实用医学杂志 ›› 2021, Vol. 37 ›› Issue (13): 1769-1773.doi: 10.3969/j.issn.1006⁃5725.2021.13.026

• 综述 • 上一篇    下一篇

孕激素受体膜组分1在绝经后激素治疗中乳腺癌风险预测的研究进展

蔡桂举,阮祥燕   

  1. 首都医科大学附属北京妇产医院内分泌科(北京100026)

  • 出版日期:2021-07-10 发布日期:2021-07-10
  • 通讯作者: 阮祥燕 E⁃mail:ruanxiangyan@163.co
  • 基金资助:

    国家自然科学基金(编号:81671411);北京市医院 管理局登峰计划(编号:DFL20181401


Research progress of PGRMC1 in breast cancer risk prediction in hormone therapy 

CAI Guiju,RUAN Xiangyan.    

  1. Department of Endocrinology,Beijing Obstetrics and Gynecology Hospital,Capital Medical University Beijing 100026,China 

  • Online:2021-07-10 Published:2021-07-10
  • Contact: RUAN Xiangyan E⁃mail:ruanxiangyan@163.com

摘要:

乳腺癌是全世界女性常见和多发的恶性肿瘤之一,是导致女性死亡最主要的病因之一,相 关肿瘤标志物及治疗靶点已成为研究热点。绝经后激素治疗(menopause hormone therapy,MHT)是防治绝 经相关症状及绝经相关慢性病最有效的方法,但有增加乳腺癌风险的可能,其机制尚不清楚。妇女健康 启动项目(Women′s Health Initiative,WHI)研究 10 年随访结果显示,单一雌激素治疗组妇女的乳腺癌风险 没有增加,反而有降低,雌孕激素联合治疗组乳腺癌风险增高。前期研究发现某些合成孕激素对孕激素 受体膜组分 1(PGRMC1)表达阳性的人乳腺癌细胞有明显促增殖作用,近期研究也发现,血液 PGRMC1 度在乳腺癌患者中升高。PGRMC1 如能发展为激素治疗前常规筛查的乳腺癌风险标志物将有重要意义。 PGRMC1是否可以作为激素治疗中乳腺癌易感者的潜在标志物,本文就此方面的研究进行综述。

关键词:

孕激素受体膜组分1, 绝经后激素治疗, 乳腺癌, 雌激素, 孕激素

Abstract:

Breast cancer is one of the most common and frequently⁃occurring malignant tumors in women all over the world,and it is one of the most important causes of female death. Related tumor markers and therapeu⁃ tic targets have become research hotspots. Postmenopausal hormone therapy(MHT)is the most effective approach to prevent and treat menopausal⁃related symptoms and chronic diseases. However,it may increase the risk of breast cancer,and its mechanism is still unclear. The 10⁃year follow⁃up results of the Women′s Health Initiative(WHI study showed that the breast cancer risk of women in the estrogen alone treatment group was not increased,but decreased ,while the risk of breast cancer in the estrogen and progesterone combined treatment group was increased. Our previous studies have found that certain synthetic progesterone could significantly promote the prolif⁃ eration of human breast cancer cells with positive expression of PGRMC1. Recent studies have also found that blood PGRMC1 concentration was increased in breast cancer patients. If PGRMC1 can be developed into a breast cancer risk marker for routine screening before hormone therapy,it will be of great significance. Whether pGRMC1 can be used as a potential marker of patients susceptible to breast cancer during hormone therapy is reviewed in this paper.

Key words:

progesterone receptor membrane component 1, postmenopausal hormone therapy, breast cancer, estrogen, progesterone