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雄激素对男性和女性脂肪细胞分化和脂肪组织外植体代谢的影响
Effects of androgens on adipocyte differentiation and adipose tissue explant metabolism in men and women
Blouin K, Nadeau M, Perreault M  2010/4/28 18:09:16 
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Clin Endocrinol, 2010,
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Objective:
To examine the effects of aromatizable or nonaromatizable androgens on abdominal subcutaneous (SC) and omental (OM) adipose tissue lipid metabolism and adipogenesis in men and women.

Design and subjects:
Primary organ and preadipocyte cultures were established from surgical samples obtained in men (n=22) and women undergoing biliopancreatic diversions (n=12) or gynaecological surgeries (n=8). Cultures were treated with testosterone, dihydrotestosterone (DHT) and methyltrienolone (R1881).

Measurements:
Heparin-releasable lipoprotein lipase (HR-LPL) activity, glycerol release, adiponectin secretion, glycerol-3-phosphate dehydrogenase activity and lipid accumulation were measured.

Results:
In organ cultures from men, DHT had a statistically significant inhibitory effect on HR-LPL activity in the OM compartment. Testosterone significantly inhibited HR-LPL activity in SC and OM cultures. In women, high DHT concentrations tended to inhibit HR-LPL activity in OM cultures. Minor androgenic effects were observed for basal and isoproterenol-stimulated lipolysis as well as adiponectin release in men. On the other hand, adipocyte differentiation was significantly and dose-dependently inhibited by DHT, testosterone and R1881 in SC and OM cultures from both sexes. These effects did not differ according to adipose tissue depot but appeared to be more pronounced in women than in men.

Conclusions:
Androgens slightly decreased HR-LPL activity in adipose tissue organ cultures, but markedly inhibited adipogenesis in SC and OM primary preadipocyte cultures in both sexes. Androgenic effects on adipose tissue in men vs. women may not differ in terms of direction but in the magnitude of their negative impact on adipogenesis and lipid synthesis.
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曹晶珠  邹大进

 

解放军第二军医大学附属长海医院内分泌科

 

患者为中年女性,35岁,因多饮、多尿、全身乏力、闭经1年,体重增加、肝区不适半年20088月入院。患者2007年感冒后出现多饮、多尿,每日饮水约10,000 ml,未予重视及诊治。2007年出现闭经,在外院妇产科就诊,先后予2次黄体酮肌肉注射,仍未来月经。半年前体重增加25 kg,肝区不适,肝功能示转氨酶升高。患者无便秘腹胀、无皮肤感染、无双下肢水肿,活动后稍感胸闷、气喘,夜尿增多,平均每小时1次。最大体重88.7 kg。既往史无特殊。月经史:初潮14岁,4/283020086月。

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