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为了了解碱性成纤维细胞生长因子(b-FGF)和转化生长因子β1(TGF-β1)在人良性前列腺增生症发病中的作用,采用分子杂交技术研究b-FGF和TGF-β1在人增生前列腺组织中的表达,并观察雄激素水平改变对b-FGF及TGF-β1表达的影响。20例行耻骨上经膀胱前列腺摘除术的患者随机分成两组。其中一组术前口服甲地孕酮(120mg/d)及己烯雌酚(2mg/d)一周。结果:患者的外周血睾酮浓度从服药前的406.1±231.4μg/L降至服药后18.0±9.1μg/L(均值±标准差),均达到药物去势水平;未服药组前列腺组织b-FGFmRNA表达水平是服药组的2.09倍(P<0.01);服药组前列腺组织TGFβ1mRNA表达水平是未服药组的1.49倍(P<0.01)。提示雄激素水平变化可影响b-FGF及TGF-β1的表达,b-FGF及TGF-β1异常表达可能参与了人类良性前列腺增生症的发病。
To investigate the role of basic fibroblast growth factor (b-FGF) and transforming growth factor β1 (TGF-β1) in the pathogenesis of human benign prostatic hyperplasia, molecular hybridization was used to study the role of b-FGF and TGF- The expression of b-FGF and TGF-β1 in androgen were observed. Twenty patients undergoing suprapubic transvesical prostatectomy were randomized into two groups. One group of preoperative oral megestrol (120mg / d) and diethylstilbestrol (2mg / d) a week. Results: The testosterone concentration in peripheral blood decreased from 406.1 ± 231.4μg / L before taking to 18.0 ± 9.1μg / L (mean ± standard deviation), all of which reached the level of drug castration; The expression level of b-FGFmRNA in prostate tissue was 2.09 times (P <0.01). The expression of TGF-β1mRNA in prostate tissue was 1.49 times (P <0.01) higher than that in the untreated group. These results suggest that the changes of androgen levels may affect the expression of b-FGF and TGF-β1. The abnormal expressions of b-FGF and TGF-β1 may be involved in the pathogenesis of human benign prostatic hyperplasia.