Nagasue N, Yamanoi A, Kohno H, Kimoto T, Chang Y, Taniura H, Uchida M, Nakamura T
Second Department of Surgery, Shimane Medical University, Izumo, Japan.
Hepatogastroenterology. 1992 Oct;39(5):455-60.
Androgen receptors (AR) were assayed for cirrhotic liver, adenomatous hyperplastic nodule (AHN), and hepatocellular carcinoma (HCC) which were removed by partial hepatic resection from five patients. There were three men and two women. Age ranged from 59 to 68 years. Underlying cirrhosis was macronodular in three and micronodular in two. AHN was present within HCC in two patients, but these two lesions were found in different lobes of the same liver in another two patients. Only AHN was seen in the last patient. ARs in the cytosol of cirrhotic liver ranged from nil to 12.8 fmol/mg of protein with the dissociation constant (Kd) of 3.2-20.3 x 10(-10) M. AHNs possessed ARs ranging from 4.0 to 27.6 fmol/mg of protein (Kd values, 7.4-21.0 x 10(-10) M. All HCC nodules had ARs ranging from 11.8 to 72.8 fml/mg of protein with Kd values of 5.3-27.1 x 10(-10) M. Thus, cytosolic AR concentrations were highest in HCC, lowest in cirrhotic liver, and intermediate in AHN. The present study seems to indicate that AHN may be a precancerous lesion and that androgen and its receptor play an important role in human hepatocarcinogenesis.
对5例接受部分肝切除术切除的肝硬化肝脏、腺瘤样增生结节(AHN)和肝细胞癌(HCC)进行雄激素受体(AR)检测。其中男性3例,女性2例。年龄在59至68岁之间。潜在肝硬化3例为大结节性,2例为小结节性。2例患者的HCC内存在AHN,但在另外2例患者中,这两个病变位于同一肝脏的不同叶。最后1例患者仅见AHN。肝硬化肝脏胞质中的AR含量为0至12.8 fmol/mg蛋白质,解离常数(Kd)为3.2 - 20.3×10⁻¹⁰M。AHN的AR含量为4.0至27.6 fmol/mg蛋白质(Kd值为7.4 - 21.0×10⁻¹⁰M)。所有HCC结节的AR含量为11.8至72.8 fmol/mg蛋白质,Kd值为5.3 - 27.1×10⁻¹⁰M。因此,胞质AR浓度在HCC中最高,在肝硬化肝脏中最低, 在AHN中居中。本研究似乎表明AHN可能是癌前病变,并且雄激素及其受体在人类肝癌发生中起重要作用。