Analyse von Estrogenprofilen einschließlich Methoxyestrogenglucuroniden: Methodenvalidierung und Anwendbarkeit auf menschliches Plasma und Brustgewebe

Estrogens, namely 17β-estradiol (E2) and estrone (E1) are considered to play an important role in the initiation and promotion of breast cancer (summarized in Raftogianis et al., 2000), a malignancy responsible for around 500,000 deaths per year (summarized in Ghislain et al., 2016). Two major mechanisms have been postulated to explain the carcinogenic effects of estrogens: (1) the estrogen receptor-mediated stimulation of breast cell proliferation with a concomitant enhanced rate of mutations and (2) the metabolism of hydroxylated estrogens to quinone derivatives which can react with the DNA (Russo and Russo, 2006, summarized in Yager and Davidson, 2006). Nevertheless, as a detoxifying mechanism, E1, E2, and their hydroxylated and methoxylated metabolites are reversibly conjugated into sulfates and glucuronides devoid of biological activity (summarized in Guillemette et al., 2004). Yet, despite the key detoxifying function of these conjugates, the study of their circulating levels face some significant problems: (1) analysis by techniques such as radioimmunoassay lack specificity and accuracy and requires enzymatic/chemical hydrolysis before analysis, being unable to differentiate between sulfates and glucuronides (summarized in Stanczyk et al., 2007, summarized in Wang et al., 2016), (2) very little knowledge in healthy women, which has been identified as a barrier to advance in breast cancer research (summarized in Liu, 2000), and (3) far fewer studies in pre- than in postmenopausal women (summarized in Samavat and Kurzer, 2015). Therefore, to get more insights into the research of breast cancer etiology and prevention, the analysis of circulating levels of estrogens (including metabolites and conjugates) in women without breast cancer through reliable analytical techniques, is required.Estrogene spielen eine zentralle Rolle bei der Entstehung von Brustkrebs. Jedoch haben nicht alle Estrogenmetabolite die gleiche Wirkung. Deshalb ist das Wissen über das Profil der zikulierenden Estrogene bei gesunden Frauen von entscheidender Bedeutung. Die meisten Methoden zur Analyse von Estrogenen zielen jedoch entweder nicht auf konjugierte Estrogene ab oder erfassen nur die Summe der jeweiligen freien und konjugierten Form. Gegenstand der vorliegenden Arbeit war demzufolge, die Möglichkeit der Einbeziehung von Methoxyestrogenglucuroniden in eine bestehende Methode zur Analyse von Estrogenen zu evaluieren und somit die Analyse von Estrogenprofilen im menschlichen Plasma und im Brustgewebe von Frauen ohne Brustkrebs zu ergänzen. ..