Prins Gail S
Department of Urology, University of Illinois at Chicago, Chicago, Illinois 60612, USA.
Endocr Relat Cancer. 2008 Sep;15(3):649-56. doi: 10.1677/ERC-08-0043. Epub 2008 Jun 4.
There is increasing evidence both from epidemiology studies and animal models that specific endocrine-disrupting compounds may influence the development or progression of prostate cancer. In large part, these effects appear to be linked to interference with estrogen signaling, either through interacting with ERs or by influencing steroid metabolism and altering estrogen levels within the body. In humans, epidemiologic evidence links specific pesticides, PCBs and inorganic arsenic exposures to elevated prostate cancer risk. Studies in animal models also show augmentation of prostate carcinogenesis with several other environmental estrogenic compounds including cadmium, UV filters and BPA. Importantly, there appears to be heightened sensitivity of the prostate to these endocrine disruptors during the critical developmental windows including in utero and neonatal time points as well as during puberty. Thus infants and children may be considered a highly susceptible population for ED exposures and increased risk of prostate cancers with aging.
来自流行病学研究和动物模型的证据越来越多,表明特定的内分泌干扰化合物可能会影响前列腺癌的发展或进程。在很大程度上,这些影响似乎与干扰雌激素信号传导有关,要么通过与雌激素受体相互作用,要么通过影响类固醇代谢并改变体内雌激素水平。在人类中,流行病学证据将特定农药、多氯联苯和无机砷暴露与前列腺癌风险升高联系起来。动物模型研究还表明,包括镉、紫外线过滤器和双酚A在内的其他几种环境雌激素化合物会增强前列腺癌的发生。重要的是,在包括子宫内和新生儿期以及青春期在内的关键发育窗口期,前列腺对这些内分泌干扰物的敏感性似乎会增强。因此,婴儿和儿童可能被认为是内分泌干扰物暴露的高易感人群,随着年龄增长患前列腺癌的风险也会增加。