Differential effects of oral and transdermal postmenopausal estrogen replacement therapies on C-reactive protein

Differential effects of oral and transdermal postmenopausal estrogen replacement therapies on C-reactive protein
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口服和透皮绝经后雌激素替代疗法对 C 反应蛋白的不同影响

DOI:
10.1055/s-0037-1613608
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发表时间:
2003
影响因子:
6.7
通讯作者:
D. Mottier
D. Mottier
中科院分区:
医学2区
文献类型:
--
作者:
K. Lacut;E. Oger;G. Le Gal;M. Blouch;J. Abgrall;V. Kerlan;P. Scarabin;D. Mottier

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Summary C-reactive protein (CRP) is one of the main independent predictors of cardiovascular events. Oral post-menopausal estro-gen replacement therapy (ERT) increases CRP levels, but the effect of transdermal ERT is not well documented. CRP, interleukine-6 (IL-6) and tumor necrosis factor-α (TNF-α) levels were evaluated in a randomised study of 196 healthy postmenopausal women, who were allocated to receive continuous oral estradiol-17β, (n=63) or transdermal estradiol-17β, (n=68) both combined with micronised progesterone, or placebo (n=65). Oral estrogen increased CRP levels compared with both placebo (p=0.010) and transdermal estrogen (p=0.004) at 6 months. There was no significant effect of transdermal estro-gen on CRP levels compared with placebo (p=0.997). No significant difference was found in the median changes for IL-6 and TNF-α between the three treatment groups. In conclusion, transdermal estrogen has no significant effect on CRP levels at 6 months, but CRP concentrations increased significantly with oral estrogen although no changes in cytokine levels were detected. The clinical relevance of these effects remains to be determined.
DOI: 10.1016/s0002-9343(99)00066-2
发表时间: 1999-05-01
影响因子: 5.9
作者:
Harris, TB;Ferrucci, L;Wallace, R
通讯作者: Wallace, R
DOI: 10.1093/oxfordjournals.aje.a008963
发表时间: 1996-09-15
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DOI: --
发表时间: 1983-04
期刊: The American journal of pathology
影响因子: --
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发表时间: 1990-04
期刊: Molecular biology & medicine
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补体蛋白 C5b-9 诱导内皮质膜形成囊泡,并暴露催化表面以组装凝血酶原酶复合物。
DOI: --
发表时间: 1990
期刊: The Journal of biological chemistry
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