摘要:

Uterine fibroids are benign tumors, the etiology of which is not understood. Symptoms can be debilitating, and the primary treatment is surgery, usually hysterectomy. Epidemiologic data show that pregnancy is associated with reduced risk of fibroids. We hypothesize that this association is attributable to a protective effect of postpartum involution of the uterus. After each pregnancy the uterus rapidly returns to prepregnancy size by dramatic remodeling of the tissue. We hypothesize that small fibroids are eliminated during this process. We present preliminary epidemiologic evidence that is consistent with this hypothesis. If the hypothesis is supported by more direct evidence, it may have broader implications, supporting the idea that tissue remodeling may be a general mechanism for limiting tumor development.

ISSN:1044-3983    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Half of the placental genes to which a woman is exposed during pregnancy come from her mating partner. Placental hormones, especially human chorionic gonadotropin and human placental lactogen, are considered to mediate the protective effects of full-term pregnancy and lactation on breast cancer risk. In this paper, variants in a woman’s placental human chorionic gonadotropin or human placental lactogen genes, which are easily measurable through her offspring’s genotypes, are associated with her breast cancer risk. If this hypothesis is true it would indicate that genotype of a woman’s mating partner can affect her breast cancer risk and that offspring’s genotype may be useful in predicting such risk. Because the placenta produces a wide range of hormones and enzymes (in addition to human chorionic gonadotropin and human placental lactogen), results supporting this hypothesis could open new dimensions to genetic research for diseases beyond breast cancer (including gynecologic tumors and reproductive and pregnancy-related disorders).

ISSN:1044-3983    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1044-3983    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1044-3983    

出版商:OVID    

年代:2003

数据来源: OVID