Department Obstetrics and Gynecology, Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, Illinois 60611, USA.
Semin Reprod Med. 2010 Jan;28(1):81-90. doi: 10.1055/s-0029-1242998. Epub 2010 Jan 26.
Progesterone is a key hormone in the endometrium that opposes estrogen-driven growth. Insufficient progesterone will result in unopposed estrogen action that could lead to the development of endometrial hyperplasia and adenocarcinoma. Although these endometrial neoplasias can regress in response to progestin treatment, this does not occur in all instances. To understand this resistance to progesterone and to improve on existing hormonal therapies, it is imperative that the molecular mechanisms of progesterone action through its receptor be deciphered in endometrial cancer. This review highlights what is known thus far regarding the efficacy of progestin therapy in the clinic and the role of progesterone in endometrial cancer cell behavior and gene regulation.
孕激素是子宫内膜中一种拮抗雌激素驱动生长的关键激素。孕激素不足会导致雌激素作用不受拮抗,从而导致子宫内膜增生和腺癌的发生。虽然这些子宫内膜肿瘤可以对孕激素治疗产生反应而消退,但并非所有情况下均如此。为了理解这种对孕激素的抵抗,并改进现有的激素治疗方法,解析孕激素通过其受体在子宫内膜癌中的作用的分子机制是至关重要的。本综述强调了目前在临床上孕激素治疗的疗效以及孕激素在子宫内膜癌细胞行为和基因调控中的作用方面的已知知识。