Moore R J, Gazak J M, Quebbeman J F, Wilson J D
J Clin Invest. 1979 Oct;64(4):1003-10. doi: 10.1172/JCI109536.
Previous studies have suggested that dihydrotestosterone accumulation in the prostate may be involved in the pathogenesis of prostatic hyperplasia in man and dog. However, the fact that the administration of 10 mg dihydrotestosterone/d to castrated, mongrel dogs (0.5 mg/kg body wt) causes little growth in the prostate, whereas identical doses of 3alpha- androstanediol regularly induce prostatic hyperplasia (> 14 g weight) has raised the possibility that the dihydrotestosterone accumulation may be the result rather than the cause of the pathology. To investigate the mechanism of this phenomenon, we measured the levels of dihydrotestosterone and 3alpha-androstanediol in prostates from 75 dogs. In both naturally occurring and 3alpha-androstanediol-induced prostatic hyperplasia, the levels of dihydrotestosterone were high (>5 ng/g), whereas in immature glands and glands from dihydrotestosterone-treated animals, levels were similar (2.1 and 2.6 ng/g, respectively). 3alpha-Androstanediol levels were no different in animals treated with dihydrotestosterone or 3alpha-androstanediol.Therefore, because exogenous 3alpha-androstanediol is a better precursor of prostatic dihydrotestosterone than exogenous dihydrotestosterone itself, the effects of treatment with larger doses (2.5 mg/kg per d) of dihydrotestosterone and 3alpha-androstanediol for 12 wk were examined. In these amounts, dihydrotestosterone was as effective as 3alpha-androstanediol in inducing the development of prostatic hyperplasia and in elevating prostatic dihydrotestosterone concentration. Because dihydrotestosterone accumulates in spontaneous prostatic hyperplasia, because the administration of sufficient amounts of dihydrotestosterone to the castrated dog can induce the development of prostatic hyperplasia, and because 3alpha-androstanediol induces the development of hyperplasia via conversion to dihydrotestosterone, we conclude that accumulation of dihydrotestosterone is the cause of canine prostatic hyperplasia.
先前的研究表明,前列腺中双氢睾酮的蓄积可能与人及犬前列腺增生的发病机制有关。然而,给去势的杂种犬(0.5mg/kg体重)每日注射10mg双氢睾酮,前列腺几乎不生长,而相同剂量的3α - 雄烷二醇却能 regularly 诱导前列腺增生(重量>14g),这一事实提示双氢睾酮的蓄积可能是病变的结果而非原因。为研究此现象的机制,我们测定了75只犬前列腺中双氢睾酮和3α - 雄烷二醇的水平。在自然发生的和3α - 雄烷二醇诱导的前列腺增生中,双氢睾酮水平较高(>5ng/g),而在未成熟腺体及双氢睾酮处理动物的腺体中,水平相似(分别为2.1和2.6ng/g)。用双氢睾酮或3α - 雄烷二醇处理的动物,其3α - 雄烷二醇水平无差异。因此,由于外源性3α - 雄烷二醇比外源性双氢睾酮本身是前列腺双氢睾酮更好的前体,我们检测了每日给予更大剂量(2.5mg/kg)的双氢睾酮和3α - 雄烷二醇,持续12周的治疗效果。在这些剂量下,双氢睾酮在诱导前列腺增生发展及提高前列腺双氢睾酮浓度方面与3α - 雄烷二醇效果相同。由于双氢睾酮在自发性前列腺增生中蓄积,给去势犬给予足够量的双氢睾酮可诱导前列腺增生的发展,且3α - 雄烷二醇通过转化为双氢睾酮诱导增生的发展,我们得出结论:双氢睾酮的蓄积是犬前列腺增生的原因。