在这项研究中,进行了田间试验,以研究喷施外源激素对产量的影响,干物质(DM)和氮(N)积累,2021年和2022年弱光胁迫下鲜食糯玉米叶片碳和氮代谢。包括自然光(CK)在内的五种治疗方法,授粉后弱光(Z),喷水(ZP1),使用两个杂种suyunuo5(SYN5)和jingkenuoo2000(JKN2000)在授粉后的弱光下建立了外源植酸酶Q9(ZP2)和6-苄基腺嘌呤(ZP3)。结果表明,弱光胁迫显著降低了平均鲜穗产量(49.8%),鲜粮产量(47.9%),DM(53.3%)和氮积累(59.9%),增加了谷物的水分含量。净光合速率(Pn),授粉后穗叶的蒸腾速率(Tr)在Z下降低。弱光降低了RuBPCase和PEPCase的活性,硝酸还原酶(NR),谷氨酰胺合成酶(GS),谷氨酸合酶(GOGAT),超氧化物歧化酶(SOD),耳朵叶片中的过氧化氢酶(CAT)和过氧化物酶(POD),并增加丙二醛(MDA)的积累。JKN2000的降幅更大。而ZP2和ZP3处理提高了鲜穗产量(17.8%,25.3%),鲜粮产量(17.2%,29.5%),DM(35.8%,44.6%)和N(42.5%,52.4%)积累,与Z相比,降低了谷物水分含量。Pn,Tr在ZP2和ZP3下增加。此外,ZP2和ZP3处理提高了RuBPCase的活性,PEPCase;NR,GS,GOGAT;SOD,CAT,POD在耳叶,灌浆期MDA含量降低。结果还显示ZP3的缓解作用大于ZP2,且对JKN2000的改善作用更为显著。
    Insufficient light during the growth periods has become one of the main factors restricting maize yield with global climate change. Exogenous hormones application is a feasible measure to alleviate abiotic stresses on crop productivity. In this study, a field trial was conducted to investigate the effects of spraying exogenous hormones on yield, dry matter (DM) and nitrogen (N) accumulation, leaf carbon and N metabolism of fresh waxy maize under weak-light stress in 2021 and 2022. Five treatments including natural light (CK), weak-light after pollination (Z), spraying water (ZP1), exogenous Phytase Q9 (ZP2) and 6-benzyladenine (ZP3) under weak-light after pollination were set up using two hybrids suyunuo5 (SYN5) and jingkenuo2000 (JKN2000). Results showed that weak-light stress significantly reduced the average fresh ear yield (49.8%), fresh grain yield (47.9%), DM (53.3%) and N accumulation (59.9%), and increased grain moisture content. The net photosynthetic rate (Pn), transpiration rate (Tr) of ear leaf after pollination decreased under Z. Furthermore, weak-light decreased the activities of RuBPCase and PEPCase, nitrate reductase (NR), glutamine synthetase (GS), glutamate synthase (GOGAT), superoxide dismutase (SOD), catalase (CAT) and peroxidase (POD) in ear leaves, and increased malondialdehyde (MDA) accumulation. And the decrease was greater on JKN2000. While ZP2 and ZP3 treatments increased the fresh ear yield (17.8%, 25.3%), fresh grain yield (17.2%, 29.5%), DM (35.8%, 44.6%) and N (42.5%, 52.4%) accumulation, and decreased grain moisture content compared with Z. The Pn, Tr increased under ZP2 and ZP3. Moreover, the ZP2 and ZP3 treatments improved the activities of RuBPCase, PEPCase; NR, GS, GOGAT; SOD, CAT, POD in ear leaves, and decreased MDA content during grain filling stage. The results also showed the mitigative effect of ZP3 was greater than ZP2, and the improvement effect was more significant on JKN2000.
