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[三烯孕素对去势大鼠乳腺的影响]

[Effect of trimegestone on mammary gland of castrated rats].

作者信息

Marques Luciana de Oliveira, Cordeiro Júnior David Gomes, Lago Vanessa Vieira Dal, Carvalho Sheron Luize Costa de, Collaço Luiz Martins, Sobral Ana Cristina Lira

机构信息

FEPAR – Curitiba(PR), Brasil.

出版信息

Rev Bras Ginecol Obstet. 2011 Jul;33(7):137-42.

Abstract

PURPOSE

To evaluate the efect of trimegestone on the histological changes of the mammary tissue of castrated rats.

METHODS

Forty-five virgin female Wistar rats were used after oophorectomy. Sixty days after surgery, with hypoestrogenisms confirmed, the experimental rats were randomly assigned to three groups of 15 animals each, when then the specific treatment for each group was started. The control group (C) and experimental groups 1 and 2 respectively received 0.9% saline solution, 17-beta-estradiol and 17-beta-estradiol in combination with trimegestone for 60 consecutive days. After the end of treatment , the inguinal mammary glands were removed, stained with hematoxylin and eosin (HE) for morphometry and examined by immunohistochemistry for the quantification of anti-PCNA antibody in the mammary tissue, followed by euthanasia. The morphometric parameters evaluated were: epithelium cell-proliferation, secretor activity and mammary stroma changes. There were nine deaths during the experiment. The variables were submitted to statistical analysis adopting the 0.05 level of significance.

RESULTS

Histological changes were observed in 16/36 rats, mild epithelial hyperplasia in 13/36, moderate epithelial hyperplasia in 3/36, with no cases of severe epithelial hyperplasia. Stromal fibrosis was found in 10/36 and secretory activity in 5/36 rats. All morphometric variables were significant in the estrogen group compared to control (p=0.0361), although there were no difference between the group receiving combined treatment and the controls (p=0.405). The immunohistochemical analysis showed no difference between groups.

CONCLUSIONS

The hormones administered to castrated rats, i.e., 17 beta-estradiol alone or in combination with trimegestone, increased the proliferation of breast cells, but this effect appeared to be lower in the combined treatment, the same occurring regarding fibrosis of the mammary stroma.

摘要

目的

评估曲美孕酮对去势大鼠乳腺组织组织学变化的影响。

方法

45只处女雌性Wistar大鼠在卵巢切除术后使用。手术60天后,确认存在低雌激素血症,将实验大鼠随机分为三组,每组15只,然后开始对每组进行特定治疗。对照组(C)以及实验组1和2分别连续60天接受0.9%生理盐水、17-β-雌二醇以及17-β-雌二醇与曲美孕酮的联合用药。治疗结束后,切除腹股沟乳腺,用苏木精和伊红(HE)染色进行形态测量,并通过免疫组织化学检查乳腺组织中抗增殖细胞核抗原(PCNA)抗体的定量,随后实施安乐死。评估的形态学参数包括:上皮细胞增殖、分泌活性和乳腺基质变化。实验期间有9只死亡。对变量采用0.05的显著性水平进行统计分析。

结果

在36只大鼠中观察到组织学变化,13/36出现轻度上皮增生,3/36出现中度上皮增生,无重度上皮增生病例。10/36发现基质纤维化,5/36大鼠有分泌活性。与对照组相比,雌激素组的所有形态学变量均有显著性差异(p = 0.0361),尽管联合治疗组与对照组之间无差异(p = 0.405)。免疫组织化学分析显示各组之间无差异。

结论

给予去势大鼠的激素,即单独使用17β-雌二醇或与曲美孕酮联合使用,可增加乳腺细胞的增殖,但联合治疗时这种作用似乎较低,乳腺基质纤维化情况也是如此。

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