Kolenko I D, Dil'man V M
Vopr Onkol. 1979;25(11):63-8.
The basal level of the androgenic and glucocorticoid hormones excretion and the level of blood glucocorticoids were studied in 237 females (52--control group, 185--cervical cancer patients) depending on the age and the ovarian function state. Also, the threshold of sensitivity of the hypothalamo-hypophyseal function complex was estimated by a dexametazone test. Healthy females were shown with progressive ageing to have a relative preponderance of glucocorticoid hormones over androgenous ones, which is also observed in cervical cancer irrespective of age group. With ageing in healthy females the threshold of the hypothalamo-hypophyseal complex sensitivity is raised, whereas in cervical cancer patients an increased threshold of the sensitivity is observed in younger age groups and is more manifest. The increased threshold of the hypothalamo-hypophyseal complex sensitivity seems to be one of the mechanisms responsible for the occurrence of such unfavourable hormonal shift (a relative predominance of glucocorticoid hormones over androgenic ones), which in its turn play a significant part in tumors origination and development.
对237名女性(52名——对照组,185名——宫颈癌患者)的雄激素和糖皮质激素排泄基础水平以及血液中糖皮质激素水平进行了研究,研究依据年龄和卵巢功能状态展开。此外,通过地塞米松试验评估下丘脑 - 垂体功能复合体的敏感性阈值。结果显示,健康女性随着年龄增长,糖皮质激素相对于雄激素呈现相对优势,在宫颈癌患者中无论年龄组也观察到这种情况。随着健康女性年龄增长,下丘脑 - 垂体复合体的敏感性阈值升高,而在宫颈癌患者中,较年轻年龄组的敏感性阈值升高且更为明显。下丘脑 - 垂体复合体敏感性阈值升高似乎是导致这种不利激素转变(糖皮质激素相对于雄激素相对占优势)发生的机制之一,而这种激素转变反过来在肿瘤的发生和发展中起重要作用。