Ip M M, Milholland R J, Rosen F
Cancer Res. 1980 Jul;40(7):2188-93.
The functionality of the estrogen receptor as determined by the effect of estrogen on progesterone receptor levels and the effect of tamoxifen on tumor growth has been examined in the R3327 Dunning rat prostate adenocarcinoma. The progesterone receptor was absent in 78% of prostate tumors grown in male Copenhagen X Fischer F1 rats but was induced in tumors taken from rats given injections of 25 microgram estradiol benzoate per kg for 10 days. This result suggested that the tumor might be sensitive to the antiestrogen tamoxifen, and it was subsequently shown that treatment of rats with tamoxifen (0.5 mg/kg) 5 times/week for 2 to 7 months resulted in marked suppression of tumor growth in 91% of the tumors examined. In vitro binding analysis demonstrated that tamoxifen competed for the estrogen receptor in the tumor but not for the androgen receptor. These data suggest that tamoxifen might be acting directly on the tumor, although an indirect effect cannot be ruled out, since plasma testosterone levels were reduced as a result of tamoxifen treatment. Regulation of androgen and estrogen receptors was also observed in this tumor system. Thus, administration of estradiol benzoate for 10 days resulted in increased levels of androgen receptor with no change in estrogen receptor. Long-term tamoxifen treatment had a similar effect. Short-term castration, which appeared to induce the progesterone receptor, also resulted in increased levels of both androgen and estrogen receptors. This latter observation suggests that tamoxifen might be even more effective in castrated rats.
通过雌激素对孕激素受体水平的影响以及他莫昔芬对肿瘤生长的影响所确定的雌激素受体功能,已在R3327邓宁大鼠前列腺腺癌中进行了研究。在雄性哥本哈根X费舍尔F1大鼠中生长的前列腺肿瘤,78%没有孕激素受体,但在给每千克体重注射25微克苯甲酸雌二醇10天的大鼠所取的肿瘤中,孕激素受体被诱导产生。这一结果表明该肿瘤可能对抗雌激素药物他莫昔芬敏感,随后发现,每周5次用他莫昔芬(0.5毫克/千克)治疗大鼠2至7个月,在91%检测的肿瘤中导致肿瘤生长明显受到抑制。体外结合分析表明,他莫昔芬在肿瘤中与雌激素受体竞争,但不与雄激素受体竞争。这些数据表明,他莫昔芬可能直接作用于肿瘤,尽管不能排除间接作用,因为他莫昔芬治疗导致血浆睾酮水平降低。在这个肿瘤系统中也观察到了雄激素和雌激素受体的调节。因此,注射苯甲酸雌二醇10天导致雄激素受体水平升高,而雌激素受体水平没有变化。长期他莫昔芬治疗也有类似效果。短期去势似乎诱导了孕激素受体,也导致雄激素和雌激素受体水平升高。后一观察结果表明,他莫昔芬在去势大鼠中可能更有效。