Schneider M R, Michna H, Habenicht U F, Nishino Y, Grill H J, Pollow K
Research Laboratories of Schering AG, Berlin, Federal Republic of Germany.
J Cancer Res Clin Oncol. 1992;118(3):187-9. doi: 10.1007/BF01410132.
The progesterone antagonist Onapristone proved to possess strong tumour-inhibiting activity in a panel of experimental mammary carcinomas. Its underlying mechanism of action is due to a progesterone-receptor-mediated induction of terminal differentiation and a specific blockade of the cell cycle and is also present in the absence of progesterone as was shown in the MXT mammary tumour. To prove this further, the tumour-inhibiting activity of Onapristone was investigated in the human postmenopausal T61 mammary tumour implanted in castrated male nude mice. Whereas Onapristone given alone had no effect on growth of established tumours, after stimulation of the relatively low progesterone receptor content of this tumour line with an oestrogen, Onapristone significantly inhibited tumour growth. Thus, we suggest that Onapristone exerts its antitumour action via progesterone receptors. As there is no endogenous progesterone in these mice, the tumour-inhibiting activity of Onapristone is not primarily due to a classical antihormonal effect.
孕酮拮抗剂奥那司酮在一组实验性乳腺癌中被证明具有强大的肿瘤抑制活性。其潜在作用机制是由于孕酮受体介导的终末分化诱导以及细胞周期的特异性阻断,并且如在MXT乳腺肿瘤中所显示的那样,在没有孕酮的情况下也存在这种作用机制。为了进一步证明这一点,在植入去势雄性裸鼠体内的人绝经后T61乳腺肿瘤中研究了奥那司酮的肿瘤抑制活性。单独给予奥那司酮对已形成肿瘤的生长没有影响,在用雌激素刺激该肿瘤细胞系相对较低水平的孕酮受体后,奥那司酮显著抑制了肿瘤生长。因此,我们认为奥那司酮通过孕酮受体发挥其抗肿瘤作用。由于这些小鼠体内没有内源性孕酮,奥那司酮的肿瘤抑制活性并非主要归因于经典的抗激素效应。