sex steroids

性类固醇
  • 文章类型: Journal Article
    催产素可以直接或间接调节免疫活性;然而,在剖宫产(CD)等慢性应激下的免疫功能和催产素作用机制尚不清楚。我们的研究发现,CD大鼠的催产素产生和分泌异常会导致胸腺组织萎缩。将神经毒素海藻酸显微注射到雄性大鼠的视上背外侧核选择性地降低下丘脑催产素水平,促肾上腺皮质激素释放激素和血浆白细胞介素-1β增加,同时减少血浆催产素,甲状腺素和睾酮水平和引起免疫组织萎缩。因此,血浆催产素对于免疫稳态至关重要,其中涉及催产素促进甲状腺激素和性类固醇分泌。
    Oxytocin can regulate immunological activity directly or indirectly; however, immunological functions and mechanisms of oxytocin actions under chronic stress like cesarean delivery (CD) are poorly understood. Our study found that abnormal oxytocin production and secretion in CD rats caused atrophy of thymic tissues. Neurotoxin kainic acid microinjected into the dorsolateral supraoptic nucleus in male rats selectively reduced hypothalamic oxytocin levels, increased corticotrophin-releasing hormone and plasma interleukin-1β while reducing plasma oxytocin, thyroxine and testosterone levels and causing atrophy of immune tissues. Thus, plasma oxytocin is essential for immunological homeostasis, which involves oxytocin facilitation of thyroid hormone and sex steroid secretion.
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  • 文章类型: Journal Article
    Kisspeptins是生殖轴的重要调节剂,具有强力激活促性腺激素释放激素神经元的能力,也作为生育代谢调节的中心管道。最近的证据表明,kisspeptins本身也可能调节几种代谢参数,包括体重,食物摄入或能量消耗,但他们的实际角色和行动地点仍不清楚。我们在此提出了一系列研究,以解决中枢和外周给药kisspeptin-10(Kp-10;每天1nmol和3nmol,分别)在两种性别的小鼠中持续11天。为了评估Kp-10的直接代谢作用与间接来自其调节性腺激素分泌能力的代谢作用,在成年雄性和雌性小鼠中测试了kisspeptin的作用,睾酮或17β-雌二醇的生理剂量,分别。Kp-10的中央管理减少了雄性小鼠的食物摄入,特别是在黑暗阶段(〜50%),伴随着总能量消耗和夜间能量消耗(〜16%)和运动活动(〜70%)的减少。相比之下,在雌性小鼠中检测到相反的模式,随着总运动活动和夜间运动活动的增加(>65%),尽管食物摄入量或能量消耗没有变化。这些变化与体重无关,因为在Kp-10治疗结束时,在两种性别的小鼠中均未检测到差异。Kp-10的外周给药未能改变分析的任何代谢参数,除了雄性小鼠的运动活动减少和雌性小鼠的24小时食物摄入量的细微增加,表示kisspeptins在控制能量代谢中的主要核心作用。最后,Kp-10的中枢或外周治疗对糖耐量和胰岛素敏感性没有显着影响。总之,我们的数据揭示了kisspeptins在关键代谢参数控制中的潜在作用,包括食物摄入,能量消耗和运动活动,在中央一级采取优先行动,与性类固醇无关,但性二态。
    Kisspeptins are essential regulators of the reproductive axis, with capacity to potently activate gonadotropin-releasing hormone neurons, acting also as central conduits for the metabolic regulation of fertility. Recent evidence suggests that kisspeptins per se may also modulate several metabolic parameters, including body weight, food intake or energy expenditure, but their actual roles and site(s) of action remain unclear. We present herein a series of studies addressing the metabolic effects of central and peripheral administration of kisspeptin-10 (Kp-10; 1 nmol and 3 nmol daily, respectively) for 11 days in mice of both sexes. To assess direct metabolic actions of Kp-10 versus those derived indirectly from its capacity to modulate gonadal hormone secretion, kisspeptin effects were tested in adult male and female mice gonadectomized and supplemented with fixed, physiological doses of testosterone or 17β-estradiol, respectively. Central administration of Kp-10 decreased food intake in male mice, especially during the dark phase (~50%), which was accompanied by a reduction in total and nocturnal energy expenditure (~16%) and locomotor activity (~70%). In contrast, opposite patterns were detected in female mice, with an increase in total and nocturnal locomotor activity (>65%), despite no changes in food intake or energy expenditure. These changes were independent of body weight, as no differences were detected in mice of both sexes at the end of Kp-10 treatments. Peripheral administration of Kp-10 failed to alter any of the metabolic parameters analyzed, except for a decrease in locomotor activity in male mice and a subtle increase in 24 h food intake in female mice, denoting a predominant central role of kisspeptins in the control of energy metabolism. Finally, glucose tolerance and insulin sensitivity were not significantly affected by central or peripheral treatment with Kp-10. In conclusion, our data reveal a potential role of kisspeptins in the control of key metabolic parameters, including food intake, energy expenditure and locomotor activity, with a preferential action at central level, which is sex steroid-independent but sexually dimorphic.
