Casey R W, Wilson J D
J Clin Invest. 1984 Dec;74(6):2272-8. doi: 10.1172/JCI111654.
Feminization in men occurs when the effective ratio of androgen to estrogen is lowered. Since sufficient estrogen is produced in normal men to induce breast enlargement in the absence of adequate amounts of circulating androgens, it has been generally assumed that androgens exert an antiestrogenic action to prevent feminization in normal men. We examined the mechanisms of this effect of androgens in the mouse breast. Administration of estradiol via silastic implants to castrated virgin CBA/J female mice results in a doubling in dry weight and DNA content of the breast. The effect of estradiol can be inhibited by implantation of 17 beta-hydroxy-5 alpha-androstan-3-one (dihydrotestosterone), whereas dihydrotestosterone alone had no effect on breast growth. Estradiol administration also enhances the level of progesterone receptor in mouse breast. Within 4 d of castration, the progesterone receptor virtually disappears and estradiol treatment causes a twofold increase above the level in intact animals. Dihydrotestosterone does not compete for binding to the progesterone receptor, but it does inhibit estrogen-mediated increases of progesterone receptor content of breast tissue cytosol from both control mice and mice with X-linked testicular feminization (tfm)/Y. Since tfm/Y mice lack a functional androgen receptor, we conclude that this antiestrogenic action of androgen is not mediated by the androgen receptor. Dihydrotestosterone competes with estradiol for binding to the cytosolic estrogen receptor of mouse breast, whereas 17 beta-hydroxy-5 beta-androstan-3-one (5 beta-dihydrotestosterone) neither competes for binding nor inhibits estradiol-mediated induction of the progesterone receptor. Dihydrotestosterone also promotes the translocation of estrogen receptor from cytoplasm to nucleus; the ratio of cytoplasmic-to-nuclear receptor changes from 3:1 in the castrate to 1:2 in dihydrotestosterone-treated mice. Thus, the antiestrogenic effect of androgen in mouse breast may be the result of effects of dihydrotestosterone on the estrogen receptor. If so, dihydrotestosterone performs one of its major actions independent of the androgen receptor.
男性女性化发生在雄激素与雌激素的有效比例降低时。由于正常男性体内会产生足够的雌激素,在缺乏足够循环雄激素的情况下会导致乳房增大,因此人们普遍认为雄激素具有抗雌激素作用以防止正常男性女性化。我们研究了雄激素在小鼠乳腺中的这种作用机制。通过硅橡胶植入物给去势的处女CBA/J雌性小鼠注射雌二醇,会导致乳腺干重和DNA含量增加一倍。17β-羟基-5α-雄甾烷-3-酮(双氢睾酮)植入可抑制雌二醇的作用,而单独使用双氢睾酮对乳腺生长没有影响。注射雌二醇还会提高小鼠乳腺中孕激素受体的水平。去势后4天内,孕激素受体几乎消失,雌二醇处理使其水平比完整动物高出两倍。双氢睾酮不竞争与孕激素受体的结合,但它确实抑制雌激素介导的对照小鼠和X连锁睾丸女性化(tfm)/Y小鼠乳腺组织胞浆中孕激素受体含量的增加。由于tfm/Y小鼠缺乏功能性雄激素受体,我们得出结论,雄激素的这种抗雌激素作用不是由雄激素受体介导的。双氢睾酮与雌二醇竞争结合小鼠乳腺的胞浆雌激素受体,而17β-羟基-5β-雄甾烷-3-酮(5β-双氢睾酮)既不竞争结合也不抑制雌二醇介导的孕激素受体诱导。双氢睾酮还促进雌激素受体从细胞质向细胞核的转运;细胞质与细胞核受体的比例从去势小鼠的3:1变为双氢睾酮处理小鼠的1:2。因此,雄激素在小鼠乳腺中的抗雌激素作用可能是双氢睾酮对雌激素受体作用的结果。如果是这样,双氢睾酮的主要作用之一是独立于雄激素受体发挥的。