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替勃龙和雷洛昔芬对绝经后妇女血清凋亡标志物的影响。

Effect of tibolone and raloxifene on serum markers of apoptosis in postmenopausal women.

机构信息

2nd Department of Obstetrics and Gynecology, University of Athens, Aretaieio Hospital, Athens, Greece.

出版信息

Climacteric. 2013 Apr;16(2):258-64. doi: 10.3109/13697137.2012.668251. Epub 2012 May 29.

DOI:10.3109/13697137.2012.668251
PMID:22642937
Abstract

OBJECTIVES

To investigate the effect of tibolone and raloxifene on the serum apoptotic markers soluble Fas (sFas), soluble Fas ligand (sFasL) and cytochrome-c (cyt-c) in postmenopausal women.

METHODS

A total of 89 healthy postmenopausal women, attending the University Menopause Clinic, were randomly allocated to tibolone (n =30), raloxifene (n =29) or no treatment (n =30). Serum apoptotic markers sFas, sFasL and cyt-c were measured at baseline and at 6 months.

RESULTS

Serum sFasL decreased significantly in women receiving tibolone (baseline: 53.8±28.3 pg/ml, 6 months: 40.45±19.2 pg/ml, p =0.001), whilst sFas levels did not significantly change in this group. Serum sFas or sFasL did not change either in the raloxifene group or in the control group. Serum cyt-c concentrations were under the detection limit of the assay in all women assessed.

CONCLUSIONS

Tibolone use resulted in a significant decrease in serum sFasL, but not in serum sFas. Raloxifene had no effect on either sFas or sFasL. These results may indicate that tibolone use is associated with a decrease in receptor-mediated apoptosis.

摘要

目的

探讨替勃龙和雷洛昔芬对绝经后妇女血清凋亡标志物可溶性 Fas(sFas)、可溶性 Fas 配体(sFasL)和细胞色素-c(cyt-c)的影响。

方法

共有 89 名健康的绝经后妇女,参加了大学绝经期诊所,被随机分配到替勃龙(n=30)、雷洛昔芬(n=29)或不治疗(n=30)组。在基线和 6 个月时测量血清凋亡标志物 sFas、sFasL 和 cyt-c。

结果

接受替勃龙治疗的妇女血清 sFasL 显著下降(基线:53.8±28.3 pg/ml,6 个月:40.45±19.2 pg/ml,p=0.001),而 sFas 水平在该组没有显著变化。雷洛昔芬组或对照组的 sFas 或 sFasL 均未发生变化。所有接受评估的妇女的血清 cyt-c 浓度均低于检测限。

结论

替勃龙的使用导致血清 sFasL 显著下降,但对血清 sFas 没有影响。雷洛昔芬对 sFas 或 sFasL 均无影响。这些结果可能表明替勃龙的使用与受体介导的凋亡减少有关。

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