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  • 文章类型: Journal Article
    背景:绝经后血清雌激素的减少与从gynoid到android脂肪组织(AT)分布的转变有关。更年期激素治疗(HT)减轻了这种变化和伴随的代谢功能障碍,但其对AT性类固醇代谢的影响尚未被表征。
    目的:我们研究了HT对绝经后妇女皮下和内脏AT雌激素和雄激素浓度及代谢的影响。
    方法:分析了63名口服HT(n=50)和无(n=13)的绝经后妇女的血清,皮下和内脏AT,雌二醇,黄体酮,睾丸激素,雄烯二酮,脱氢表雄酮,使用液相色谱-串联质谱法和血清硫酸雌酮。使用放射性标记的前体测量类固醇硫酸酯酶活性。使用实时逆转录定量聚合酶链反应进行编码性类固醇代谢酶和受体的基因的mRNA表达。
    结果:HT使用者在皮下和内脏AT中的雌酮和雌二醇浓度高4至7倍,与非使用者相比,内脏AT的睾酮降低了30%。与非HT使用者相比,AT使用者的雌激素与雄激素比率高4至12倍。在内脏AT中,雌激素与雄激素比率随HT雌二醇剂量而增加。HT使用者的雌酮和雌二醇的AT与血清比率仍然很高。
    结论:在HT使用者中较高的局部雌激素与雄激素的比率和高的AT与血清雌激素浓度的比率表明HT可能显著影响AT的内分泌性激素代谢,这些局部变化可能与HT对绝经相关腹部肥胖的预防作用有关。
    BACKGROUND: The decrease in serum estrogens after menopause is associated with a shift from a gynoid to an android adipose tissue (AT) distribution. Menopausal hormone therapy (HT) mitigates this change and accompanying metabolic dysfunction, but its effects on AT sex steroid metabolism have not been characterized.
    OBJECTIVE: We studied effects of HT on subcutaneous and visceral AT estrogen and androgen concentrations and metabolism in postmenopausal women.
    METHODS: Serum and subcutaneous and visceral AT from 63 postmenopausal women with (n=50) and without (n=13) per oral HT were analyzed for estrone, estradiol, progesterone, testosterone, androstenedione, dehydroepiandrosterone, and serum estrone sulfate using liquid chromatography-tandem mass spectrometry. Steroid sulfatase activity was measured using radiolabeled precursors. mRNA expression of genes encoding sex steroid-metabolizing enzymes and receptors was performed using real-time reverse transcription quantitative polymerase chain reaction.
    RESULTS: HT users had 4- to 7-fold higher concentrations of estrone and estradiol in subcutaneous and visceral AT, and 30% lower testosterone in visceral AT compared to non-users. Estrogen-to-androgen ratios were 4- to 12-fold higher in AT of users compared to non-users of HT. In visceral AT, estrogen-to-androgen ratios increased with HT estradiol dose. AT to serum ratios of estrone and estradiol remained high in HT users.
    CONCLUSIONS: Higher local estrogen to androgen ratios and high AT to serum ratios of estrogen concentrations in HT users suggest that HT may significantly influence intracrine sex steroid metabolism in AT, and these local changes could be involved in the preventive effect of HT on menopause-associated abdominal adiposity.
