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[月经周期及绝经后期子宫颈雌激素与孕激素的受体结合能力]

[Receptor-binding capacity for estrogens and progesterone in the uterine cervix during the menstrual cycle and in the postmenopausal period].

作者信息

Kaiser R, Würz H, Steenken A, Piert M

机构信息

Universitäts-Frauenklinik Köln.

出版信息

Geburtshilfe Frauenheilkd. 1988 Apr;48(4):228-31. doi: 10.1055/s-2008-1026492.

Abstract

In biochemical studies it was found that the binding capacity of cytoplasmatic estrogen and progesterone receptors in the uterine cervix undergo characteristic changes during the menstrual cycle. The highest estrogen binding values were observed by the eighth day, after which there was a significant drop. The highest progesterone binding values were around the twelfth day, followed by a significant drop after ovulation. In sexually mature subjects the estrogen receptors predominated in the mucosa and the progesterone receptors in the myometrium. Therefore, there is obviously a parallel to the receptor content in the corpus uteri. The maximum estrogen and progesterone binding capacities were in each case ascertained some days before the maximum E2 and Pr values were attained in the serum. Hence, the estrogen receptors have already built up in the uterine cervix before optimal functional activity, measured by the cervix score, has been attained. Anti-estrogens given at the beginning of the cycle can disturb this sequence. The high estrogen receptor content in the endometrium at the beginning of the cycle creates the necessary conditions for the explosive, proliferative gland growth around this time, even though the serum estrogen concentration is still relatively low. In the postmenopause the estrogen binding capacity in the uterine cervix was higher than during sexual maturity, while the reverse was the case with the progesterone binding capacity.

摘要

在生化研究中发现,子宫颈细胞质雌激素和孕激素受体的结合能力在月经周期中会发生特征性变化。在第八天观察到最高的雌激素结合值,之后显著下降。最高的孕激素结合值在第十二天左右,排卵后显著下降。在性成熟个体中,雌激素受体在黏膜中占主导,而孕激素受体在子宫肌层中占主导。因此,这显然与子宫体中的受体含量相似。在血清中达到最大雌二醇(E2)和孕酮(Pr)值的几天前,分别确定了最大的雌激素和孕激素结合能力。因此,在通过宫颈评分衡量的最佳功能活性达到之前,子宫颈中的雌激素受体就已经形成。在周期开始时给予抗雌激素会干扰这一顺序。尽管血清雌激素浓度仍然相对较低,但在周期开始时子宫内膜中高含量的雌激素受体为此时周围腺体的爆发性增殖生长创造了必要条件。绝经后,子宫颈中的雌激素结合能力高于性成熟期间,而孕激素结合能力则相反。

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