Williams R R
Lancet. 1976 May 8;1(7967):996-9. doi: 10.1016/s0140-6736(76)91865-1.
In interview data from the U.S.A.'s Third National Cancer Survey, alcohol ingestion was associated with a higher occurrence of cancers of the breast, thyroid, and amlignant melanoma. Data from other studies support the first two associations. A unifying hypothesis to explain these seemingly diverse associations suggests that alcohol stimulates anterior pituitary secretion of prolactin, thyroid-stimulating hormone (T.S.H.), and melanocyte-stimulating hormone (M.S.H.). Under the stimulations of these hormones, the three target tissues exhibit increased mitotic activity and hence an increase susceptibility to the development of a malignancy. A wide variety of findings from other studies indicate plausibility for this hypothesis. The implications could be grave. In addition to alcohol, several common drugs acting in similar manner could be cancer promoters, including: resperine, methyldopa, phenothiaznes, d-amphetamine, tricyclic antidepressants, and antihistamines. Over 20000 (25%) ofall new breast-cancer cases each year in the U.S.A. could be preventable if this hypothesis is correct.
在美国第三次全国癌症调查的访谈数据中,饮酒与乳腺癌、甲状腺癌和恶性黑色素瘤的更高发病率相关。其他研究的数据支持了前两种关联。一个统一的假说来解释这些看似不同的关联,认为酒精会刺激垂体前叶分泌催乳素、促甲状腺激素(TSH)和促黑素细胞激素(MSH)。在这些激素的刺激下,这三种靶组织的有丝分裂活性增加,因此对恶性肿瘤发展的易感性增加。其他研究的各种发现表明了这一假说的合理性。其影响可能很严重。除了酒精,几种以类似方式起作用的常见药物可能是癌症促进剂,包括:利血平、甲基多巴、吩噻嗪、右旋苯丙胺、三环类抗抑郁药和抗组胺药。如果这一假说正确,那么美国每年所有新确诊的乳腺癌病例中超过20000例(25%)可能是可以预防的。