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  • 文章类型: Journal Article
    不孕症正在成为一个主要的公共卫生问题,随着医疗频率的增加,环境和社会原因。越来越晚的生育年龄,越来越多地暴露于内分泌干扰物和其他生殖毒性产品,和越来越多的医学生殖功能障碍(子宫内膜异位症,多囊卵巢综合征,等。)是最常见的原因之一。生育依赖于对神经内分泌功能和生殖行为的微调控制,那些受到性类固醇激素的严格调节。睾酮和雌二醇在整个生命中发挥组织和激活作用,以建立和激活生殖功能的神经回路。这种调节是通过雌激素受体(ER)和雄激素受体(AR)介导的。雌二醇主要通过核雌激素受体ERα和ERβ起作用。这篇综述的目的是总结已经进行的遗传学研究,以理解ERα和ERβ在下丘脑-垂体-性腺轴调节和生殖行为表达的神经回路中的具体贡献。包括性行为和父母行为。将特别强调这些受体的神经作用和潜在的性别差异。
    Infertility is becoming a major public health problem, with increasing frequency due to medical, environmental and societal causes. The increasingly late age of childbearing, growing exposure to endocrine disruptors and other reprotoxic products, and increasing number of medical reproductive dysfunctions (endometriosis, polycystic ovary syndrome, etc.) are among the most common causes. Fertility relies on fine-tuned control of both neuroendocrine function and reproductive behaviors, those are critically regulated by sex steroid hormones. Testosterone and estradiol exert organizational and activational effects throughout life to establish and activate the neural circuits underlying reproductive function. This regulation is mediated through estrogen receptors (ERs) and androgen receptor (AR). Estradiol acts mainly via nuclear estrogen receptors ERα and ERβ. The aim of this review is to summarize the genetic studies that have been undertaken to comprehend the specific contribution of ERα and ERβ in the neural circuits underlying the regulation of the hypothalamic-pituitary-gonadal axis and the expression of reproductive behaviors, including sexual and parental behavior. Particular emphasis will be placed on the neural role of these receptors and the underlying sex differences.
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  • 文章类型: Journal Article
    红色斑点石斑鱼Epinephelusakaara是具有经济重要性的海洋物种,也有灭绝的危险。本研究调查了高水温对幼年阿卡拉雌性生长和成熟的影响。孵化后160-420天(dph),鱼保持在自然水温(NT)和恒定的高水温(HT)下。从240dph,HT组的总长度和体重均大于NT组。360dph之后,与NT组相比,HT组的性腺指数也增加。仅在330、360和390dph的HT组中观察到成熟卵母细胞。两组的kiss1和kiss2水平均增加到240和270dph;然而,在240dph的HT组中,它们更大。同样,360dph后的gpr54水平在HT组中更高,表明kisspeptin通过其受体gpr54与成熟有关。360dph后,HT组的fshβ和lhβ水平更高。160dph(300dph除外)后,HT组的雌二醇-17β(E2)水平高于NT组,表明较高的E2水平会触发成熟,与fshβ和lhβ增加有关。这项研究提供了证据,表明高水温可有效地加速幼年E.akaara的生长并触发其早期成熟。通过调节gpr54,fshβ,lhβ,E2水平。
    The red spotted grouper Epinephelus akaara is a marine species of economic importance and also at risk of extinction. This study investigated the effects of high water temperature on the growth and maturation of juvenile E. akaara females. From 160-420 days post-hatching (dph), the fish were maintained under natural water temperature (NT) and a constant high-water temperature (HT). From 240 dph, both the total length and body weight in the HT group were greater than in NT group. After 360 dph, the gonadosomatic index was also increased in the HT group compared to NT group. Mature oocytes were only observed in the HT group at 330, 360, and 390 dph. Both kiss1 and kiss2 levels increased at 240 and 270 dph in both groups; however, they were greater in the HT group at 240 dph. Similarly, gpr54 levels after 360 dph were greater in the HT group, suggesting that kisspeptin is related to maturation via its receptor gpr54. Levels of fshβ and lhβ were greater in the HT group after 360 dph. Estradiol-17β (E2) levels after 160 dph (except 300 dph) were greater in the HT group than in the NT group, suggesting that the higher E2 levels trigger maturation, and is related to increased fshβ and lhβ. This study provides evidence that high water temperature is effective in accelerating growth and triggering early maturation of juvenile E. akaara, via regulating gpr54, fshβ, lhβ, and E2 levels.
