THE IMPACT OF ENDOCRINOLOGY ON GYNECOLOGIC CANCER PROGRESSION: HORMONAL INFLUENCES ON TUMOR GROWTH

Main Article Content

Deepmala Paul

Keywords

Gynecologic cancer, Estrogen, IGF-1, Progesterone, Hormone therapy

Abstract

Endocrine hormones strongly affect gynecologic cancers because they control tumor progression as well as metastasis and therapeutic response. This study investigates the impact of estrogen, progesterone, insulin-like growth factor 1, and other hormonal factors on tumor behavior in ovarian, endometrial, and cervical cancers. The project adopted a dual strategy that combined retrospective evaluation of patient data with laboratory tests and animal studies to measure hormonal effects on the multiplication and penetrative capacity of tumors and apoptotic processes. Clinical data revealed that higher estrogen and IGF-1 levels existed in connection with more progressed tumors, which generated unfavorable survival rates, whereas progesterone acted as a tumor-controlling agent that limited tumor proliferation and boosted cell apoptosis. The experimental data validated these patterns by demonstrating that cancer cells experienced increased proliferation and invasion and decreased apoptosis under estrogen and IGF-1 treatment. The data showed that progesterone treatment decreased cancer cell invasion while simultaneously promoting cell death, which indicates its potential value as a therapeutic agent. The effects of thyroid hormones and androgens on cancer development were inconsistent, which demonstrates complex hormonal mechanisms in tumor biology. The research demonstrates the necessity for hormone-based treatments such as selective estrogen receptor modulators and aromatase inhibitors and IGF-1 inhibitors to develop potential therapeutic options for gynecologic malignancies. Future investigations need to develop individualized endocrine treatment strategies that will enhance treatment results for patients.

