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[口服避孕药治疗期间脂蛋白代谢紊乱的特征]

[Characteristics of lipoprotein metabolic disorders during treatment with oral contraceptives].

作者信息

Titov V N, Sanfirova V M, Khodakova T D

出版信息

Farmakol Toksikol. 1980 May-Jun;43(3):345-8.

PMID:7449976
Abstract

It has been shown in rat experiments that ethinyl estradiol and estradiol dipropionate increase hepatic biosynthesis of phospholipids, free fatty acids and their esterification to form mono-, di- and triglycerides. Cholesterol biosynthesis is enhanced only by ethinyl estradiol. The specific radioactivity of VLDL- and HLD-apoproteins increases in plasma. This is the result of enhanced lipoprotein formation and secretion. Injections of ethinyl estradiol to rats lead to less pronounced metabolic disturbances compared to those induced by the action of estradiol dipropionate. The activating effect of ethinyl estradiol on hepatic lipoprotein biosynthesis is one of the pathogenetic events of hyperlipoproteinemia development.

摘要

大鼠实验表明,炔雌醇和二丙酸雌二醇可增加肝脏磷脂、游离脂肪酸的生物合成及其酯化作用,以形成单酯、二酯和三酯。只有炔雌醇能增强胆固醇的生物合成。血浆中极低密度脂蛋白(VLDL)和高密度脂蛋白(HLD)载脂蛋白的比放射性增加。这是脂蛋白形成和分泌增强的结果。与二丙酸雌二醇作用相比,给大鼠注射炔雌醇引起的代谢紊乱不那么明显。炔雌醇对肝脏脂蛋白生物合成的激活作用是高脂蛋白血症发生的致病因素之一。

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1
[Characteristics of lipoprotein metabolic disorders during treatment with oral contraceptives].[口服避孕药治疗期间脂蛋白代谢紊乱的特征]
Farmakol Toksikol. 1980 May-Jun;43(3):345-8.
2
[Metabolism of lipoproteins in rats treated with ethinyl estradiol].[炔雌醇处理大鼠的脂蛋白代谢]
Vopr Med Khim. 1986 Jan-Feb;32(1):42-9.
3
[Effect of ethinyl-estradiol on the biosynthesis and esterification of fatty acids in the rat liver].
Vopr Med Khim. 1984 Mar-Apr;30(2):81-7.
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[Effect of ethynyl estradiol and estradiol dipropionate on the esterification of saturated and unsaturated fatty acids in the rat liver].[乙炔雌二醇和雌二醇二丙酸酯对大鼠肝脏中饱和及不饱和脂肪酸酯化作用的影响]
Vopr Med Khim. 1987 Mar-Apr;33(2):77-83.
5
[Benign liver-cell-tumors and oral contraceptives (author's transl)].
Med Klin. 1979 Apr 27;74(17):662-6.
6
The effects of two monophasic oral contraceptives containing 30 mcg of ethinyl estradiol and either 2 mg of chlormadinone acetate or 0.15 mg of desogestrel on lipid, hormone and metabolic parameters.两种单相口服避孕药对脂质、激素和代谢参数的影响,这两种避孕药分别含有30微克炔雌醇以及2毫克醋酸氯地孕酮或0.15毫克去氧孕烯。
Contraception. 2009 Jan;79(1):15-23. doi: 10.1016/j.contraception.2008.08.011. Epub 2008 Nov 17.
7
[Budd-Chiari syndrome, liver cell adenoma and polycythemia following contraceptives].[避孕药使用后出现的布加综合征、肝细胞腺瘤和红细胞增多症]
Med Welt. 1983 Jun 24;34(25-26):722-5.
8
A 1-year randomized study to evaluate the effects of a dose reduction in oral contraceptives on lipids and carbohydrate metabolism: 20 microg ethinyl estradiol combined with 100 microg levonorgestrel.一项为期1年的随机研究,旨在评估口服避孕药剂量降低对脂质和碳水化合物代谢的影响:20微克炔雌醇与100微克左炔诺孕酮联合使用。
Contraception. 2005 Feb;71(2):111-7. doi: 10.1016/j.contraception.2004.08.017.
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Metabolic profile of six oral contraceptives containing norgestimate, gestodene, and desogestrel.六种含去氧孕烯、孕二烯酮和去氧孕炔的口服避孕药的代谢特征
Int J Fertil Menopausal Stud. 1995;40 Suppl 2:98-104.
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[Oral contraceptives: 30 vs 20 micrograms of ethinyl estradiol (EE)].
Adv Contracept. 1994 Jul;10 Suppl 1:41-9.