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雌激素治疗对不同年龄大鼠单次剂量γ射线照射诱发乳腺癌的影响。

The influence of estrogen treatment on induction of mammary carcinoma in rats by single-dose gamma irradiation at different ages.

作者信息

Bartstra R W, Bentvelzen P A, Zoetelief J, Mulder A H, Broerse J J, van Bekkum D W

机构信息

TNO Centre for Radiological Protection and Dosimetry, Rijswijk, The Netherlands.

出版信息

Radiat Res. 1998 Oct;150(4):451-8.

PMID:9768860
Abstract

The effect of age at exposure on induction of mammary carcinoma was studied in female rats of the inbred WAG/Rij strain that were treated with estrogen. Groups of 40 animals were exposed to a single total-body dose of 1 or 2 Gy of 137Cs gamma radiation at age 8, 10, 12, 15, 22, 36 or 64 weeks. Hormone levels in the animals were increased by implantation of a pellet containing Estradiol-17beta 2 weeks prior to irradiation. Animals were killed when moribund. All mammary tumors were resected and classified histologically as carcinoma or fibroadenoma. The age-specific incidence of mammary carcinoma was compared with that in control groups of unirradiated estrogen-treated rats using lifetime statistical analysis with both parametric and nonparametric methods. The excess normalized risk of carcinoma was 7.7 for both 1 and 2 Gy in the age groups 8-15 weeks, with no significant differences between the age groups. However, in the age groups 22-64 weeks, the excess normalized risk decreased with increasing age at exposure. Irradiation at 64 weeks yielded fewer carcinomas than in the controls, with an excess normalized risk of -0.6 for both 1 and 2 Gy. The excess normalized risk was 10-80 in estrogen-treated controls compared to untreated rats. The present data agree with the results reported previously for estrogen-treated rats irradiated at ages 8 or 17 weeks with doses of 0.3 or 1.2 Gy. The reduced risk of radiation exposure at midlife observed in this study in hormone-treated rats has also been reported for animals not treated with estrogens. The present findings support the earlier conclusion that radiological screening for mammary cancer after the age of menopause will not increase the normal incidence of breast cancer. Estrogen treatment at midlife may increase the risk of breast cancer in women using replacement estrogens during and after menopause.

摘要

研究了近交系WAG/Rij雌性大鼠在接受雌激素处理后,暴露年龄对诱发乳腺癌的影响。将40只动物分为一组,分别在8、10、12、15、22、36或64周龄时接受单次全身剂量为1或2 Gy的137Csγ射线照射。在照射前2周,通过植入含17β-雌二醇的药丸来提高动物体内的激素水平。动物濒死时处死。切除所有乳腺肿瘤,并进行组织学分类,分为癌或纤维腺瘤。采用参数和非参数方法进行寿命统计分析,将乳腺癌的年龄特异性发病率与未照射的雌激素处理大鼠对照组进行比较。在8 - 15周龄组中,1 Gy和2 Gy照射的癌标准化风险增加量均为7.7,各年龄组之间无显著差异。然而,在22 - 64周龄组中,癌标准化风险增加量随暴露年龄的增加而降低。64周龄时照射产生的癌比对照组少,1 Gy和2 Gy照射的癌标准化风险增加量均为 - 0.6。与未处理的大鼠相比,雌激素处理的对照组癌标准化风险增加量为10 - 80。本研究数据与先前报道的8或17周龄接受0.3或1.2 Gy剂量照射的雌激素处理大鼠的结果一致。本研究中观察到的激素处理大鼠中年期辐射暴露风险降低的情况,在未用雌激素处理的动物中也有报道。本研究结果支持了早期的结论,即绝经后进行乳腺癌的放射学筛查不会增加乳腺癌的正常发病率。中年期使用雌激素治疗可能会增加绝经期间及绝经后使用替代雌激素的女性患乳腺癌的风险。

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