Shimizu I, Yasuda M, Mizobuchi Y, Ma Y R, Liu F, Shiba M, Horie T, Ito S
Second Department of Internal Medicine, Tokushima University School of Medicine, Japan.
Gut. 1998 Jan;42(1):112-9. doi: 10.1136/gut.42.1.112.
To examine the effects of oestradiol and testosterone on the early carcinogenic changes expressed in rat liver from the diethylnitrosamine (DEN), 2-acetylaminofluorene (AAF), partial hepatectomy (PH) model of hepatocarcinogenesis.
Preneoplastic liver lesions were evaluated using immunohistochemical analysis of glutathione-S-transferase placental form (GST-P) expression; oestrogen and androgen receptor levels were measured by radioimmunoassay.
Oestradiol administration to non-castrated DEN-AAF-PH treated males resulted in a decrease in the area of GST-P positive foci, while testosterone increased the serum oestradiol level and reduced the area. In males, castration alone and castration with oestradiol replacement significantly reduced the GST-P positive area, and increased the hepatic oestrogen receptor level. In DEN-AAF-PH treated females, castration with testosterone replacement was associated with a significant increase in the GST-P positive area and the hepatic androgen receptor level.
These findings suggest that exogenous and endogenous oestradiol can suppress chemical hepatocarcinogenesis. It appears that oestrogen receptors may be involved in the inhibition of malignant transformation of preneoplastic liver cells, while androgens and androgen receptors are involved in hepatocarcinogenesis.
研究雌二醇和睾酮对二乙基亚硝胺(DEN)、2-乙酰氨基芴(AAF)、部分肝切除术(PH)诱导的大鼠肝癌发生模型中肝脏早期致癌变化的影响。
通过对谷胱甘肽-S-转移酶胎盘型(GST-P)表达进行免疫组化分析来评估癌前肝损伤;采用放射免疫分析法测定雌激素和雄激素受体水平。
对未去势的经DEN-AAF-PH处理的雄性大鼠给予雌二醇,导致GST-P阳性灶面积减小,而睾酮使血清雌二醇水平升高并减小了该面积。在雄性大鼠中,单纯去势以及去势后用雌二醇替代均显著降低了GST-P阳性面积,并提高了肝脏雌激素受体水平。在经DEN-AAF-PH处理的雌性大鼠中,去势后用睾酮替代与GST-P阳性面积及肝脏雄激素受体水平的显著增加有关。
这些发现表明外源性和内源性雌二醇均可抑制化学性肝癌发生。雌激素受体似乎参与了对癌前肝细胞恶性转化的抑制,而雄激素和雄激素受体则参与了肝癌发生过程。