Qin Li-Qiang, Wang Pei-Yu, Kaneko Takashi, Hoshi Kazuhiko, Sato Akio
Department of Environmental Health, School of Medicine, University of Yamanashi, Shimokato 1110, Tamaho, Yamanashi 409-3898, Japan.
Med Hypotheses. 2004;62(1):133-42. doi: 10.1016/s0306-9877(03)00295-0.
Studies to elucidate the cause of prostate cancer have met with little success to date. Epidemiological studies suggested that milk consumption is probably as one of the risk factors for prostate cancer. The studies thus focused on the fat and calcium in milk, but reached no definitive conclusion. According to the measurements of estrogen levels in milk by different studies, it was suggested that estrogen in milk was a possible risk to cause prostate cancer. One reason supporting this hypothesis is that Western diet (characterized by milk/dairy products and meat) causes a trend of increasing levels of estrogens, and Western males show a higher incidence rate of prostate cancer than Asia males. Estrogen levels in prostate fluid are also correlated very well with the prostate cancer. During several decades, estrogens, together with testosterone, was commonly used to induce the rodent model of prostate cancer. Our hypothesis also was supported by the presence of estrogen receptors in the prostate gland and the genotoxic role of estrogens on the prostate gland, as possible mechanisms. Therefore, if modern milk consumption does expose consumers to high levels of estrogen and plays an adverse role in prostate cancer, action should be taken to produce the noncontaminant milk.
迄今为止,旨在阐明前列腺癌病因的研究收效甚微。流行病学研究表明,饮用牛奶可能是前列腺癌的风险因素之一。因此,这些研究聚焦于牛奶中的脂肪和钙,但未得出明确结论。根据不同研究对牛奶中雌激素水平的测定,有人提出牛奶中的雌激素可能是导致前列腺癌的一个风险因素。支持这一假设的一个原因是,西方饮食(以牛奶/乳制品和肉类为特征)导致雌激素水平呈上升趋势,而且西方男性前列腺癌的发病率高于亚洲男性。前列腺液中的雌激素水平也与前列腺癌密切相关。几十年来,雌激素与睾酮一起,通常被用于诱导前列腺癌的啮齿动物模型。我们的假设还得到了前列腺中存在雌激素受体以及雌激素对前列腺的基因毒性作用等可能机制的支持。因此,如果现代牛奶消费确实使消费者接触到高水平的雌激素并对前列腺癌产生不利影响,就应该采取行动生产无污染牛奶。