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止汗剂导致顶泌汗腺阻塞,使得皮肤产生的激素和信息素经皮吸收,这与20世纪观察到的乳腺癌和前列腺癌发病率存在关联。

Apocrine sweat gland obstruction by antiperspirants allowing transdermal absorption of cutaneous generated hormones and pheromones as a link to the observed incidence rates of breast and prostate cancer in the 20th century.

作者信息

McGrath Kris G

机构信息

Northwestern University Feinberg School of Medicine, Division of Allergy and Immunology, 676 North St. Clair Street, Suite 14018, Chicago, IL 60611, USA.

出版信息

Med Hypotheses. 2009 Jun;72(6):665-74. doi: 10.1016/j.mehy.2009.01.025.

Abstract

Breast and prostate cancer share similarities and likely represent homologous cancers in females and males, respectively. The role of hormones such as testosterone and estrogen in carcinogenesis is well established. Despite worldwide research efforts, the pathogenesis of these diseases is largely not well understood. Personal care products containing estrogens or xenoestrogens have raised concern as a breast cancer risk, especially in young African-American women. In the United States (US) there is a parallel rise in the incidence in breast and prostate cancer compared to selected non-hormone dependent tumors. Observed US and global breast and prostate cancer incidence increases were occurring before exogenous hormone replacement and xenoestrogen exposure were commonplace. An unintentional, inadvertent, and long term hormone exposure may occur from transdermal absorption of sex hormones and pheromones (androgens) from axillary apocrine sweat gland obstruction by aluminum-based antiperspirants. The global rise in antiperspirant use parallels rises in breast and prostate cancer incidence and mortality rates. A multi-disciplinary literature based set of evidence is presented on how such a link is possible, to prompt confirmatory investigations in the pursuit of unmet needs in breast and prostate cancer etiology and prevention.

摘要

乳腺癌和前列腺癌存在相似之处,可能分别代表女性和男性的同源性癌症。睾酮和雌激素等激素在致癌过程中的作用已得到充分证实。尽管全球都在进行研究,但这些疾病的发病机制在很大程度上仍未被充分理解。含有雌激素或外源性雌激素的个人护理产品引发了人们对乳腺癌风险的担忧,尤其是在年轻的非裔美国女性中。在美国,与某些非激素依赖性肿瘤相比,乳腺癌和前列腺癌的发病率呈平行上升趋势。在美国和全球观察到的乳腺癌和前列腺癌发病率上升现象,在外源性激素替代和外源性雌激素暴露变得普遍之前就已经出现了。铝基止汗剂可能会阻塞腋窝顶泌汗腺,导致性激素和信息素(雄激素)经皮吸收,从而可能发生无意、意外且长期的激素暴露。全球止汗剂使用量的增加与乳腺癌和前列腺癌的发病率及死亡率上升趋势一致。本文基于多学科文献提供了一系列证据,说明这种联系是如何可能的,以促使开展验证性调查,以满足乳腺癌和前列腺癌病因及预防方面尚未满足的需求。

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