National Changhua University of Education Institutional Repository : Item 987654321/13214

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NCUEIR > College of Science > biotech > Periodical Articles > Item 987654321/13214

Please use this identifier to cite or link to this item: http://ir.ncue.edu.tw/ir/handle/987654321/13214

Title:	Antiandrogenic Therapy Can Cause Coronary Arterial Disease
Authors:	CHEN, KUAN-CHOU;PENG, CHIUNG-CHI;HSIEH, HSIU-MEI;PENG, CHIUNG-HUEI;Hsieh, Chiu-Lan;HUANG, CHIEN-NING;CHYAU, CHARNG-CHERNG;WANG, HUI-ER;PENG, ROBERT Y.
Contributors:	生物技術研究所
Keywords:	Antiandrogen;CAD (coronary arterial disease);CPA (cyproterone acetate);Hormonal therapy;Prostate cancer
Date:	2005-10
Issue Date:	2012-08-07T06:56:49Z
Publisher:	John Wiley & Sons, Inc.
Abstract:	Aim : To study the change of lipid metabolism by antiandrogen therapy in patients with prostate cancer. Materials and methods : We studied with a 2.5 years follow-up the changes in plasma cholesterols (C), triglycerides (TG), lipoproteins (LP), and apolipoproteins (Apo) B-100, A-I, and A-II profiles in 24 patients of mean age 60 years with low risk prostate cancer (stage: T1cN 0 M 0 , Gleason score: 2–5) during treatment with cyproterone acetate (CPA) without surgical management or radiation therapy. Results : Significant decreases of HDL-C, Apo A-I and Apo A-II and an increase of triglyceride levels in VLDL were induced by CPA. After a period of 2.5 years on CPA treatment, four patients out of twenty-four were found to be affected by coronary heart disease. Conclusions : Ischaemic coronary arteriosclerosis with an incidence rate of 16.6% as caused by prolonged CPA therapy is mediated through changes in HDL cholesterol, Apo A-I and Apo A-II profiles, other than the well-known hyperglyceridemic effect caused by estrogen.
Relation:	International Journal of Urology 12(10): 886-891
Appears in Collections:	[biotech] Periodical Articles

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