丸激素不是前列腺癌的驱动因素:介绍安素充足与不充足的新框架
Abraham Morgentaler1, Abdulmaged M Traish2
1Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
The Journal of urology
|January 13, 2026
概括
丸激素不会导致前列腺癌. 雄激素充足与不足的新框架解释了丸激素和前列腺癌病理生理学的关系.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 长期以来,人们一直认为丸激素 (T) 驱动前列腺癌 (PCa) 影响了几十年来临床实践和监管指南.
- 这种起源于1941年的信念导致了对激素治疗 (TTh) 的重大限制.
研究的目的:
- 批判性地评估将丸激素与前列腺癌的发展和进展联系在一起的证据.
- 剖析支持丸激素驱动PCa的历史论据.
- 为了理解T-PCa关系,引入一种新的安卓素充足度与不足度的框架.
主要方法:
- 为了收集相关研究,进行了全面的MEDLINE文献审查.
- 分析的重点是活检数据,随机对照试验 (RCT) 和TTh的临床结果在男性和没有PCa.
主要成果:
- 压倒性的证据表明,丸激素不会驱动前列腺癌.
- PCa风险与内源性雄激素水平无关,TTh在大型RCT中不会增加PCa率.
- 虽然雄激素是PCa生长所必需的,但关键因素是雄激素的充足度,而不仅仅是度,最佳生长发生在特定的和点.
结论:
- 不是前列腺癌的驱动因素.
- 雄激素充足与不足的概念提供了一个科学 robust 模型来解释和前列腺病理生理学之间的复杂关系.
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