雌激素、黄体酮自身抗体对绝经后健康妇女及乳腺癌患者血清激素浓度的影响

A. Glushkov, Elena G. Polenok, Lyudmila A. Gordeeva, Stella A. Mun, M. Kostyanko, Alexandr V. Antonov, Natalia E. Verzbitskaya, Ilgiz A. Vafin
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摘要

背景:已知类固醇激素抗体与一些人类疾病(系统性红斑狼疮、血栓形成、复发性妊娠丢失、自身免疫性皮炎等)有关。在激素依赖的癌症患者中,特异性自身抗体对性激素的作用尚未见报道。目的:本研究的目的是探讨健康妇女和乳腺癌患者血清中针对这些激素(IgA-Es和IgA-Pg)的a类自身抗体与雌二醇(Es)和孕酮(Pg)水平之间的可能联系。患者和方法:对俄罗斯联邦克麦罗沃地区临床肿瘤诊所的521例近诊断乳腺癌患者和143例健康妇女进行了检查。采用特异性单克隆抗体竞争免疫分析法分析血清Es和Pg浓度。以Pg和Es与牛血清白蛋白结合作为吸附抗原,采用固相非竞争免疫分析法对血清IgA-Pg和IgA-Es进行分析。数据分析采用STATISTICA 8.0软件(Stat Soft Inc., USA)。结果:我们发现Pg/Es<4.3与乳腺癌相关。各组个体IgA-Pg/IgA-Es比值与Es水平呈负相关,与Pg水平和Pg/Es比值呈正相关。正常女性IgA-Pg/IgA-Es比值对激素水平及比值的影响强于乳腺癌患者。结论:我们的临床结果与已知的实验数据一致,即特异性抗体对免疫动物体内类固醇激素水平的影响。人Es和Pg自身抗体对Pg/Es比值的影响取决于个体IgA-Pg/IgA-Es比值,从而刺激或抑制促癌作用。
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Influence of Autoantibodies to Estradiol and Progesterone on the Blood Serum Hormones Concentrations in Postmenopausal Healthy Women and Breast Cancer Patients
Background: It is known that antibodies to steroid hormones are associated with some human diseases (systemic lupus erythematosus, thrombosis, recurrent pregnancy loss, autoimmune dermatitis et al.). There were no any data about action of specific autoantibodies on the sex hormones in hormone-dependent cancer patients. Objectives: The purpose of this study was to investigate the probable links between estradiol (Es) and progesterone (Pg) levels and autoantibodies of A-class specific to these hormones (IgA-Es and IgA-Pg) in the blood serum of healthy women and breast cancer patients. Patients and Methods: There were examined 521 nearly diagnosed breast carcinoma patients from Regional Clinical Oncology Dispensary (Kemerovo, Russian Federation) and 143 healthy women from Kemerovo (Russian Federation). The serum concentration of Es and Pg were analyzed by competitive immunoassay using specific monoclonal antibodies. The serum IgA-Pg and IgA-Es were analyzed by solid-phase non-competitive immunoassay using Pg and Es conjugated with bovine serum albumin as adsorbed antigens. The data analysis was performed using software STATISTICA 8.0 (Stat Soft Inc., USA).Results: We discovered that low ratios Pg/Es<4.3 were associated with breast cancer. Personal IgA-Pg/IgA-Es ratios negatively correlated with Es levels and positively correlated with Pg levels and Pg/Es ratios in compared groups. The influence of IgA-Pg/IgA-Es ratio on the hormones levels and their ratio in heathy women was more strong than in breast cancer patients. Conclusions: Our clinical results correspond to the known experimental data about influence of specific antibodies on the levels of steroid hormones in immunized animals. Human autoantibodies to Es and Pg could stimulate or inhibit promotion of carcinogenesis by influence on Pg/Es ratio depending on individual IgA-Pg/IgA-Es ratio.
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