Murakami M, Kawai K, Higuchi K, Yanaihara T, Araki H, Nakayama T
Department of Obstetrics and Gynecology, Showa University School of Medicine, Tokyo.
Nihon Sanka Fujinka Gakkai Zasshi. 1988 May;40(5):561-7.
In order to examine the relation between breast development and hormone levels, serum levels of hormones including LH, FSH, PRL, progesterone, 17 alpha OH-progesterone, estradiol (E2), pregnenolone, pregnenolone-sulfate, 17 alpha OH-pregnenolone, cortisol, dehydroepiandrosterone (DHA), dehydroepiandrosterone-sulfate (DHA-S), testosterone and delta 4-androstenedione were measured by RIA in 162 puberal girls aged 9 to 17 years. Height and body weight were also measured. Stages of breast development were classified into B1 to B5 according to Tanner et al. Results were as follow; 1) Both body weight and height increased as the breast stage advanced during puberty. 2) The correlation with the concentration of hormone such as LH, FSH, E2, DHA, DHA-S and T, and breast development was noticed during the puberal stage before the onset of menarche. A significant positive correlation was observed between DHA-S, body weight and each stage of breast development before and after the onset of menarche. From the results obtained above, the intimate relationship between breast development and steroid concentrations especially the adrenal steroid DHA-S was suggested.
为了研究乳房发育与激素水平之间的关系,采用放射免疫分析法(RIA)测定了162名9至17岁青春期女孩血清中促黄体生成素(LH)、促卵泡生成素(FSH)、催乳素(PRL)、孕酮、17α-羟孕酮、雌二醇(E2)、孕烯醇酮、孕烯醇酮硫酸盐、17α-羟孕烯醇酮、皮质醇、脱氢表雄酮(DHA)、脱氢表雄酮硫酸盐(DHA-S)、睾酮和δ4-雄烯二酮等激素的水平。同时测量了身高和体重。根据坦纳等人的方法,将乳房发育阶段分为B1至B5期。结果如下:1)青春期期间,随着乳房发育阶段的推进,体重和身高均增加。2)在月经初潮前的青春期阶段,观察到LH、FSH、E2、DHA、DHA-S和T等激素浓度与乳房发育之间存在相关性。在月经初潮前后,DHA-S、体重与乳房发育的各个阶段之间均观察到显著的正相关。根据上述结果,提示乳房发育与类固醇浓度之间存在密切关系,尤其是肾上腺类固醇DHA-S。