Abstract
In normal breast, estrogen stimulates growth of the ductal system, while lobular development depends on progesterone. Thus, estrogen and progesterone, when secreted in an adequate balance, permit the complete and proper development of the mammary gland. Progesterone may also have an antagonistic activity against estradiol, mediated through a decrease in the replenishment of the estrogen receptor, and also through increased 17β-hydroxysteroid dehydrogenase which leads to accelerated metabolism of estradiol to estrone in the target organ. Thus, it can be inferred that long periods of luteal phase defect leading to an unopposed estrogen effect on the breast might promote breast carcinogenesis.
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References
Asboe-Hansen G: Hormonal effects on connective tissue. Physiol Rev 38: 446–462, 1958
Asselin J, Kelly PA, Caron MG, Labrie F: Control of hormone receptor levels and growth of 7,12-dimethyl benz(a)anthracene induced mammary tumors by estrogens, progesterones and prolactin. Endocrinology 101: 666–671, 1977
Bardon S, Vignon F, Chalbos D, Rochefort H: RU 486, a progestin and glucocorticoid antagonist, inhibits the growth of breast cancer cells via the progesterone receptor. J Clin Endocrinol Metab 60: 692–697, 1985
Bassler R: The morphology of hormone induced structural changes in female breast. Curr Top Pathol 53: 1–89, 1970
Bayard F, Damilano S, Robel P, Baulieu EE: Cytoplasmic and nuclear estradiol and progesterone receptors in human endometrium. J Clin Endocrinol Metab 46: 635–648, 1948
Clark JM, Hsueh AJW, Peck EJ: Regulation of estrogen receptor replenishment by progesterone. Ann N Y Acad Sci 286: 161–169, 1977
Clark JH, Markaverich BM: The effects of progesterone and dexamethasone on estradiol binding and uterine growth. In: Bardin CW, Milgrom E, Mauvais-Jarvis P (eds): Progesterone and Progestins. Raven Press, New York, 1983, pp 163–177
Cowie AT, Folley SJ, Malpress FH, Richardson KC: Studies on the hormonal induction of mammary growth and lactation in the goat. J Endocrinol 8: 64–88, 1952
Cuzick J, Wang DY, Bulbrook RD: The prevention of breast cancer. Lancet i: 83–86, 1986
Eisen MJ: The occurence of benign and malignant mammary lesions in rats treated with crystalline estrogen. Cancer Res 2: 632–644, 1942
Fournier S, Kuttenn F, De Cicco F, Baudot N, Mallet C, Mauvais-Jarvis P: Estradiol 17β-hydroxysteroid dehydrogenase activity in human breast fibro-adenomas. J Clin Endocrinol Metab 55: 428–433, 1982
Gompel A, Malet C, Spitzer P, Lalardrie JP, Kuttenn F, Mauvais-Jarvis P: Progestin effect on cell multiplication and 17β-hydroxy steroid dehydrogenase activity in normal human breast cells in culture. J Clin Endocrinol Metab 63: 1174–1179, 1986
Gottardis M, Erturk E, Rose DP: Effects of progesterone administration on N-nitrosomethyl urea-induced rat mammary carcinogenesis. Eur J Cancer Clin Oncol 19: 1479–1484, 1983
Grubbs CJ, Farnell DR, Hill DL, McDonough KC: Chemoprevention of N-nitroso-N-methylurea induced mammary cancers by pretreatment with 17β-estradiol and progesterone. J Natl Cancer Inst 74: 927–931, 1985
Gurpide E: Antiestrogenic actions of progesterone and progestins in women. In: Bardin CW, Milgrom E, Mauvais-Jarvis P (eds): Progesterone and Progestins. Raven Press, New York, 1983, p. 149–161
Horwitz KB, Koseki Y, McGuire WL: Estrogen control of progesterone receptor in human breast cancer: role of estradiol and antiestrogen. Endocrinology 103: 1742–1747, 1978
Horwitz KB, McGuire WL: Estrogen control of progesterone receptor in human breast cancer. Correlation with nuclear processing of estrogen receptor. J Biol Chem 253: 2223–2228, 1978
Horwitz KB, Freidenberg GR: Growth inhibition and increase of insulin receptors in antiestrogen resistant T47Dco human breast cancer cells by progestins: implication for endocrine therapies. Cancer Res 45: 167–173, 1985
Horwitz KB: The antiprogestin RU 38486: Receptor mediated and antiprogestin action screened in estrogen insensitive T47Dco human breast cancer cells. Endocrinology 116: 2236–2245, 1985
Horwitz KB, Wei LL, Sedlacek SM, D'Arville CN: Progestin action and progesterone receptor structure in human breast cancer: a review. Rec Progr Horm Res 41: 249–316, 1985
Inoh A, Kamiya K, Fujii Y, Yokoro K: Protective effects of progesterone and tamoxifen in estrogen induced mammary carcinogenesis in ovariectomized W/Fu rats. Jpn Cancer Res (Gann) 76: 699–704, 1985
Kledzik GS, Bradley CJ, Meites J: Reduction of carcinogen induced mammary cancer. Incidence in rats by early treatment with hormones or drugs. Cancer Res 34: 2953–2956, 1974
Korenman SG: The endocrinology of breast cancer. Cancer 46: 874–878, 1980