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  • 文章类型: Journal Article
    癫痫,是严重的神经系统疾病,以反复出现为特征,无缘无故的癫痫发作,影响全球超过5000万人。癫痫在男性和女性中的患病率相同,并在整个生命周期中发生。癫痫妇女(WWE)由于其生命过程中性类固醇激素浓度的周期性波动而面临独特的挑战。性类固醇激素及其代谢物的这些变化与癫痫发作易感性错综复杂地交织在一起,并以复杂的方式影响女性生命过程中的癫痫。在这里,我们提出了一篇综述,包括神经类固醇-类固醇作用于大脑,无论其在体内的合成部位如何;神经类固醇在癫痫妇女一生中的作用;外源性神经类固醇试验;以及未来的研究方向。这篇综述的重点是孕酮及其衍生的神经类固醇,鉴于广泛的基础研究支持它们在调节神经元兴奋性中的作用。
    Epilepsy, is a serious neurological condition, characterized by recurring, unprovoked seizures and affects over 50 million people worldwide. Epilepsy has an equal prevalence in males and females, and occurs throughout the life span. Women with epilepsy (WWE) present with unique challenges due to the cyclical fluctuation of sex steroid hormone concentrations during their life course. These shifts in sex steroid hormones and their metabolites are intricately intertwined with seizure susceptibility and affect epilepsy during the life course of women in a complex manner. Here we present a review encompassing neurosteroids-steroids that act on the brain regardless of their site of synthesis in the body; the role of neurosteroids in women with epilepsy through their life-course; exogenous neurosteroid trials; and future research directions. The focus of this review is on progesterone and its derived neurosteroids, given the extensive basic research that supports their role in modulating neuronal excitability.
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  • 文章类型: Journal Article
    MafB是调节巨噬细胞分化的转录因子。巨噬细胞是仓鼠Harderian腺(HG)的传统特征;但是,关于MafB在HG中表达的研究很少。这里,对仓鼠中MafB基因的全长cDNA进行克隆和测序。分子特征显示MafB编码含有323个氨基酸的蛋白质,具有DNA结合域,一个反式激活域,和一个亮氨酸拉链域。qPCR测定表明MafB在两种性别的不同组织中表达。在胰腺中鉴定出内分泌组织中的最高相对表达水平。雄性仓鼠的性腺切除术与HG中mRNA水平显着升高有关;用二氢睾酮替代可恢复mRNA表达。雄性仓鼠的HG比雌性仓鼠的HG包含两倍多的MafBmRNA。肾上腺在发情周期中显示出相似的mRNA相对表达水平。发情期与卵巢中较高的mRNA水平有关。在胰腺中发现了MafB的显着上调表达和性二态。因此,HG中的MafB可能在吞噬活性和眼内修复所需的巨噬细胞分化中起积极作用。此外,性类固醇似乎强烈影响HG和胰腺中MafB的表达。这些研究强调了MafB在免疫防御和胰腺β细胞调节中可能的生物学重要性。
    MafB is a transcription factor that regulates macrophage differentiation. Macrophages are a traditional feature of the hamster Harderian gland (HG); however, studies pertaining to MafB expression in the HG are scant. Here, the full-length cDNA of the MafB gene in hamsters was cloned and sequenced. Molecular characterization revealed that MafB encodes a protein containing 323 amino acids with a DNA-binding domain, a transactivation domain, and a leucine zipper domain. qPCR assays indicated that MafB was expressed in different tissues of both sexes. The highest relative expression levels in endocrine tissues were identified in the pancreas. Gonadectomy in male hamsters was associated with significantly higher mRNA levels in the HG; replacement with dihydrotestosterone restored mRNA expression. The HG in male hamsters contained twofold more MafB mRNA than the HG of female hamsters. Adrenals revealed similar mRNA relative expression levels during the estrous cycle. The estrous phase was associated with higher mRNA levels in the ovary. A significantly up-regulated expression and sexual dimorphism of MafB was found in the pancreas. Therefore, MafB in the HG may play an active role in the macrophage differentiation required for phagocytosis activity and intraocular repair. Additionally, sex steroids appear to strongly influence the MafB expression in the HG and pancreas. These studies highlight the probable biological importance of MafB in immunological defense and pancreatic β cell regulation.
