Correlation between estrogen and androgen level of peripheral blood and estrogen to androgen ratio and prostatic hyperplasia
-
摘要: 目的:探讨外周血雄激素(T)、雌激素(E2)及雄雌比与前列腺增生(BPH)的相关性。方法:选取我院体检中心及泌尿外科2019年8月—2020年8月期间的体检人员(n=136)及BPH住院患者(n=61);收集并分析两组外周血T、E2、T/E2、PSA及前列腺B超。结果:随年龄的增长,雄激素(T)水平出现下降,与年龄表现低度线性负相关,其相关系数R=-0.11(|R|<0.4);雌激素(E2)没有变化,趋势线几乎呈水平线。T/E2与年龄呈现低度线性负相关,其相关系数R=-0.15(|R|<0.4);前列腺体积增大,与年龄变化表现为显著性线性正相关,相关系数R=0.56(0.4<|R|<0.7)。T与前列腺体积呈低度线性负相关,其相关系数R=-0.006(|R|<0.4);E2与前列腺体积表现低度线性正相关,相关系数R=0.12(|R|<0.4);T/E2与前列腺体积表现低度线性负相关,相关系数R=-0.18(|R|<0.4)。BPH组与正常组E2水平之间差异无统计学意义(P>0.05);BPH组与正常组对比,T和T/E2差异有统计学意义(P<0.05)。结论:BPH患者与外周血T、E2及T/E2均存在相关性。Abstract: Objective: To investigate the correlation between peripheral blood androgen(T), estrogen(E2) and T/E2 ratio and benign prostatic hyperplasia(BPH).Methods: From August 2019 to August 2020, 197 cases of BPH and normal controls admitted to urology department and physical examination center of our hospital were selected and divided into BPH and normal control group. Peripheral blood T, E2, T/E2, PSA and prostate B ultrasound were collected and analyzed.Results: With the increase of age, the level of androgen decreased, which was negatively correlated with the low age expression. The correlation coefficient was R=-0.11(|R|<0.4); estrogen did not change, and the trend line was almost horizontal. T/E2 has a low degree of linear negative correlation with age, and the correlation coefficient was R=-0.15(|R|<0.4). The increase of prostate volume was significantly positively correlated with age, with the correlation coefficient R=0.56(0.4<|R|<0.7). There was a low degree of linear negative correlation between T and prostate volume, and the correlation coefficient was R=-0.006(|R|<0.4). E2 had a low degree of linear positive correlation with the prostate volume expression, with the correlation coefficient R=0.12(|R|<0.4). T/E2 was negatively correlated with low-degree linear and linear prostate volume expression, with the correlation coefficient R=-0.18(|R|<0.4). There was no significant difference in E2 level between BPH group and normal group(P>0.05). There was significant difference in T and T/E between the BPH group and the normal group(P<0.05).Conclusion: BPH patients are correlated with peripheral blood T, E2 and T/E2
-
Key words:
- benign prostatic hyperplasia /
- estrogen /
- androgen /
- androgen-to-estrogen ratio
-
[1] Patel ND,Parsons JK.Epidemiology and etiology of benign prostatic hyperplasia and bladder outlet obstruction[J].Indian J Urol,2014,30(2):170-176.
[2] Nicholson TM,Ricke WA.Androgens and estrogens in benign prostatic hyperplasia past,present and future[J].Differentiation,2011,82(4-5):184-199.
[3] Hendriksen PJ,Dits NF,Kokame K,et al.Evolution of the androgen receptor pathway during progression of prostate cancer[J].Cancer Res,2006,66(10):5012-5020.
[4] Ellem SJ,Risbridger GP.The dual,opposing roles of estrogen in the prostate[J].Ann N Y Acad Sci,2009,1155:174-186.
[5] Ho CK,Habib FK.Estrogen and androgen signaling in the pathogenesis of BPH[J].Nat Rev Urol,2011,8(1)29-41.
[6] Daehlin L,Bergh A,Damber JE.Direct effects of oestradiol on growth and morphology of the Dunning R3327H prostatic carcinoma[J].Urol Res,1987,15(3):169-172.
[7] Yang DL,Xu JW,Zhu JG,et al.Role of GPR30 in estrogen-induced prostate epithelial apoptosis and benign prostatic hyperplasia[J].Biochem Biophys Res Commun,2017,487(3):517-524.
[8] Miao L,Jiao C,Shao R,et al.Bakuchiol suppresses oestrogen/testosterone-induced Benign Prostatic Hyperplasia development through up-regulation of epithelial estrogen receptor β and down-regulation of stromal aromatase[J].Toxicol Appl Pharm,2019,381:114637.
[9] Gangkak G,Bhattar R,Mittal A,et al.Immunohistochemical analysis of estrogen receptors in prostate and clinical correlation in men with benign prostatic hyperplasia[J].Investig Clin Urol,2017,58(2):117-126.
[10] Nicholson TM,Sehgal PD,Drew SA,et al.Sex steroid receptor expression and localization in benign prostatic hyperplasia varies with tissue compartment[J].Differentiation,2013,85(4-5):140-149.
计量
- 文章访问数: 318
- PDF下载数: 53
- 施引文献: 0