non-SHBG bound serum estradiol, testosterone and DHEA reveal increase breast cancer risk; other studies show saliva testing equal to serum non-bound SHBG hormones
These findings demonstrate for the first time that colorectal adenocarcinoma cell lines express aromatase. Interestingly, the enzyme activity was inhibited by quercetin, one major dietary flavonoid, by tamoxifen, a hormonal therapeutic agent for breast cancer, and by raloxifene, used in the prevention of postmenopausal osteoporosis.
conclusion incorrect. blood testing is a poor testing method of transdermal progesterone therapy would be the more accurate conclusion. Other studies have shown that transdermal progesterone therapy raises progesterone in saliva when blood levels show no change.
Supporting evidence for DHEA improvement for women is mixed and minimal. Full article is not available so the question as whether a need was indicated based on testing is not available. Side effects were seen with DHEA--primarily acne.
Cochrane review for Testosterone therapy for women points to lacking data. The lengths of study reached a maximum of 2 years with the average at 6 months. Improvement in sexual function was found in post-menopausal women, but safety and long-term data is lacking.
Only abstract available. Meta-analysis of Testosterone therapy in post-menopausal women finds significant bias, some improvement in sexual function and cholesterol levels, yet safety and long-term data is significantly lacking. Take this with studies on endogenous Testosterone in women, significant caution needs to be followed with Testosterone in women. Only abstract available here.
Approximately 1% to 2% of T in the blood exists as FT
appendicular muscle loss was significantly associated with low levels of FT
These results suggest that a threshold level of FT exists for muscle loss, rather than a dose-response relationship
In the previous cross-sectional and longitudinal studies of French and American men, no dose-response relationships were reported between T and muscle mass
A minimal serum level of FT may be needed to preserve muscle mass in men, regardless of race/ethnicity.
Our result is in line with previous studies that reported a relationship between low FT and low muscle mass in men
T stimulates protein synthesis and inhibits protein degradation in muscle cells
T also increases satellite cell replication and activation in older men
In this study, no significant association between TT levels and muscle loss were observed
Although a progressive decrease in TT levels with ageing is observed in middle-aged and elderly American men16, 17, the TT levels do not change during ageing in Japanese men
FT levels may be a good marker for the loss of muscle mas
Study of 110 women finds metabolic syndrome prevalence at 39%. The women with metabolic syndrome had statistically higher Testosterone levels and statistically lower SHBG. This stands in start contrast to metabolic syndrome in men.
low SHBG in post-menopausal women correlates with increased risk of metabolic syndrome. More than that, there is an inverse correlation with SHBG in women and metabolic syndrome components. Also, Increasing components of MetS was correlated with Testosterone and free androgen index.
2-OH estrogens bind to the estrogen receptor (ER) with affinity equivalent to or greater than estradiol
previous prospective studies have not observed any significant associations with either 2-OH or 16α-OH estrone or the ratio of the two metabolites and breast cancer risk overall.
they may act as only weak mitogens (14, 15), or as inhibitors of proliferation
No significant associations have been observed between 2-OH estrone and breast cancer risk
While 16α-OH estrone binds to the ER with lower affinity than estradiol, it binds covalently (18-20) and once bound, fails to down-regulate the receptor (21). Thus, 16α-OH estrone stimulates cell proliferation in a manner comparable to estradiol in ER+ breast cancer cell lines
In this large prospective study of 2-OH and 16α-OH estrone metabolites and breast cancer risk, we did not observe any significant associations overall with either individual metabolite or with the ratio of the two metabolites
we observed positive associations with 2-OH estrone and the 2:16α-OH estrone ratio among women with lower BMI and women with ER-/PR-tumors,
To date, several epidemiologic studies have examined the association between the 2-OH and 16α-OH estrogen metabolites and breast cancer risk with inconclusive results.
circulating estrogen levels have been associated more strongly with ER+/PR+ tumors than with ER-/PR- tumors
our results do not support the hypothesis that metabolism favoring the 2-OH estrone pathway is more beneficial to breast cancer risk than that favoring the 16α-OH estrone pathway
we observed significant positive associations of both 2-OH estrone and the 2:16α-OH estrone ratio with ER-/PR-tumors
Three (30, 32, 33) of four (30-33) studies observed RRs above 1 for the association between 16α-OH estrone and breast cancer risk (range of RRs=1.23-2.47); none of the point estimates was statistically significant though one trend was suggestive
based on animal studies, 2-OH estrone and the 2:16α-OH estrone ratio have been hypothesized to be inversely associated with breast cancer risk
No significant associations have been observed between 2-OH estrone, 16α-OH estrone, or the 2:16α-OH estrone ratio and breast cancer risk and the direction of the estimates is not consistent across studies.
better worded is no consistent, significant associations. There are some studies that point to the 16 catecholestrogen and increased cancer risk; limited studies show negative effects of 2 catecholestrogens on cancer risk and prospective studies available pretty much dispel the idea that the 2:16 ratio has an risk predictability.
we observed a suggestive inverse association with 16α-OH estrone and a significant positive association with the 2:16α-OH estrone ratio among lean women, suggesting possible associations in a low estrogen environment.
16α-OH estrone increases unscheduled DNA synthesis in mouse mammary cells (27) and hence also may be genotoxic
Although 2-OH estrogens are capable of redox cycling, the semiquinones and quinones (i.e., the oxidized forms) form stable DNA adducts that are reversible without DNA destruction
In our population of PMH nonusers, we observed no associations with ER+/PR+ tumors, but significant positive associations with 2-OH estrone and the 2:16α-OH estrone ratio among women with ER-/PR- tumors
one of the few studies to find this association between 2 catecholestrogens and the 2:16 ratio and ER-/PR-tumors
Animal and in vitro studies have shown that hydroxy estrogens can induce DNA damage either directly, through the formation of quinones and DNA adducts, or indirectly, through redox cycling and the generation of reactive oxygen species
genotoxic via directe DNA adducts and indirectly via ROS; this is in addition to the proliferative effect
we observed a significant positive association between the 2:16α-OH estrone ratio and breast cancer risk among lean women
No significant associations have been observed with the 2:16α-OH estrone ratio
In the Danish study, no associations were observed with either ER+ or ER- tumors among PMH nonusers
significant positive associations with 2-OH estrone and the 2:16α-OH estrone ratio were observed among PMH users with ER+, but not ER-, tumors
it is possible that the genotoxicity of 2-OH estrone plays a role in hormone receptor negative tumors
4-OH estrogens have a greater estrogenic potential than 2-OH estrogens, given the lower dissociation rate from estrogen receptors compared with estradiol (61), and are potentially more genotoxic since the quinones form unstable adducts, leading to depurination and mutation in vitro and in vivo
the balance between the catechol (i.e., 2-OH and 4-OH) and methoxy (i.e., 2-Me and 4-Me) estrogens may impact risk
The risks of estrogen metabolism are not clear cut. Likely never will be due to the complexity of individual metabolism. This study found no correlation between 2OH-Estrone and 2OH:16alpha-Estrone and breast cancer risk in ER+/PR+ breast cancer. Translated: no benefit in breast cancer risk in 2OH-Estrone metabolism or increased 2OH:16alpha estrone metabolism. There was a positive association between 2OH-Estrone and 2:16alpha-Estrone in women with ER-/PR- tumors and low BMI.
Study finds increased risk of diabetes in post menopause women on statin therapy. The authors here propose it as a class effect but also is associated with increased dosing.