Abstract 213 | Pdf Downloads 24

References

1. Arnett-Mansfield, R. L., DeFazio, A., Mote, P. A., & Clarke, C. L. (2004). Subnuclear distribution of progesterone receptors A and B in normal and malignant endometrium. The Journal of Clinical Endocrinology & Metabolism, 89(3), 1429-1442.
2. Bokhman, J. V. (1983). Two pathogenetic types of endometrial carcinoma. Gynecologic oncology, 15(1), 10-17.
3. Chen, B., Cherie’R, S., McKinley, E. T., Simmons, A. J., Ramirez-Solano, M. A., Zhu, X., ... & Lau, K. S. (2021). Differential pre-malignant programs and microenvironment chart distinct paths to malignancy in human colorectal polyps. Cell, 184(26), 6262-6280.
4. Chen, P., Li, B., & Ou-Yang, L. (2022). Role of estrogen receptors in health and disease. Frontiers in endocrinology, 13, 839005.
5. Clark, G. M., Osborne, C. K., & McGuire, W. L. (1984). Correlations between estrogen receptor, progesterone receptor, and patient characteristics in human breast cancer. Journal of clinical oncology, 2(10), 1102-1109.
6. Collaborative Group on Hormonal Factors in Breast Cancer. (1996). Breast cancer and hormonal contraceptives: collaborative reanalysis of individual data on 53 297 women with breast cancer and 100 239 women without breast cancer from 54 epidemiological studies. The Lancet, 347(9017), 1713-1727.
7. Feng, M., Jiang, W., Kim, B. Y., Zhang, C. C., Fu, Y. X., & Weissman, I. L. (2019). Phagocytosis checkpoints as new targets for cancer immunotherapy. Nature Reviews Cancer, 19(10), 568-586.
8. Gong, Y., Ji, P., Yang, Y. S., Xie, S., Yu, T. J., Xiao, Y., ... & Shao, Z. M. (2021). Metabolic-pathway-based subtyping of triple-negative breast cancer reveals potential therapeutic targets. Cell metabolism, 33(1), 51-64.
9. Hanahan, D., & Weinberg, R. A. (2011). Hallmarks of cancer: the next generation. cell, 144(5), 646-674.
10. Huang, Z., Qin, Q., Xia, L., Lian, B., Tan, Q., Yu, Y., & Mo, Q. (2021). Significance of oncotype DX 21-gene test and expression of long non-coding RNA MALAT1 in early and estrogen receptor-positive breast cancer patients. Cancer management and research, 587-593.
11. Husain, H., Pavlick, D. C., Fendler, B. J., Madison, R. W., Decker, B., Gjoerup, O., ... & Tukachinsky, H. (2022). Tumor fraction correlates with detection of actionable variants across> 23,000 circulating tumor DNA samples. JCO Precision Oncology, 6, e2200261.
12. Jensen, E. V., Smith, S., & DeSombre, E. R. (1976). Hormone dependency in breast cancer. Journal of Steroid Biochemistry, 7(11-12), 911-917.
13. Jordan, V. C. (2003). Antiestrogens and selective estrogen receptor modulators as multifunctional medicines. 1. Receptor interactions. Journal of medicinal chemistry, 46(6), 883-908.
14. Key, T. J. A., & Pike, M. C. (1988). The role of oestrogens and progestagens in the epidemiology and prevention of breast cancer. European Journal of Cancer and Clinical Oncology, 24(1), 29-43.
15. Kim, J. J., Kurita, T., & Bulun, S. E. (2013). Progesterone action in endometrial cancer, endometriosis, uterine fibroids, and breast cancer. Endocrine reviews, 34(1), 130-162.
16. Kim, J. H., Kim, Y. M., Choi, D., Jo, S. B., Park, H. W., Hong, S. W., ... & Lee, S. W. (2020). Hybrid Fc‐Fused Interleukin‐7 induces an inflamed tumor Microenvironment and improves the efficacy of cancer Immunotherapy. Clinical & translational immunology, 9(9), e1168
17. Lee, B., Lipton, L., Cohen, J., Tie, J., Javed, A. A., Li, L., ... & Gibbs, P. (2019). Circulating tumor DNA as a potential marker of adjuvant chemotherapy benefit following surgery for localized pancreatic cancer. Annals of Oncology, 30(9), 1472-1478.
18. Martínez-Jañez, N. O. E. L. I. A., Ezquerra, M. B., Manso Sanchez, L. M., Carrasco, F. H., Torres, A. A., Morales, S., ... & Antón, F. M. (2024). First-line therapy with palbociclib in patients with advanced HR+/HER2− breast cancer: The real-life study PALBOSPAIN. Breast Cancer Research and Treatment, 206(2), 317-328.
19. McNamara, K. L., Caswell-Jin, J. L., Joshi, R., Ma, Z., Kotler, E., Bean, G. R., ... & Curtis, C. (2021). Spatial proteomic characterization of HER2-positive breast tumors through neoadjuvant therapy predicts response. Nature cancer, 2(4), 400-413.
20. Patel, M. I., Lopez, A. M., Blackstock, W., Reeder-Hayes, K., Moushey, E. A., Phillips, J., & Tap, W. (2020). Cancer disparities and health equity: a policy statement from the American Society of Clinical Oncology. Journal of Clinical Oncology, 38(29), 3439-3448.
21. Pollak, M. N. (2012). Investigating metformin for cancer prevention and treatment: the end of the beginning. Cancer discovery, 2(9), 778-790.
22. Sharma, D., Kumar, S., & Narasimhan, B. (2018). Estrogen alpha receptor antagonists for the treatment of breast cancer: a review. Chemistry Central Journal, 12, 1-32.
23. Sun, Y. S., Zhao, Z., Yang, Z. N., Xu, F., Lu, H. J., Zhu, Z. Y., ... & Zhu, H. P. (2017). Risk factors and preventions of breast cancer. International journal of biological sciences, 13(11), 1387.
24. Tang, J., Shalabi, A., & Hubbard-Lucey, V. M. (2018). Comprehensive analysis of the clinical immuno-oncology landscape. Annals of Oncology, 29(1), 84-91.
25. Wang, Y., Tan, S., Pan, E., Ma, Y., Wu, X., Yu, Z., & Jiang, K. (2022). An effective hormonal therapy for a patient with estrogen receptor 1 (ESR1)-Amplified metastatic ovarian cancer: a case report. OncoTargets and therapy, 643-649.
26. Zhang, Y., Pitchiaya, S., Cieślik, M., Niknafs, Y. S., Tien, J. C. Y., Hosono, Y., ... & Chinnaiyan, A. M. (2018). Analysis of the androgen receptor–regulated lncRNA landscape identifies a role for ARLNC1 in prostate cancer progression. Nature genetics, 50(6), 814-824.
27. Zhou, Z., Moore, T. M., Drew, B. G., Ribas, V., Wanagat, J., Civelek, M., ... & Hevener, A. L. (2020). Estrogen receptor α controls metabolism in white and brown adipocytes by regulating Polg1 and mitochondrial remodeling. Science translational medicine, 12(555), eaax8096.