Departamento de Investigación en Hiperreactividad Bronquial, Instituto Nacional de Enfermedades Respiratorias 'Ismael Cosio Villegas', Calzada de Tlalpan 4502, Colonia Sección XVI, Mexico City CP 14080, Mexico.
Laboratorio de Oncología Biomédica, Departamento de Enfermedades Crónico Degenerativas, Instituto Nacional de Enfermedades Respiratorias 'Ismael Cosio Villegas', Mexico City CP 14080, Mexico.
Int J Mol Sci. 2023 Oct 19;24(20):15335. doi: 10.3390/ijms242015335.
It has been observed that plasmatic concentrations of estrogens, progesterone, or both correlate with symptoms in asthmatic women. Fluctuations in female sex steroid concentrations during menstrual periods are closely related to asthma symptoms, while menopause induces severe physiological changes that might require hormonal replacement therapy (HRT), that could influence asthma symptoms in these women. Late-onset asthma (LOA) has been categorized as a specific asthmatic phenotype that includes menopausal women and novel research regarding therapeutic alternatives that might provide relief to asthmatic women suffering LOA warrants more thorough and comprehensive analysis. Therefore, the present review proposes phytoestrogens as a promising HRT that might provide these females with relief for both their menopause and asthma symptoms. Besides their well-recognized anti-inflammatory and antioxidant capacities, phytoestrogens activate estrogen receptors and promote mild hormone-like responses that benefit postmenopausal women, particularly asthmatics, constituting therefore a very attractive potential therapy largely due to their low toxicity and scarce side effects.
已经观察到,雌激素、孕激素或两者的血浆浓度与哮喘女性的症状相关。女性性激素浓度在月经期间的波动与哮喘症状密切相关,而绝经会引起严重的生理变化,可能需要激素替代疗法(HRT),这可能会影响这些女性的哮喘症状。迟发性哮喘(LOA)已被归类为一种特殊的哮喘表型,包括绝经后妇女,对于可能为患有 LOA 的哮喘女性提供缓解的治疗替代方案的新研究需要更彻底和全面的分析。因此,本综述提出植物雌激素作为一种有前途的 HRT,可能为这些女性缓解绝经和哮喘症状提供帮助。除了其公认的抗炎和抗氧化能力外,植物雌激素还能激活雌激素受体并促进类似激素的温和反应,这对绝经后妇女有益,特别是对哮喘患者有益,因此构成了一种非常有吸引力的潜在治疗方法,主要是因为它们的毒性低,副作用少。