Hendrickse C W, Jones C E, Donovan I A, Neoptolemos J P, Baker P R
Department of Surgery, University of Birmingham, UK.
Br J Surg. 1993 May;80(5):636-40. doi: 10.1002/bjs.1800800531.
Receptors for oestrogen (ER) and progesterone (PR) were assayed in tissue from 17 patients with colorectal cancer and five colonic cancer cell lines using enzyme immunoassays. ERs and PRs were detected in 15 and 17 cancers respectively, although the levels detected were low: median (range) ER 1.3 (0-11.3) and PR 3.9 (0.3-10.2) fmol per mg protein. These values were not significantly different from median (range) levels of ER (1.1 (0.6-3.0) fmol/mg) and PR (1.9 (0.5-3.2) fmol/mg) detected in normal mucosa. There were significant positive correlations between the levels of ER and PR for cancer tissue (tau = 0.56, P < 0.005; r(log transform) = 0.68, P < 0.003; n = 17) but not for mucosa, and between levels of ER in cancer tissue and mucosa (tau = 0.55, P < 0.05; r(log transform) = 0.70, P < 0.025; n = 10) but not between the corresponding PR values. In maintenance media, which contained phenol red and unstripped fetal calf serum, the median (range) concentration of ER was 1.9 (1.2-10.4) fmol/mg and that for PR 24.3 (9.1-63.2) fmol/mg in the five cell lines studied (HT-29, LS174T, SW620, LoVo, COLO 320DM). The addition of oestradiol (10 nmol/l) to phenol red-free medium containing 5 per cent dextran-coated charcoal-treated fetal calf serum had little effect on the concentration of ERs or PRs in SW620, LoVo and COLO 320DM cells after 7 days' culture. It is concluded that ERs and PRs are expressed in malignant and normal colonic mucosa. ERs appear to be a feature of the colonic mucosa rather than the malignant process, but in carcinoma may regulate synthesis of PRs, suggesting a degree of oestrogen responsiveness.
采用酶免疫分析法对17例结直肠癌患者的组织及5种结肠癌细胞系进行雌激素(ER)和孕激素(PR)受体检测。分别在15例和17例癌症中检测到ER和PR,尽管检测水平较低:中位数(范围)ER为1.3(0 - 11.3),PR为3.9(0.3 - 10.2)fmol/mg蛋白。这些值与正常黏膜中检测到的ER中位数(范围)水平(1.1(0.6 - 3.0)fmol/mg)和PR中位数(范围)水平(1.9(0.5 - 3.2)fmol/mg)无显著差异。癌组织中ER和PR水平之间存在显著正相关(tau = 0.56,P < 0.005;r(对数转换) = 0.68,P < 0.003;n = 17),但黏膜中无此相关性,癌组织和黏膜中ER水平之间存在显著正相关(tau = 0.55,P < 0.05;r(对数转换) = 0.70,P < 0.025;n = 10),但相应的PR值之间无此相关性。在所研究的5种细胞系(HT - 29、LS174T、SW620、LoVo、COLO 320DM)的维持培养基中,该培养基含有酚红和未脱蛋白的胎牛血清,ER的中位数(范围)浓度为1.9(1.2 - 10.4)fmol/mg,PR的中位数(范围)浓度为24.3(9.1 - 63.2)fmol/mg。在含有5%葡聚糖包被活性炭处理的胎牛血清的无酚红培养基中添加雌二醇(10 nmol/l),培养7天后,对SW620、LoVo和COLO 320DM细胞中ER或PR的浓度影响不大。结论是ER和PR在恶性和正常结肠黏膜中均有表达。ER似乎是结肠黏膜的一个特征而非恶性过程的特征,但在癌组织中可能调节PR的合成,提示存在一定程度的雌激素反应性。