Hampl R, Stárka L
Endokrinologický ústav, Praha.
Cas Lek Cesk. 1998 Jan 12;137(1):8-12.
A number of beneficial effects consisting in suppression or at least diminishing of degenerative changes associated with aging is ascribed to dehydroepiandrosterone (3 beta-hydroxy-5-androsten-17-one, DHEA) and its sulfate (DHEAS), in spite of the fact that it does not act as other hormonal steroids through its specific intracellular receptors. The typical feature of DHEA is the decline of its levels with age. Apart from the fact that DHEA functions as a precursor of biologically active androgens and estrogens, the beneficial effects associated with this steroid may be characterized as anticancerogenic, antisclerotic, antidiabetic, antiobese and immunostimulatory or immunoprotective ones. A specific chapter represent its effects in brain, where DHEA acts as one of neurosteroids in a non-genomic way. In this mini-review we have focused especially on immunostimulatory and immunoprotective effects of DHEA(S), many of which but not all, may be explained by antiglucocorticoid effects of DHEA at various levels. We have attempted to outline at which sites and levels DHEA may act in the ligh of recent knowledge on the mechanism of glucocorticoid action. Finally, the results of the recent studies are surveyed, indicating that not only DHEA itself, but some of its metabolites, namely its 7-hydroxylated derivatives, may act as locally active antiglucocorticoids.
脱氢表雄酮(3β-羟基-5-雄烯-17-酮,DHEA)及其硫酸盐(DHEAS)具有许多有益作用,包括抑制或至少减轻与衰老相关的退行性变化,尽管它不像其他激素类固醇那样通过其特定的细胞内受体发挥作用。DHEA的典型特征是其水平随年龄下降。除了DHEA作为生物活性雄激素和雌激素的前体发挥作用外,与这种类固醇相关的有益作用可被描述为抗癌、抗硬化、抗糖尿病、抗肥胖以及免疫刺激或免疫保护作用。一个特定的章节阐述了它在大脑中的作用,在大脑中DHEA以非基因组方式作为神经甾体之一发挥作用。在这篇综述中,我们特别关注了DHEA(S)的免疫刺激和免疫保护作用,其中许多作用(但不是全部)可以通过DHEA在不同水平上的抗糖皮质激素作用来解释。我们试图根据关于糖皮质激素作用机制的最新知识,概述DHEA可能在哪些部位和水平发挥作用。最后,对近期研究结果进行了综述,结果表明不仅DHEA本身,而且它的一些代谢产物,即其7-羟基化衍生物,可能作为局部活性抗糖皮质激素发挥作用。