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乳腺中免疫微环境的激素调节

Hormonal regulation of the immune microenvironment in the mammary gland.

作者信息

Need Eleanor F, Atashgaran Vahid, Ingman Wendy V, Dasari Pallave

机构信息

Discipline of Surgery, School of Medicine, The Queen Elizabeth Hospital, University of Adelaide, DX465702, 28 Woodville Road, Woodville, SA, 5011, Australia.

出版信息

J Mammary Gland Biol Neoplasia. 2014 Jul;19(2):229-39. doi: 10.1007/s10911-014-9324-x. Epub 2014 Jul 4.

Abstract

It is well established that the development and homeostasis of the mammary gland are highly dependent upon the actions of ovarian hormones progesterone and estrogen, as well as the availability of prolactin for the pregnant and lactating gland. More recently it has become apparent that immune system cells and cytokines play essential roles in both mammary gland development as well as breast cancer. Here, we review hormonal effects on mammary gland biology during puberty, menstrual cycling, pregnancy, lactation and involution, and dissect how hormonal control of the immune system may contribute to mammary development at each stage via cytokine secretion and recruitment of macrophages, eosinophils, mast cells and lymphocytes. Collectively, these alterations may create an immunotolerant or inflammatory immune environment at specific developmental stages or phases of the menstrual cycle. Of particular interest for further research is investigation of the combinatorial actions of progesterone and estrogen during the luteal phase of the menstrual cycle and key developmental points where the immune system may play an active role both in mammary development as well as in the creation of an immunotolerant environment, thereby affecting breast cancer risk.

摘要

众所周知,乳腺的发育和内环境稳定高度依赖于卵巢激素孕酮和雌激素的作用,以及妊娠和哺乳期乳腺中催乳素的供应。最近,免疫系统细胞和细胞因子在乳腺发育以及乳腺癌中发挥重要作用已变得明显。在此,我们综述了激素在青春期、月经周期、妊娠、哺乳和退化过程中对乳腺生物学的影响,并剖析了激素对免疫系统的控制如何通过细胞因子分泌以及巨噬细胞、嗜酸性粒细胞、肥大细胞和淋巴细胞的募集在每个阶段促进乳腺发育。总体而言,这些改变可能在月经周期的特定发育阶段或时期创造一个免疫耐受或炎症性免疫环境。进一步研究特别感兴趣的是调查月经周期黄体期孕酮和雌激素的联合作用,以及免疫系统可能在乳腺发育以及免疫耐受环境形成中发挥积极作用从而影响乳腺癌风险的关键发育点。

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