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阿诺二醇的雌激素活性和抗雌激素活性:与枸橼酸氯米芬的子宫和阴道反应比较。

Estrogenic and antiestrogenic activities of anordiol: a comparison of uterine and vaginal responses with those of clomiphene citrate.

作者信息

Peters A J, Wentz A C, Kazer R R, Jeyendran R S, Chatterton R T

机构信息

Northwestern University Medical School, Department of Obstetrics and Gynecology, Chicago, IL 60611, USA.

出版信息

Contraception. 1995 Sep;52(3):195-202. doi: 10.1016/0010-7824(95)00151-y.

Abstract

Anordiol (2 alpha,17 alpha-diethynyl-A-nor-5 alpha-androstane-2 beta,17 beta-diol) has been variously characterized as an estrogen and as an antiestrogen. To more completely understand the pharmacological properties of this contraceptive steroid, simultaneous responses were studied in uterine, vaginal, and hepatic tissues. Rats received 4 daily sc injections with either anordiol, clomiphene citrate (CC), or the vehicle alone (C+) starting on the first day of pseudopregnancy. Uteri were traumatized on day 4 of pseudopregnancy, and rats were sacrificed 5 days later. A pseudopregnant group without uterine trauma served as a negative control (C-). Mean uterine weights per animal and cytosolic estrogen (EcR) and progesterone (PcR) receptor activities per g of DNA were all 5- to 7-fold greater in the C+ group than in the other groups (all p < 0.05). However, anordiol and CC suppressed uterine weight without suppressing the stromal proliferative response; the DNA content of the uteri of anordiol- and CC-treated rats was similar to that of C+ rats. Vaginal tissue exhibited estrogenic responses to anordiol and CC with an increase in epithelial stratification compared to the C+ and C- groups even though no difference in levels of EcR/g of DNA were expressed 5 days after the last antiestrogen dose. Binding affinities and serum E2 and progesterone (P) concentrations were not statistically different among the groups. In conclusion, anordiol produced responses in the uterus and vagina of the pseudopregnant rat which were indistinguishable from those of CC, and, therefore, we conclude that anordiol acts on these tissues as an antiestrogen.

摘要

安诺二醇(2α,17α - 二乙炔基 - A - 去甲 - 5α - 雄甾烷 - 2β,17β - 二醇)被不同地归类为雌激素和抗雌激素。为了更全面地了解这种避孕甾体的药理特性,我们研究了其在子宫、阴道和肝脏组织中的同步反应。从假孕第一天开始,大鼠每天皮下注射4次,分别给予安诺二醇、枸橼酸氯米芬(CC)或仅给予溶剂(C +)。在假孕第4天对子宫进行创伤处理,5天后处死大鼠。未进行子宫创伤的假孕组作为阴性对照(C -)。C +组每只动物的平均子宫重量以及每克DNA的胞质雌激素(EcR)和孕激素(PcR)受体活性均比其他组高5至7倍(所有p < 0.05)。然而,安诺二醇和CC抑制了子宫重量,但未抑制基质增殖反应;安诺二醇和CC处理的大鼠子宫的DNA含量与C +组大鼠相似。阴道组织对安诺二醇和CC表现出雌激素反应,与C +组和C -组相比,上皮分层增加,尽管在最后一次抗雌激素给药5天后,每克DNA的EcR水平没有差异。各组之间的结合亲和力以及血清E2和孕激素(P)浓度在统计学上没有差异。总之,安诺二醇在假孕大鼠的子宫和阴道中产生的反应与CC无法区分,因此,我们得出结论,安诺二醇在这些组织中作为抗雌激素起作用。

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