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整个月经周期中正常乳腺细胞和乳腺癌的雌激素受体含量。

Oestrogen receptor content of normal breast cells and breast carcinomas throughout the menstrual cycle.

作者信息

Markopoulos C, Berger U, Wilson P, Gazet J C, Coombes R C

机构信息

St George's Hospital, London.

出版信息

Br Med J (Clin Res Ed). 1988 May 14;296(6633):1349-51. doi: 10.1136/bmj.296.6633.1349.

Abstract

To examine the presence and distribution of oestrogen receptors in the normal breast during the menstrual cycle cytological samples obtained by fine needle aspiration from 69 premenopausal women with normal breasts were analysed immunocytochemically with a monoclonal antibody to oestrogen receptor; samples from 15 postmenopausal women were also analysed. The receptor content of breast cancers from 83 premenopausal women was also determined in relation to when during the menstrual cycle excision was performed. In the normal premenopausal women oestrogen receptors were detected in the nuclei of epithelial cells in 21 out 68 (31%) assessable samples. All 21 of these samples were obtained from the 35 women who were studied during the first half of their menstrual cycle (days 28 to 14). None of the 33 samples obtained during the second half of the cycle contained oestrogen receptors. Samples were assessable in eight of the postmenopausal women, six giving a positive result for oestrogen receptor. Fifty one of the 83 carcinomas were positive for oestrogen receptor, 24 having been excised during the first half of the cycle and 27 during the second half. Production of oestrogen receptor protein is suppressed at the time of ovulation in the normal breast epithelium of premenopausal women. In contrast, breast carcinoma cells either synthesise this protein continuously throughout the cycle or fail to express it despite fluctuations of serum hormone concentrations.

摘要

为了研究月经周期中正常乳腺组织雌激素受体的存在情况及分布,对69名乳房正常的绝经前女性通过细针穿刺获取的细胞学样本,采用抗雌激素受体单克隆抗体进行免疫细胞化学分析;同时也对15名绝经后女性的样本进行了分析。还确定了83名绝经前女性乳腺癌组织的受体含量与手术切除时处于月经周期的哪个阶段的关系。在正常绝经前女性中,68份可评估样本中有21份(31%)上皮细胞核中检测到雌激素受体。所有这21份样本均取自35名在月经周期前半段(第28天至第14天)接受研究的女性。在月经周期后半段获取的33份样本中均未检测到雌激素受体。15名绝经后女性中有8份样本可评估,其中6份雌激素受体检测呈阳性。83例乳腺癌中有51例雌激素受体呈阳性,其中24例在月经周期前半段切除,27例在月经周期后半段切除。绝经前女性正常乳腺上皮细胞在排卵时雌激素受体蛋白的产生受到抑制。相比之下,乳腺癌细胞要么在整个周期中持续合成这种蛋白,要么尽管血清激素浓度波动但仍不表达该蛋白。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b42/2545825/ceba8dc397bc/bmj00285-0009-a.jpg

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