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  • 文章类型: Journal Article
    β-1,4-葡聚糖酶不仅可以促进嫁接苗的伤口愈合,而且还可以对植物的细胞壁结构产生积极的影响。作为β-1,4-葡聚糖酶的关键基因,GH9B参与细胞壁重塑和细胞间粘附,在移植愈合中起着至关重要的作用。然而,GH9B家族成员尚未被表征为甜瓜。在这项研究中,从甜瓜基因组中鉴定出18个CmGH9Bs,这些CmGH9Bs位于15条染色体上。我们对这些CmGH9B基因和来自其他物种的GH9B基因的系统发育分析将它们分为三个簇。不同群体中CmGH9Bs的基因结构和保守功能域存在显著差异。然而,CmGH9Bs响应低温等顺式元素,外源激素,干旱,和损伤诱导。CmGH9Bs的表达谱不同。在将瓜接穗嫁接到南瓜砧木上的嫁接愈合过程中,外源萘乙酸(NAA)和远红光处理均显着诱导与移植物愈合过程相关的CmGH9B14表达上调。该结果为通过调节CmGH9B14表达来管理嫁接南瓜的嫁接愈合提供了技术可能性。
    β-1,4-glucanase can not only promote the wound healing of grafted seedlings but can also have a positive effect on a plant\'s cell wall construction. As a critical gene of β-1,4-glucanase, GH9B is involved in cell wall remodeling and intercellular adhesion and plays a vital role in grafting healing. However, the GH9B family members have not yet been characterized for melons. In this study, 18 CmGH9Bs were identified from the melon genome, and these CmGH9Bs were located on 15 chromosomes. Our phylogenetic analysis of these CmGH9B genes and GH9B genes from other species divided them into three clusters. The gene structure and conserved functional domains of CmGH9Bs in different populations differed significantly. However, CmGH9Bs responded to cis elements such as low temperature, exogenous hormones, drought, and injury induction. The expression profiles of CmGH9Bs were different. During the graft healing process of the melon scion grafted onto the squash rootstock, both exogenous naphthyl acetic acid (NAA) and far-red light treatment significantly induced the upregulated expression of CmGH9B14 related to the graft healing process. The results provided a technical possibility for managing the graft healing of melon grafted onto squash by regulating CmGH9B14 expression.
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  • 文章类型: Journal Article
    外源性雌激素与非免疫抑制/免疫受损(非ISC)绝经后女性COVID死亡率降低相关。这里,我们研究了与非ISC个体相比,实体器官移植受者(SOTR)的雌激素或睾酮激素替代疗法(HRT)与COVID结局的关系,鉴于已知这些人群中基于性别的风险存在差异。2020年04月01日至2022年07月31日期间COVID-19的SOTR>45y是使用国家COVID队列协作确定的。使用多变量cox比例风险模型和逻辑回归检查了过去24个月的HRT使用(女性为外源性全身性雌激素;男性为睾酮)与COVID诊断后90天的主要不良肾脏或心脏事件(MARCE)和其他次要结局的关系。我们在非ISC对照组中重复了这些分析以进行比较。我们的研究包括1,135名SOTR和43,383名接受COVID-19HRT的免疫功能正常的患者。在非ISC中,使用HRT与较低的MARCE风险相关(女性aHR0.61,95%CI0.57-0.65;男性aHR0.70,0.65-0.77),和所有次要结果。在SOTR中,HRT降低了COVID男性的AKI风险(aHR0.79,0.63-0.98)和死亡率(aHR0.49,0.28-0.85),但不是女性。免疫抑制对HRT益处的潜在修饰作用需要进一步研究。
    Exogenous estrogen is associated with reduced coronavirus disease (COVID) mortality in nonimmunosuppressed/immunocompromised (non-ISC) postmenopausal females. Here, we examined the association of estrogen or testosterone hormone replacement therapy (HRT) with COVID outcomes in solid organ transplant recipients (SOTRs) compared to non-ISC individuals, given known differences in sex-based risk in these populations. SOTRs ≥45 years old with COVID-19 between April 1, 2020 and July 31, 2022 were identified using the National COVID Cohort Collaborative. The association of HRT use in the last 24 months (exogenous systemic estrogens for females; testosterone for males) with major adverse renal or cardiac events in the 90 days post-COVID diagnosis and other secondary outcomes were examined using multivariable Cox proportional hazards models and logistic regression. We repeated these analyses in a non-ISC control group for comparison. Our study included 1135 SOTRs and 43 383 immunocompetent patients on HRT with COVID-19. In non-ISC, HRT use was associated with lower risk of major adverse renal or cardiac events (adjusted hazard ratio [aHR], 0.61; 95% confidence interval [CI], 0.57-0.65 for females; aHR, 0.70; 95% CI, 0.65-0.77 for males) and all secondary outcomes. In SOTR, HRT reduced the risk of acute kidney injury (aHR, 0.79; 95% CI, 0.63-0.98) and mortality (aHR, 0.49; 95% CI, 0.28-0.85) in males with COVID but not in females. The potentially modifying effects of immunosuppression on the benefits of HRT requires further investigation.