Kreitman O, Kreitman-Gimbal B, Bayard F, Hodgen GD: 17β-hydroxysteroid dehydrogenase in monkey endometrium: characterization of enzyme activity and effects of estradiol alone or in combination with progesterone. Steroids 34: 693–697, 1979
Kreitman O, Bayard F, Hodgen GD: 17β-hydroxysteroid dehydrogenase in monkey endometrium during the menstrual cycle and at the time of implantation. Steroids 36: 2674–2682, 1980
Kuttenn F, Fournier S, Durand JC, Mauvais-Jarvis P: Estradiol and progesterone receptors in human breast fibroadenomas. J Clin Endocrinol Metab 52: 1225–1229, 1981
Leavitt WW, Chen TJ, Do YS, Carlton BD, Allen TC: Biology of progesterone receptors. In: O'Malley BW, Birnbaumer L (eds): Receptors and Hormone Action, II. Acad Press, New York p 157–188, 1978
Lyons WR, McGinty DA: Effects of estrone and progesterone on male rabbit mammary glands. I. Varying doses of progesterone. Proc Soc Exp Biol Med 48: 83–89, 1941
Mauvais-Jarvis P, Sitruk-Ware R, Kuttenn F, Sterkers N: Luteal phase insufficiency: a common pathophysiologic factor in development of benign and malignant breast diseases. In: Bulbrook RD, Taylor DJ (eds): Commentaries on Research in Breast Disease. Alan Liss, New York, 1979, p 25–59
Mauvais-Jarvis P, Sitruk-Ware R, Kuttenn F: Benign breast disease. In: McGuire WL (ed): Breast Cancer, Advances in Research and Treatment. Plenum Press, New York, 1981, p 51–94
Mauvais-Jarvis P, Sitruk-Ware R, Kuttenn F: Luteal phase defect and breast cancer genesis. Breast Cancer Res Treat 2: 139–150, 1982
Mauvais-Jarvis P: Current hormonal therapy of benign breast disease. In: Krieger DT, Bardin CW (eds): Current Therapy in Endocrinology. BC Decker, Philadelphia, 1983, p 428–432
Mauvais-Jarvis P, Kuttenn F, Gompel A: Estradiolprogesterone interaction in normal and pathological cells. Ann N Y Acad Sci 464: 152–167, 1986
McManus MJ, Welsch CW: The effects of estrogen, progesterone, and human placental lactogen on DNA synthesis on human breast ductal epithelium maintained in athymic mice. Cancer 54: 1920, 1984
Mowszowicz I, Bieber DE, Chung KW, Bullock LP, Bardin WL: Synandrogenic and antiandrogenic effects of progestins: comparison with non-progestational antiandrogens. Endocrinology 95: 1589–1594, 1974
Philibert D, Deraedt R, Teutsch G, Tournemine C, Sakiz E: RU 486: A new lead for steroidal antihormones. 64th Annual Meeting of the Endocrine Society, San Francisco CA Abstr. 668, 1982
Pike MC, Henderson BE, Krailo MD, Duke A, Roy S: Breast cancer in young women and use of oral contraception: Possible modifying effect of formulation and age at use. Lancet ii: 926–929, 1983
Pike MC: Breast cancer and oral contraceptives. Lancet ii: 1180–1181, 1985
Pollow K, Lubbert N, Boquoi E, Kreuzer G, Jeske R, Pollow B: Studies on 17β-hydroxysteroid dehydrogenase in human endometrium and endometrial carcinoma. Acta Endocrinol 79: 134–141, 1975
Prudhomme JF, Malet C, Gompel A, Lalardrie JP, Boue A, Mauvais-Jarvis P, Kuttenn F: 17β-hydroxysteroid dehydrogenase (E2 DH) activity in human breast epithelial cell and fibroblast in cultures. Endocrinology 114: 1483–1489, 1984
Segaloff A: Inhibition by progesterone of radiationestrogen induced mammary cancer in the rat. Cancer Res 33: 1136–1138, 1973
Sitruk-Ware R, Sterkers N, Mowszowicz I, Mauvais-Jarvis P: Inadequate corpus luteal function in women with benign breast diseases. J Clin Endocrinol Metab 44: 771–774, 1977
Tseng L, Gurpide E: Estradiol and 20α-dihydroprogesterone dehydrogenase activities in human endometrium during the menstrual cycle. Endocrinology 94: 419–423, 1974
Tseng L, Gurpide E: Induction of human endometrial estradiol dehydrogenase by progestins. Endocrinology 97: 825–833, 1975
Tseng L, Gusberg SB, Gurpide E: Estradiol receptor and 17β-dehydrogenase in normal and abnormal endometrium. Ann N Y Acad Sci 286: 190–198, 1977
Vignon F, Bardon S, Chalbos D, Rochefort H: Antiestrogenic effect of R5020, a synthetic progestin, in human breast cancer cells in culture. J Clin Endocrinol Metab 56: 1124–1130, 1983
Welsch CH, Clemens JA, Meites J: Effects of multiple pituitary homografts or progesterone on 7,12-dimethyl-benzanthracene induced mammary tumors in rats. J Natl Cancer Inst 41: 465–478, 1968
Zarbl H, Sukumar S, Arthur AV, Martin-Zanca D, Barbacid M: Direct mutagenesis of Ha-ras-1 oncogenes by N-nitroso-N-methylurea during initiation of mammary carcinogenesis in rats. Nature 315: 382–385, 1985
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Mauvais-Jarvis, P., Kuttenn, F. & Gompel, A. Antiestrogen action of progesterone in breast tissue. Breast Cancer Res Tr 8, 179–188 (1986). https://doi.org/10.1007/BF01807330
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DOI: https://doi.org/10.1007/BF01807330
Keywords
- antiestrogen
- antiprogestin
- estrogen action
- luteal phase defect
- mammary differentiation
- progesterone
- tumor promotion