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通过去势或给予类固醇拮抗剂抑制实验诱导的小鼠前列腺增生。

Inhibition of experimentally induced mouse prostatic hyperplasia by castration or steroid antagonist administration.

作者信息

Sikes R A, Thomsen S, Petrow V, Neubauer B L, Chung L W

机构信息

Department of Urology, University of Texas M.D. Anderson Cancer Center, Houston 77030.

出版信息

Biol Reprod. 1990 Aug;43(2):353-62. doi: 10.1095/biolreprod43.2.353.

Abstract

Mouse prostatic hyperplasia has been induced experimentally by implanting fetal urogenital sinus tissue into the prostate gland of syngeneic mice. We compared the effects of castration and steroid antagonist administration on the growth of the prostate gland during both the early (15 days) and late (30 days) phases of prostatic enlargement. Castration at the time of induction of prostatic hyperplasia is by far the most effective method of inhibiting prostatic overgrowth. A comparison of castration for 7 days with the short-term (7 days) administration of steroid antagonists showed that during the early phase of prostatic enlargement castration is more effective than antiandrogen, which is more effective than 5 alpha-reductase inhibitors. In the late phase of mouse prostatic enlargement, castration for 7 days is less effective than treatment with either antiandrogen or a 5 alpha-reductase inhibitor. Our data indicate that treatment with a combination of an antiestrogen (keoxifene) with a 5 alpha-reductase inhibitor (in particular, 6-methylene progesterone) is the most effective combination for reducing prostatic overgrowth. The antiestrogen (keoxifene) treatment alone was ineffective in both the early and late phases of prostatic overgrowth.

摘要

通过将胎鼠泌尿生殖窦组织植入同基因小鼠的前列腺中,已成功诱导出小鼠前列腺增生。我们比较了去势和给予类固醇拮抗剂对前列腺增生早期(15天)和晚期(30天)前列腺生长的影响。在诱导前列腺增生时进行去势是迄今为止抑制前列腺过度生长最有效的方法。对去势7天与短期(7天)给予类固醇拮抗剂进行比较,结果显示在前列腺增生早期,去势比抗雄激素更有效,抗雄激素比5α-还原酶抑制剂更有效。在小鼠前列腺增生晚期,去势7天不如使用抗雄激素或5α-还原酶抑制剂治疗有效。我们的数据表明,抗雌激素(凯昔芬)与5α-还原酶抑制剂(特别是6-亚甲基孕酮)联合治疗是减少前列腺过度生长最有效的组合。单独使用抗雌激素(凯昔芬)治疗在前列腺过度生长的早期和晚期均无效。

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