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  • 文章类型: Journal Article
    外源激素的给药已成为内分泌学领域研究的重要工具。然而,与野生动物合作仍然具有挑战性,因为在现场条件下,并非每种可用的方法都符合必要的要求。实现激素水平的持续升高,同时最大限度地减少操作时间和程序的侵入性是领域内分泌学的一项艰巨任务。面对这一挑战,我们已经研究了生物相容性聚合物微粒的适用性,一种新的给药方法,作为操纵小鸣鸟荷尔蒙的工具。我们选择胰岛素样生长因子-1(IGF-1)作为靶激素,因为它在塑造生活史特征方面的重要作用而受到研究界的极大兴趣。此外,它的短半衰期和亲水特性意味着在寻找合适的方法来实现持续的,系统长期释放。为了研究释放动力学,我们将负载IGF-1的聚乳酸-乙醇酸(PLGA)微粒或分散介质(对照组)注射到圈养胡须芦苇(Panurusbiarmicus)的肩胛骨间区域的皮肤袋中。我们连续7天收集血样,再加上两周后的额外采样期,并用体外实验补充这些。我们的结果表明,在体外,PLGA微粒允许IGF-1稳定释放超过15天,在测量开始时的突发释放之后。在体内,最初爆发后,循环IGF-1的水平下降至仍然升高,直到治疗后16天效果消失。这项研究首次描述了PLGA-微粒作为一种新的工具,用于在小雀形目中施用外源性激素。我们建议该方法非常适合实现半衰期短的亲水性激素的全身长期释放,并减少整体处理时间,因为它只需要一次皮下注射。
    The administration of exogenous hormones emerged as an essential tool for field studies in endocrinology. However, working with wild animals remains challenging, because under field conditions not every available method meets the necessary requirements. Achieving a sustained elevation in hormone levels, while simultaneously minimising handling time and invasiveness of the procedure is a difficult task in field endocrinology. Facing this challenge, we have investigated the suitability of biocompatible polymeric microparticles, a novel method for drug-administration, as a tool to manipulate hormones in small songbirds. We chose the insulin-like growth factor-1 (IGF-1) as target hormone, because it receives great interest from the research community due to its important role in shaping life-history traits. Moreover, its short half-life and hydrophilic properties imply a major challenge in finding a suitable method to achieve a sustained, systemic long-term release. To study the release kinetics, we injected either IGF-1 loaded polylactic-co-glycolic acid (PLGA) microparticles or dispersion medium (control group) in the skin pocket of the interscapular region of captive bearded reedlings (Panurus biarmicus). We collected blood samples for 7 consecutive days plus an additional sampling period after two weeks and complemented these with an in vitro experiment. Our results show that in vitro, PLGA microparticles allowed a stable IGF-1 release for more than 15 days, following a burst release at the beginning of the measurement. In vivo, the initial burst was followed by a drop to still elevated levels in circulating IGF-1 until the effect vanished by 16 days post-treatment. This study is the first to describe the use of PLGA-microparticles as a novel tool for exogenous hormone administration in a small passerine. We suggest that this method is highly suitable to achieve the systemic long-term release of hydrophilic hormones with short half-life and reduces overall handling time, as it requires only one subcutaneous injection.
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  • 文章类型: Journal Article
    变性妇女由于出生时的性别分配与性别认同不一致而经历性别不安。变性人接受不同的外科手术并接受性类固醇激素,以减少心理困扰并诱导和维持所需的身体变化。这些人对女性化激素代表了一个独特的人群来研究激素对乳房发育的影响,评估乳腺癌的风险,也许是为了更好地了解不同激素成分的确切作用。在MTF(男性至女性)患者中,激素治疗通常包括抗雄激素和雌激素。外源激素诱导乳腺发育,形成导管和小叶,并增加脂肪沉积。搜索现有文献,致力于MTF患者的激素方案,它们对乳腺组织(乳腺病变的发生率和类型)和乳腺癌风险的影响为这篇综述提供了可用的信息.目前,在大多数研究中,由于治疗的异质性和缺乏长期随访,对乳腺癌风险的评估变得复杂。需要进行长期随访的大型研究,以更好地评估乳腺癌风险并了解每种外源激素对乳房发育的确切机制。
    Transgender women experience gender dysphoria due to a gender assignment at birth that is incongruent with their gender identity. Transgender people undergo different surgical procedures and receive sex steroids hormones to reduce psychological distress and to induce and maintain desired physical changes. These persons on feminizing hormones represent a unique population to study the hormonal effects on breast development, to evaluate the risk of breast cancer and perhaps to better understand the precise role played by different hormonal components. In MTF (male to female) patients, hormonal treatment usually consists of antiandrogens and estrogens. Exogenous hormones induce breast development with the formation of ducts and lobules and an increase in the deposition of fat. A search of the existing literature dedicated to hormone regimens for MTF patients, their impact on breast tissue (incidence and type of breast lesions) and breast cancer risk provided the available information for this review. The evaluation of breast cancer risk is currently complicated by the heterogeneity of administered treatments and a lack of long-term follow-up in the great majority of studies. Large studies with longer follow-up are required to better evaluate the breast cancer risk and to understand the precise mechanisms on breast development of each exogenous hormone.
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