Department of Immunoendocrinology, Chair of Endocrinology, Medical University of Lodz, Poland.
Endokrynol Pol. 2019;70(5):437-444. doi: 10.5603/EP.a2019.0034.
Pituitary hormones folitropin (follicle-stimulating hormone, FSH) and lutropin (luteinising hormone, LH) are known as the key regulators of human reproduction. However, their receptors have been identified also in several organs and tissues beyond the reproductive system, and there is cumulating evidence of their direct extra-gonadal actions. The expression of LH receptors (LHR) was found in the brain and adrenal cortex. FSH receptors (FSHR) were found to be expressed in osteoclasts, monocytes, adipocytes, and peri- and intra-tumoural blood vessel endothelia of malignant tumours. Other localisations of FSHR and LHR are also suggested by immunohistochemistry, but these findings need confirmation using molecular biology techniques. Because the high levels of gonadotropins are a constant phenomenon during human aging, especially in postmenopausal women, it is hypothesised that the direct actions of FSH and LH are involved in the pathogenesis of age-related disorders. The proposal of therapy based on the inhibition of gonadotropin hypersecretion is also discussed.
垂体激素卵泡刺激素(FSH)和促黄体生成素(LH)被认为是人类生殖的关键调节剂。然而,它们的受体也已在生殖系统以外的几个器官和组织中被识别出来,并且有越来越多的证据表明它们具有直接的性腺外作用。LH 受体(LHR)的表达被发现在大脑和肾上腺皮质中。FSH 受体(FSHR)被发现表达在破骨细胞、单核细胞、脂肪细胞以及恶性肿瘤的周围和肿瘤内血管内皮中。免疫组织化学还提示了 FSHR 和 LHR 的其他定位,但这些发现需要使用分子生物学技术进行确认。由于在人类衰老过程中,尤其是在绝经后妇女中,促性腺激素水平升高是一种常见现象,因此有人假设 FSH 和 LH 的直接作用参与了与年龄相关的疾病的发病机制。还讨论了基于抑制促性腺激素过度分泌的治疗建议。