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  • 文章类型: Journal Article
    背景:雄激素不敏感综合征(AIS)是具有性发育差异(DSD)的个体中的常见病,是由雄激素受体(AR)基因的种系等位基因变异引起的。了解破坏激活功能2(AF2)区域的AR等位基因变体的表型后果对于掌握其临床意义至关重要。
    目的:本研究旨在深入了解影响AIS患者AF2区的AR突变的表型特征和临床影响。我们通过回顾AIS个体中AF2区域的AR变异来实现这一目标,包括鉴定与c.2138T>C变体相关的新表型(p.Leu713Pro)在AR基因中。
    方法:我们全面回顾了AIS中报道的AF2区域内的AR变体,并应用分子动力学模拟来评估p.Leu713Pro变体对蛋白质动力学的影响。
    结果:我们对报道的AF2区AR变异的综述揭示了AIS患者的一系列表型结果。分子动力学模拟表明p.Leu713Pro变体显着改变AR蛋白的局部动力学并破坏变量之间的相关性和协方差。
    结论:在AF2区具有AR变异的个体中观察到的不同表型表现突出了AIS的复杂性。由p.Leu713Pro变体产生的改变的蛋白质动力学进一步强调了AF2区在AR功能中的重要性。
    结论:我们的研究为AR突变的表型特征和对AIS中AF2区的临床影响提供了有价值的见解。此外,蛋白质动力学的破坏强调了AF2区在AR功能中的重要性及其在AIS发病机理中的作用。
    BACKGROUND: Androgen insensitivity syndrome (AIS) is a common condition among individuals with differences of sexual development (DSD) and results from germline allelic variants in the androgen receptor (AR) gene. Understanding the phenotypic consequences of AR allelic variants that disrupt the activation function 2 (AF2) region is essential to grasping its clinical significance.
    OBJECTIVE: This study aims to provide insights into the phenotypic characteristics and clinical impact of AR mutations affecting the AF2 region in AIS patients. We achieve this by reviewing reported AR variants in the AF2 region among individuals with AIS, including identifying a new phenotype associated with the c.2138T>C variant (p.Leu713Pro) in the AR gene.
    METHODS: We comprehensively reviewed AR variants within the AF2 region reported in AIS and applied molecular dynamics simulations to assess the impact of the p.Leu713Pro variant on protein dynamics.
    RESULTS: Our review of reported AR variants in the AF2 region revealed a spectrum of phenotypic outcomes in AIS patients. Molecular dynamics simulations indicated that the p.Leu713Pro variant significantly alters the local dynamics of the AR protein and disrupts the correlation and covariance between variables.
    CONCLUSIONS: The diverse phenotypic presentations observed among individuals with AR variants in the AF2 region highlight the complexity of AIS. The altered protein dynamics resulting from the p.Leu713Pro variant further emphasize the importance of the AF2 region in AR function.
    CONCLUSIONS: Our study provides valuable insights into AR mutations\' phenotypic characteristics and clinical impact on the AF2 region in AIS. Moreover, the disruption of protein dynamics underscores the significance of the AF2 region in AR function and its role in the pathogenesis of AIS.
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  • 文章类型: Journal Article
    大西洋鲑鱼雄性的性成熟以剧烈的内分泌变化和睾丸的快速生长为标志,导致性腺体细胞指数(GSI)增加。我们检查了性腺生长与血清性类固醇的关系,以及垂体和睾丸基因表达水平,用DNA寡核苷酸微阵列评估。尽管最小和最大性腺之间存在很大差异,但GSI<0.08%的男性睾丸转录组稳定。GSI≥0.23%的鱼血清中5种雄性类固醇的水平高7-17倍,孕酮增加2倍,皮质醇和相关类固醇没有变化.垂体转录组显示控制生殖和行为的激素编码基因上调,参与突触传递和神经元分化的基因表明了结构重排。观察到的睾丸转录本丰度的变化是由转录调节和/或不成比例的生长引起的,发芽室的增加更大。由于这些因素不能分开,转录组结果表示为更高或更低的比活性(HSA和LSA)。在4268个基因中观察到LSA,包括许多参与各种免疫反应和发育过程的基因。LSA还包括在女性生殖中起作用的基因,生殖细胞维持和性腺发育,对内分泌和神经调节的反应,性类固醇的生物合成。HSA中普遍存在两个功能组:纤毛的结构和活性(95个基因)和减数分裂(34个基因)。A.鲑鱼睾丸的青春期以精子发生为主导,取代其他过程;男性化;以及外部监管的弱化。结果证实了许多参与生殖的基因的已知作用,并指出未表征的基因值得关注,可能是性成熟的调节因子。
    Sexual maturation of Atlantic salmon males is marked by dramatic endocrine changes and rapid growth of the testes, resulting in an increase in the gonad somatic index (GSI). We examined the association of gonadal growth with serum sex steroids, as well as pituitary and testicular gene expression levels, which were assessed with a DNA oligonucleotide microarray. The testes transcriptome was stable in males with a GSI < 0.08% despite the large difference between the smallest and the largest gonads. Fish with a GSI ≥ 0.23% had 7-17 times higher serum levels of five male steroids and a 2-fold increase in progesterone, without a change in cortisol and related steroids. The pituitary transcriptome showed an upregulation of the hormone-coding genes that control reproduction and behavior, and structural rearrangement was indicated by the genes involved in synaptic transmission and the differentiation of neurons. The observed changes in the abundance of testicular transcripts were caused by the regulation of transcription and/or disproportional growth, with a greater increase in the germinative compartment. As these factors could not be separated, the transcriptome results are presented as higher or lower specific activities (HSA and LSA). LSA was observed in 4268 genes, including many genes involved in various immune responses and developmental processes. LSA also included genes with roles in female reproduction, germinal cell maintenance and gonad development, responses to endocrine and neural regulation, and the biosynthesis of sex steroids. Two functional groups prevailed among HSA: structure and activity of the cilia (95 genes) and meiosis (34 genes). The puberty of A. salmon testis is marked by the predominance of spermatogenesis, which displaces other processes; masculinization; and the weakening of external regulation. Results confirmed the known roles of many genes involved in reproduction and pointed to uncharacterized genes that deserve attention as possible regulators of sexual maturation.
