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[雌激素的作用机制:激素“受体敏感性”的生理和药理学方面。抗雌激素(作者译)]

[Mechanisms of action of estrogens physiological and pharmacological aspects of hormonal "receptivity". The anti-estrogens (author's transl)].

作者信息

Baulieu E E

出版信息

Klin Wochenschr. 1978 Jul 15;56(14):683-95. doi: 10.1007/BF02429103.

Abstract

Receptivity to estrogens may indeed depend on the concentration of the corresponding receptor in the target cells. This concentration varies physiologically, and would possibly explain, at least in part, certain hormonal interactions and receptivity changes during the physiological cycles. The modifications of receptor concentrations could perhaps be of significance in explaining the effects of "priming" and the negative influence of one steroid on another. The simultaneous presence of different receptors for the same hormone or the competition of different hormones for the same receptor offer interesting pharmacological possibilities. It has already been shown that the characteristics of receptors can explain the differences between a natural hormone like estradiol and diethylstilbestrol, the hormone with the most common synthesis. A series of synthetic derivatives (triphenylethylene) seem to offer the possibility of an antagonist effect without pollution by significant estrogenic activity, and the potential therapeutic consequences are immense. Regulatory proteins, the steroid hormone receptors, provide some of the most advanced models for rational physico-chemical and physiological approaches to pharmacological and therapeutical problems.

摘要

对雌激素的敏感性确实可能取决于靶细胞中相应受体的浓度。这种浓度在生理上会发生变化,并且至少在一定程度上可能解释生理周期中的某些激素相互作用和敏感性变化。受体浓度的改变或许对于解释“启动”效应以及一种类固醇对另一种类固醇的负面影响具有重要意义。同一激素的不同受体同时存在或不同激素对同一受体的竞争提供了有趣 的药理学可能性。已经表明,受体的特性可以解释天然激素如雌二醇与最常见合成激素己烯雌酚之间的差异。一系列合成衍生物(三苯乙烯)似乎提供了产生拮抗作用而无明显雌激素活性污染的可能性,其潜在的治疗后果是巨大的。调节蛋白,即类固醇激素受体,为药理学和治疗学问题的合理物理化学和生理学方法提供了一些最先进的模型。

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