Bowe James, Li Xiao Feng, Kinsey-Jones James, Heyerick Arne, Brain Susan, Milligan Stuart, O'Byrne Kevin
Division of Reproduction and Endocrinology, King's College London, 2.36D New Hunt's House, Guy's Campus, London SE1 1UL, UK.
J Endocrinol. 2006 Nov;191(2):399-405. doi: 10.1677/joe.1.06919.
The mechanisms underlying menopausal hot flushes are poorly understood, although it is generally assumed they result from disturbances of thermoregulatory centres in the hypothalamus. 8-Prenylnaringenin (8-PN) has been identified as a potent phytoestrogen in hops (Humulus lupulus) and there are claims that hop-containing preparations can reduce hot flushes. We have investigated the site of action of 8-PN in a rat model of menopausal hot flushes, in which the tail skin temperature (TST) is increased after oestrogen withdrawal induced by ovariectomy. Daily s.c. administration of either 17beta-oestradiol (E2; 4 microg/kg) or 8-PN (400 microg/kg) significantly reduced the elevated TST after 2 days of treatment. Subcutaneous co-administration of either E2 or 8-PN with the oestrogen receptor (ER) antagonist, ICI 182,780 (200 microg/kg), which is thought not to cross the blood-brain barrier, completely blocked the effect of E2 and 8-PN on TST. The ERalpha- and ERbeta-specific agonists, 4,4',4''-(4-propyl-[1H]-pyrazole-1,3,5-triyl)trisphenol (100 microg/kg) and 2,3-bis(4-hydroxyphenyl)-propionitrile (60 microg/kg) respectively, both significantly reversed the raised TST in ovariectomised rats. These observations suggest that the regulation of the vasomotor response by oestrogens and phytoestrogens is mediated, at least in part, by peripheral mechanisms involving both ERalpha and ERbeta.
尽管一般认为绝经后潮热是由下丘脑体温调节中枢紊乱引起的,但其潜在机制仍知之甚少。8-异戊烯基柚皮素(8-PN)已被确定为啤酒花(Humulus lupulus)中的一种强效植物雌激素,有人声称含啤酒花的制剂可以减少潮热。我们在绝经后潮热的大鼠模型中研究了8-PN的作用部位,在该模型中,卵巢切除诱导雌激素撤药后尾皮温度(TST)会升高。每天皮下注射17β-雌二醇(E2;4μg/kg)或8-PN(400μg/kg),治疗2天后可显著降低升高的TST。皮下联合给予E2或8-PN与雌激素受体(ER)拮抗剂ICI 182,780(200μg/kg),据认为ICI 182,780不会穿过血脑屏障,这完全阻断了E2和8-PN对TST的作用。ERα和ERβ特异性激动剂,分别为4,4',4''-(4-丙基-[1H]-吡唑-1,3,5-三基)三苯酚(100μg/kg)和2,3-双(4-羟基苯基)-丙腈(60μg/kg),均能显著逆转去卵巢大鼠升高的TST。这些观察结果表明,雌激素和植物雌激素对血管舒缩反应的调节至少部分是由涉及ERα和ERβ的外周机制介导的。