甲状腺癌中复杂激素调节的综述:下丘脑-垂体-甲状腺轴之外的新见解。

A review of complex hormone regulation in thyroid cancer: novel insights beyond the hypothalamus-pituitary-thyroid axis.

机构信息

Department of Head and Neck Surgery section II, The Third Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.

出版信息

Front Endocrinol (Lausanne). 2024 Jul 22;15:1419913. doi: 10.3389/fendo.2024.1419913. eCollection 2024.

Abstract

Like the ovaries and prostate, the thyroid exhibits characteristic hormone secretion and regulation. Thyroid cancer (TC), especially differentiated thyroid carcinoma, has typical sex-specific and age-specific hormone-driven clinical features. Previous research has primarily focused on the effects of thyroid stimulating hormone, thyroid hormones, and estrogens on the onset and progression of TC, while the roles of growth hormone (GH), androgens, and glucocorticoids have largely been overlooked. Similarly, few studies have investigated the interactions between hormones and hormone systems. In fact, numerous studies of patients with acromegaly have shown that serum levels of GH and insulin-like growth factor-1 (IGF-1) may be associated with the onset and progression of TC, although the influences of age, sex, and other risk factors, such as obesity and stress, remain unclear. Sex hormones, the GH/IGF axis, and glucocorticoids are likely involved in the onset and progression of TC by regulating the tumor microenvironment and metabolism. The aim of this review was to clarify the roles of hormones and hormone systems in TC, especially papillary thyroid carcinoma, as references for further investigations.

摘要

与卵巢和前列腺一样,甲状腺具有特征性的激素分泌和调节功能。甲状腺癌(TC),特别是分化型甲状腺癌,具有典型的性别特异性和年龄特异性激素驱动的临床特征。以前的研究主要集中在促甲状腺激素、甲状腺激素和雌激素对 TC 发病和进展的影响,而生长激素(GH)、雄激素和糖皮质激素的作用在很大程度上被忽视了。同样,很少有研究探讨激素和激素系统之间的相互作用。事实上,许多肢端肥大症患者的研究表明,血清 GH 和胰岛素样生长因子-1(IGF-1)水平可能与 TC 的发病和进展有关,尽管其影响仍不清楚,如年龄、性别和其他风险因素,如肥胖和压力。通过调节肿瘤微环境和代谢,性激素、GH/IGF 轴和糖皮质激素可能参与 TC 的发病和进展。本文旨在阐明激素和激素系统在 TC 中的作用,特别是甲状腺乳头状癌中的作用,为进一步研究提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c5c/11298353/1f5b303a81da/fendo-15-1419913-g001.jpg

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