Rothschild T C, Boylan E S, Calhoon R E, Vonderhaar B K
Cancer Res. 1987 Aug 15;47(16):4508-16.
Female ACI rats were exposed to diethylstilbestrol (DES) transplacentally and followed to 10 months of age to assess the effect of the drug on mammary development and tumorigenesis. Pregnant rats were given injections of vehicle (sesame oil) or DES (total dose, 0.8 micrograms = low DES or 8.0 micrograms = high DES) on days 15 and 18 of gestation. Pellets containing 2.5 mg DES + 17.5 mg cholesterol (DES pellet) or 20 mg cholesterol (chol pellet) were implanted s.c. into 12-week-old female offspring, creating 6 experimental groups: vehicle exposure + chol pellet (1) or + DES pellet (2); low DES exposure + chol pellet (3) or + DES pellet (4); high DES exposure + chol pellet (5) or + DES pellet (6). At sacrifice, representative mammary tissue and all palpable mammary tumors were removed for histopathological analysis. Each of the 6 experimental groups contained a minimum of 32 rats from at least 14 litters. In computation of data, the unit of analysis was the litter. Groups which had received any DES (prenatally or postnatally) were found to have elongated nipples and enlarged pituitaries. The mammary gland whole mounts from all rats in groups 4 and 6 displayed extensive lobuloalveolar proliferation comparable to that seen in DES pellet controls (group 2). Mammary glands of approximately 75% of rats in groups 3 and 5 were categorized as showing the lowest grade of differentiation while this undifferentiated condition was seen in only 36% of group I controls. No palpable mammary tumors were found in rats exposed to vehicle in utero (group 1). But in group 5, a total of 6 tumors in 5 animals derived from 4 different litters were obtained, a difference shown to be statistically significant. Group 3 had 1 rat with 8 tumors. Among rats bearing the DES pellet, tumor latency was shortened significantly in both groups exposed to DES in utero. By 22 weeks after pellet implantation, 100% of the DES-exposed litters (groups 4 and 6) contained at least 1 tumor-bearing rat compared to about 50% of the tumor-bearing litters in group 2. Tumor multiplicity at sacrifice was increased significantly in the group exposed prenatally to the higher dose of DES. Histologically, the overwhelming majority of palpable mammary tumors from all tumor-bearing treatment groups were classified as adenocarcinomas. Prenatal exposure to DES did not alter the ratio of malignant to benign lesions observed, nor did it affect the degree of differentiation noted in the adenocarcinomas.(ABSTRACT TRUNCATED AT 400 WORDS)
将雌性 ACI 大鼠经胎盘暴露于己烯雌酚(DES),并追踪至 10 月龄,以评估该药物对乳腺发育和肿瘤发生的影响。在妊娠第 15 天和第 18 天,给怀孕大鼠注射赋形剂(芝麻油)或 DES(总剂量,0.8 微克 = 低剂量 DES 或 8.0 微克 = 高剂量 DES)。将含有 2.5 毫克 DES + 17.5 毫克胆固醇的药丸(DES 药丸)或 20 毫克胆固醇的药丸(胆固醇药丸)皮下植入 12 周龄的雌性后代,创建 6 个实验组:赋形剂暴露 + 胆固醇药丸(1)或 + DES 药丸(2);低剂量 DES 暴露 + 胆固醇药丸(3)或 + DES 药丸(4);高剂量 DES 暴露 + 胆固醇药丸(5)或 + DES 药丸(6)。处死时,取出代表性的乳腺组织和所有可触及的乳腺肿瘤进行组织病理学分析。6 个实验组中的每组至少包含来自至少 14 窝的 32 只大鼠。在数据计算中,分析单位是窝。发现接受过任何 DES(产前或产后)的组有乳头伸长和垂体增大的情况。第 4 组和第 6 组所有大鼠的乳腺整体标本显示出广泛的小叶腺泡增生,与 DES 药丸对照组(第 2 组)所见相当。第 3 组和第 5 组中约 75% 的大鼠乳腺被归类为显示最低分化程度,而这种未分化状态在第 1 组对照组中仅见于 36%。在子宫内暴露于赋形剂的大鼠(第 1 组)中未发现可触及的乳腺肿瘤。但在第 5 组中,从 4 个不同窝中获得的 5 只动物共出现 6 个肿瘤,并显示出统计学上的显著差异。第 3 组有 1 只大鼠出现 8 个肿瘤。在植入药丸的大鼠中,子宫内暴露于 DES 的两组肿瘤潜伏期均显著缩短。到药丸植入后 22 周时,暴露于 DES 的窝(第 4 组和第 6 组)中有 100% 至少有 1 只荷瘤大鼠,而第 2 组中有肿瘤的窝约为 50%。处死时肿瘤的多灶性在产前暴露于较高剂量 DES 的组中显著增加。组织学上,所有荷瘤治疗组中可触及的乳腺肿瘤绝大多数被归类为腺癌。产前暴露于 DES 并未改变观察到的恶性与良性病变的比例,也未影响腺癌中的分化程度。(摘要截断于 400 字)