雌激素和雌激素受体在GH分泌腺瘤中的作用
Giacomo Voltan1,2, Pierluigi Mazzeo1,2, Daniela Regazzo1
1Department of Medicine (DIMED), University of Padova, Via Giustiniani 2, 35128 Padova, Italy.
International journal of molecular sciences
|June 28, 2023
概括
当标准疗法失败时,雌激素和选择性雌激素受体调节器 (SERM) 显示出治疗壮症的潜力. 本综述探讨了它们对生长激素/IGF1轴的影响,以改善疾病管理.
科学领域:
- 内分泌学 在内分泌学.
- 生殖医学 生殖医学
- 在瘤学瘤学.
背景情况:
- 巨症是一种罕见的疾病,尽管有治疗方法,但其患病率和死亡率仍然很高.
- 在一些壮病患者中,完全控制荷尔蒙仍然是难以捉摸的.
- 雌激素疗法以前用于壮症,但由于副作用而被放弃.
研究的目的:
- 重新评估雌激素和选择性雌激素受体调节器 (SERM) 在壮症治疗中的作用.
- 分析雌激素和SERM对生长激素/IGF1轴的影响.
- 为了探索分子途径和治疗含义对壮病.
主要方法:
- 在壮症中对雌激素和SERM效应的文献综述研究.
- 对参与雌激素对GH/IGF1调节的分子通路的分析.
- 对雌激素和SERM疗效和安全性的临床证据的审查.
主要成果:
- 雌激素可以降低胰岛素类生长因子1 (IGF1) 水平.
- 有证据表明雌激素会抑制生长激素 (GH) 的活性.
- 患有GH缺乏症的女性在服用口服雌激素孕激素时需要更高的GH剂量.
结论:
- 雌激素和SERM需要重新评估巨治疗,特别是在对一线和二线疗法的反应不佳的情况下.
- 对分子机制的进一步研究可以优化这些药物的使用.
- 用雌激素/SERM准GH/IGF1轴可能为壮症提供新的治疗途径.
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