Department of Physiology and Neurobiology, Shandong First Medical University, Jinan, China.
School of Medicine, Southeast University, Nanjing, China.
FASEB J. 2022 Oct;36(10):e22570. doi: 10.1096/fj.202200427RR.
The risk of high-grade gliomas is lower in young females, however, its incidence enhances after menopause, suggesting potential protective roles of female sex hormones. Hormone oscillations after menopause have received attention as a possible risk factor. Little is known about risk factors for adult gliomas. We examined the association of the aging brain after menopause, determining the risk of gliomas with proteomics and the MALDI-MSI experiment. Menopause caused low neurotransmitter levels such as GABA and ACH, high inflammatory factor levels like il-1β, and increased lipid metabolism-related levels like triglycerides in the brain. Upregulated and downregulated proteins after menopause were correlated with differentially expressed glioma genes, such as ACTA2, CAMK2D, FNBPIL, ARL1, HEBP1, CAST, CLIC1, LPCAT4, MAST3, and DOCK9. Furthermore, differential gene expression analysis of monocytes showed that the downregulated gene LPCAT4 could be used as a marker to prevent menopausal gliomas in women. Our findings regarding the association of menopause with the risk of gliomas are consistent with several extensive cohort studies. In view of the available evidence, postmenopausal status is likely to represent a significant risk factor for gliomas.
年轻女性发生高级别胶质瘤的风险较低,但绝经后其发病率增加,提示女性性激素可能具有保护作用。绝经后激素波动作为可能的危险因素受到关注。关于成人胶质瘤的危险因素知之甚少。我们通过蛋白质组学和 MALDI-MSI 实验研究了绝经后大脑老化与胶质瘤风险的关系。绝经导致大脑中神经递质(如 GABA 和 ACH)水平降低,炎症因子(如 il-1β)水平升高,与脂质代谢相关的水平(如甘油三酯)升高。绝经后上调和下调的蛋白质与差异表达的胶质瘤基因相关,如 ACTA2、CAMK2D、FNBPIL、ARL1、HEBP1、CAST、CLIC1、LPCAT4、MAST3 和 DOCK9。此外,单核细胞的差异基因表达分析表明,下调基因 LPCAT4 可作为预防女性绝经后胶质瘤的标志物。我们关于绝经与胶质瘤风险之间关系的研究结果与几项广泛的队列研究一致。鉴于现有证据,绝经后状态可能是胶质瘤的一个重要危险因素。