更年期雌激素变化:对肥胖相关的乳腺风险和结果的洞察
Maiko Sho1,2,3, Rehana Qureshi4,5, Joyce Slingerland6,7
1Georgetown University School of Medicine, Washington, DC, USA.
Nature reviews. Endocrinology
|December 2, 2025
概括
肥胖和更年期通过激素雌激素促进炎症增加乳腺癌风险. 减肥可以降低这种风险,并有助于癌症治疗.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 肥胖与乳腺癌等疾病的发病率增加有关,特别是绝经后.
- 肥胖会导致脂肪组织的慢性炎症,损害免疫监测.
- 雌激素起着至关重要的作用,不同的形式对炎症有相反的影响.
研究的目的:
- 审查新的见解,将肥胖,雌激素,炎症和乳腺癌联系起来.
- 探索特定雌激素 (17β-雌激醇和雌激素) 在炎症和癌症中的作用.
- 讨论对绝经后乳腺癌风险的影响和潜在的治疗策略.
主要方法:
- 审查新兴的科学数据和文献.
- 分析脂肪组织,核因子-κB (NF-κB) 和细胞因子在与肥胖有关的炎症中的作用.
- 检查17β-雌醇和雌激素对炎症和癌症进展的差异性影响.
主要成果:
- 肥胖引起的脂肪组织炎症涉及NF-κB激活和促炎细胞因子.
- 绝经后雌激素是促炎性,在脂肪细胞中合成,随着肥胖而增加.
- 雌激素促进NF-κB驱动的炎症和瘤发生,这可能解释更年期后激素反应性乳腺癌的增加.
结论:
- 绝经后转向促炎性雌激素主导的转变,特别是肥胖,有助于乳腺癌风险.
- 关于绝经后妇女的17β-雌激醇和雌激素的循环和乳腺水平的数据有限.
- 减肥与乳腺癌风险降低有关,减肥药可能是癌症治疗的辅助药物.
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