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痤疮、乳制品与癌症:5α-还原酶的联系

Acne, dairy and cancer: The 5alpha-P link.

作者信息

Danby F William Bill

机构信息

Adjunct Assistant Professor of Medicine (Dermatology); Dartmouth Medical School; Manchester, New Hampshire USA.

出版信息

Dermatoendocrinol. 2009 Jan;1(1):12-6. doi: 10.4161/derm.1.1.7124.

Abstract

A potent link to dairy seems to exist for three hormone-responsive glands. Acne, breast cancer and prostate cancer have all been linked epidemiologically to dairy intake. Although mechanisms postulated here remain to be accurately defined, the likely link involves Insulin-like Growth Factor-1 as a general stimulant, synergized by the steroid hormones present in milk. The IGF-1 may be either absorbed from milk, or stimulated by its ingestion, or both. The 5alpha-reduced compound 5alpha-pregnanedione (5alpha-P) present in milk is a direct precursor of dihydrotestosterone and may act through that pathway in prostate cancer, but 5alpha-P has also recently been shown to be capable of inducing estrogen receptors in breast cancer cells, upregulating cancer cells' sensitivity to estrogen. The introduction of exogenous hormones and growth factors into tissues that have not evolved defensive feedback inhibition of their corresponding endogenous sources is postulated as a direct stimulatory threat to these organ systems, whether for hyperplasia or neoplasia.

摘要

三种激素反应性腺体似乎都与乳制品存在紧密联系。从流行病学角度来看,痤疮、乳腺癌和前列腺癌都与乳制品摄入有关。尽管此处假设的机制仍有待精确界定,但可能的联系涉及胰岛素样生长因子-1作为一种普遍刺激物,与牛奶中存在的类固醇激素协同作用。胰岛素样生长因子-1可能是从牛奶中吸收而来,或者因摄入牛奶而受到刺激,或者两者皆有。牛奶中存在的5α-还原化合物5α-孕烷二酮(5α-P)是双氢睾酮的直接前体,可能通过该途径在前列腺癌中发挥作用,但最近也发现5α-P能够诱导乳腺癌细胞中的雌激素受体,上调癌细胞对雌激素的敏感性。将外源性激素和生长因子引入那些尚未进化出针对其相应内源性来源的防御性反馈抑制机制的组织中,被假定为对这些器官系统的直接刺激威胁,无论是对于增生还是肿瘤形成而言。

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