更年期激素治疗对细胞免疫参数和细胞因子概况的影响
Marina Averyanova1, Svetlana Yureneva1, Viktoriia Kiseleva1,2
1National Medical Research Center for Obstetrics, Gynecology and Perinatology Named after Academician V. I. Kulakov of Ministry of Healthcare of Russian Federation, 117997 Moscow, Russia.
更年期激素疗法 (MHT) 根据服用途径对免疫细胞产生不同的影响. 口服MHT对免疫细胞亚群和细胞因子概况产生更强的作用,与绝经妇女的透皮MHT相比.
科学领域:
- 免疫学 免疫学 免疫学
- 内分泌学 在内分泌学.
- 老年学是指老年学的学科.
背景情况:
- 更年期引发免疫系统的变化,导致免疫衰老.
- 免疫衰老是由于免疫细胞功能和组成的改变而产生的.
- 更年期激素治疗 (MHT) 可能减轻与年龄相关的免疫衰退.
研究的目的:
- 评估口服和透皮MHT对更年期妇女细胞免疫和细胞因子概况的影响.
- 为了比较不同MHT给药途径对免疫参数的影响.
主要方法:
- 包括50名在更年期前和更年期后早期的妇女.
- 使用流细胞计评估免疫参数.
- 通过多重检测分析细胞因子概况.
主要成果:
- 口服和透皮MHT都改变了单细胞表型和减少了单细胞化学吸引蛋白-1 (MCP-1).
- 口服MHT显著增加了天然杀手 (NK) 和B细胞,并降低了互白素-1β (IL-1β).
- 通过皮肤MHT显著增加了T辅助细胞.
结论:
- 口服MHT在更年期妇女中对特定的免疫细胞亚群产生更大的影响,而不是通过皮肤MHT.
- 这些发现表明口服MHT的潜在抗衰老和传染病保护益处.
- 在MHT处方之前评估免疫状态可能会为临床管理策略提供信息.
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