Key T J, Beral V
Imperial Cancer Research Fund, Cancer Epidemiology Unit, Radcliffe Infirmary, Oxford, United Kingdom.
IARC Sci Publ. 1992(116):255-69.
There are few instances in which a clear effect of hormones on cancer risk is known and in which the effects of those hormones on the cells concerned are also known. The best examples are the relationships between sex hormones and cancer in women. The effects of sex hormones both on the risk for endometrial cancer and on the cells of the endometrium are well understood, and the evidence strongly suggests that hormones act by altering the rate of cell division. The same mechanism may explain the relationships between sex hormones and the risk for breast cancer, but our understanding of cancers at this site is incomplete. Less still is known about the mechanisms of the effects of sex hormones on other hormone-related cancers, such as those of the ovary and cervix. Most sex hormones are not genotoxic.
已知激素对癌症风险有明确影响且知晓这些激素对相关细胞影响的情况很少。最佳例子是女性性激素与癌症之间的关系。性激素对子宫内膜癌风险以及子宫内膜细胞的影响已得到充分理解,且证据有力地表明激素通过改变细胞分裂速率起作用。相同机制可能解释性激素与乳腺癌风险之间的关系,但我们对该部位癌症的理解并不完整。关于性激素对其他激素相关癌症(如卵巢癌和宫颈癌)影响的机制了解更少。大多数性激素没有基因毒性。