Feijó Mariana, Carvalho Tiago M A, Fonseca Lara R S, Vaz Cátia V, Pereira Bruno J, Cavaco José Eduardo B, Maia Cláudio J, Duarte Ana P, Kiss-Toth Endre, Correia Sara, Socorro Sílvia
RISE-Health, Department of Chemistry, Faculty of Sciences, University of Beira Interior, Covilhã, Portugal.
RISE-Health, Department of Medical Sciences, Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal.
Nat Rev Urol. 2025 May 16. doi: 10.1038/s41585-025-01031-9.
Endocrine-disrupting chemicals (EDCs) are natural or synthetic compounds that are ubiquitous in the environment and in daily-usage products and interfere with the normal function of the endocrine system leading to adverse health effects in humans. Exposure to these chemicals might elevate the risk of metabolic disorders, developmental and reproductive defects, and endocrine-related cancers. Prostate cancer is the most common hormone-dependent cancer in men, and the fifth leading cause of cancer-related mortality, partly owing to a lack of knowledge about the mechanisms that lead to aggressive castration-resistant forms. In addition to the dependence of early-stage prostate cancer on androgen actions, the prostate is a target of oestrogenic regulation. This hormone dependence, along with the fact that exogenous influences are major risk factors for prostate cancer, make the prostate a likely target of harmful actions from EDCs. Various sources of EDCs and their different modes of action might explain their role in prostate carcinogenesis.
内分泌干扰化学物质(EDCs)是在环境和日常用品中普遍存在的天然或合成化合物,它们会干扰内分泌系统的正常功能,对人类健康产生不良影响。接触这些化学物质可能会增加患代谢紊乱、发育和生殖缺陷以及内分泌相关癌症的风险。前列腺癌是男性中最常见的激素依赖性癌症,也是癌症相关死亡的第五大主要原因,部分原因是对导致侵袭性去势抵抗形式的机制缺乏了解。除了早期前列腺癌对雄激素作用的依赖外,前列腺也是雌激素调节的靶点。这种激素依赖性,以及外源性影响是前列腺癌的主要危险因素这一事实,使得前列腺很可能成为EDCs有害作用的靶点。EDCs的各种来源及其不同的作用方式可能解释了它们在前列腺癌发生中的作用。