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  • 文章类型: Journal Article
    背景:性别二态显著影响癌症发病率和预后。值得注意的是,与男性相比,女性对非生殖癌症的风险较低,预后良好,一种超出危险行为范围的模式,如饮酒和吸烟。结直肠癌,全球患病率排名第三,死亡率排名第二,不成比例地影响男性。性类固醇激素,特别是雌激素和雄激素,在癌症进展中发挥关键作用,考虑到体内和体外的流行病学,一般来说,雌激素对女性具有保护作用,雄激素与结直肠癌发展风险增加相关。
    方法:激素对免疫反应的影响是由受体相互作用介导的,导致炎症加剧,NF-kB的调制,营造有利于癌症进展和转移的环境。这些分子也影响肠神经系统,这是神经调质释放和肠道神经元刺激的关键,也有助于癌症的发展,如神经浸润到肿瘤中所证明。微生物多样性进一步与免疫相交,荷尔蒙,和神经机制,影响结直肠癌动力学。全面了解激素对结直肠癌进展的影响,再加上免疫反应之间复杂的相互作用,微生物群多样性和神经递质失衡,支持更有针对性和更有效的治疗方法的发展。
    结论:雌激素通过调节抗肿瘤免疫反应来降低结直肠癌的风险,增强微生物多样性,并抑制交感神经和肠神经系统的促肿瘤作用。相反,雄激素通过抑制抗肿瘤免疫活性来促进肿瘤生长,减少微生物多样性,并促进神经系统释放肿瘤促进因子。这些发现为药物的战略目的提供了巨大的潜力,以微调性激素在肿瘤微环境中的广泛影响。结肠直肠癌治疗有希望的进展。
    BACKGROUND: Sexual dimorphism significantly influences cancer incidence and prognosis. Notably, females exhibit a lower risk and favorable prognosis for non-reproductive cancers compared to males, a pattern observable beyond the scope of risk behaviors such as alcohol consumption and smoking. Colorectal cancer, ranking third in global prevalence and second in mortality, disproportionately affects men. Sex steroid hormones, particularly estrogens and androgens, play crucial roles in cancer progression, considering epidemiological in vivo and in vitro, in general estrogens imparting a protective effect in females and androgens correlating with an increasing risk of colorectal cancer development.
    METHODS: The hormonal impact on immune response is mediated by receptor interactions, resulting in heightened inflammation, modulation of NF-kB, and fostering an environment conducive to cancer progression and metastasis. These molecules also influence the enteric nervous system, that is a pivotal in neuromodulator release and intestinal neuron stimulation, also contributes to cancer development, as evidenced by nerve infiltration into tumors. Microbiota diversity further intersects with immune, hormonal, and neural mechanisms, influencing colorectal cancer dynamics. A comprehensive understanding of hormonal influences on colorectal cancer progression, coupled with the complex interplay between immune responses, microbiota diversity and neurotransmitter imbalances, underpins the development of more targeted and effective therapies.
    CONCLUSIONS: Estrogens mitigate colorectal cancer risk by modulating anti-tumor immune responses, enhancing microbial diversity, and curbing the pro-tumor actions of the sympathetic and enteric nervous systems. Conversely, androgens escalate tumor growth by dampening anti-tumor immune activity, reducing microbial diversity, and facilitating the release of tumor-promoting factors by the nervous system. These findings hold significant potential for the strategic purposing of drugs to fine-tune the extensive impacts of sex hormones within the tumor microenvironment, promising advancements in colorectal cancer therapies.
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