Scott Department of Urology, Baylor College of Medicine, Jones Building 506C, One Baylor Plaza, Houston, TX, 77030, USA.
BMC Cancer. 2017 Sep 7;17(1):635. doi: 10.1186/s12885-017-3569-x.
Traditional beliefs of androgen's stimulating effects on the growth of prostate cancer (PCa) have been challenged in recent years. Our previous in vitro study indicated that physiological normal levels of androgens inhibited the proliferation of PCa cells. In this in vivo study, the ability of testosterone (T) to inhibit PCa growth was assessed by testing the tumor incidence rate and tumor growth rate of PCa xenografts on nude mice.
Different serum testosterone levels were manipulated in male nude/nude athymic mice by orchiectomy or inserting different dosages of T pellets subcutaneously. PCa cells were injected subcutaneously to nude mice and tumor incidence rate and tumor growth rate of PCa xenografts were tested.
The data demonstrated that low levels of serum T resulted in the highest PCa incidence rate (50%). This PCa incidence rate in mice with low T levels was significantly higher than that in mice treated with higher doses of T (24%, P < 0.01) and mice that underwent orchiectomy (8%, P < 0.001). Mice that had low serum T levels had the shortest tumor volume doubling time (112 h). This doubling time was significantly shorter than that in the high dose 5 mg T arm (158 h, P < 0.001) and in the orchiectomy arm (468 h, P < 0.001).
These results indicated that low T levels are optimal for PCa cell growth. Castrate T levels, as seen after orchiectomy, are not sufficient to support PCa cell growth. Higher levels of serum T inhibited PCa cell growth.
近年来,传统上认为雄激素对前列腺癌(PCa)生长的刺激作用已受到挑战。我们之前的体外研究表明,生理正常水平的雄激素可抑制 PCa 细胞的增殖。在这项体内研究中,通过测试去势雄性裸鼠 PCa 异种移植的肿瘤发生率和肿瘤生长率来评估睾丸酮(T)抑制 PCa 生长的能力。
通过去势或皮下插入不同剂量的 T 丸来操纵雄性裸鼠/裸鼠无胸腺鼠的不同血清睾丸酮水平。将 PCa 细胞皮下注射到裸鼠中,测试 PCa 异种移植的肿瘤发生率和肿瘤生长率。
数据表明,低水平的血清 T 导致最高的 PCa 发生率(50%)。低 T 水平小鼠的 PCa 发生率明显高于高剂量 T 治疗组(24%,P<0.01)和去势组(8%,P<0.001)。血清 T 水平低的小鼠肿瘤体积倍增时间最短(112 小时)。与高剂量 5mg T 组(158 小时,P<0.001)和去势组(468 小时,P<0.001)相比,这一时间明显更短。
这些结果表明,低 T 水平最有利于 PCa 细胞生长。去势 T 水平(如去势后所见)不足以支持 PCa 细胞生长。较高的血清 T 水平抑制了 PCa 细胞的生长。