Sex Hormones Affect Aging Process by Influencing Lipid Profiles,Cellular Immunological Function and Lipid Peroxides and Oxidation System

吴赛珠; 谭家余; 周忠江; 周可祥; 容志毅

摘要：Objectives To investigate the correlation between sex hormones(SH) and aging. Methods Through epidemiological investigation in our country, the levels of SH were measured by radioimmunoassy; lipid profile, glucose and apolipoprotein by automatic biochemic analytical instrument; T cell subsets by flow cytometer; and MDA, SOD were evaluated by the thiobarbituric acid (TBA) test and the nitrite method modified by Oyanagui respectively using spectrophotometry. Results In men, the serum levels of follicle stimulating hormone (FSH)、 luteinizing hormone(LH) increased significantly with aging, but serum prolactin(PRL) and progesterone(P) levels remained unchanged in all life; Both testosterone (T)and free testosterone (FT) all decreased greatly with aging, but 173 - estradiol( 17β - E2) was reverse; E2 was negatively correlated with T and E2/T increased with aging. The level of serum total cholesterol (TC) increased with aging, but triglycerides ( TG ) remain unchanged; compared with young group, high -density lipoprotein cholesterol (HDL - C); HDL - C/TC of other groups decreased significantly, but low - density lipoprotein cholesterol ( LDL - C ) changed inversely;HDL- C/LDL- C reduced slightly with aging and showed no difference between groups. Apolipoprotein A1 (apoA1) and apoB all enhanced greatly with aging;meanwhile the ratio of apoAl/apoB decreased. The concentration of serum glucose (GLU) was unchanged in all life. To compare with those in the young group,CD3 + , CD4 + in other groups reduced greatly, CD4 + remained unchanged. Meanwhile, CD8 + increased significantly with aging. Compared with the young group, serum malondialdehyde(MDA) value of the old ones increased obviously, but the activity of superoxide dismutase(SOD) was reverse. By partial correlation analysis (controlling BMI, FSH, LH and PRL), TC、LDL- C、apoA1 、apoB、CD8 + 、MDA of men all presented a positive correlation with E2/T respectively,their correlation coefficients (γ) were 0.262、0.136、0.532、0.379、0.394、0.234 (P＜0.001); HDL - C、HDL - C/TC、HDL - C/LDL - C、CD3 + 、CD4 +/CD8 + 、SOD showed a negatively correlation with E2/T respectively, γequaled - 0.563、 - 0.332、 - 0.654、 -0.1530、-0.4140、-0.236(P＜0.001). In women,the serum concentrations of FSH、 LH increased significantly after menopause; PRL increased little with aging; compared with young group, E2 and P in postmenopausal groups reduced obviously, E2/P revealed significant reduce with aging. T enhanced significantly after menopause, but nor did FT. E2, P and the ratio of E2/P were negatively correlated with age respectively by bivariate correlation analysis, and a positive relation between T and age. After 70 years old, the level of TC increased obviously, and so did that of TG after menopause; HDL decreased with aging, but LDL increased after 70, with the result that the ratios of HDL - C/TC and HDL- C/LDL- C all reduced with aging; apoA1 decreased gently after 70, but apoB increased significantly after menopause; correspondingly, the ratio of apoA1/apoB declined obviously. The concentration of GLU increased with aging. CD3 + and CD4 + didn't change until 60, but reduced after 60. Compared with the young groups, CD8 + remained unchanged, CD4 +/CD8 + reduced greatly with aging, CD4 + and CD8 + presented a negatively correlation with age respectively. The value of MDA in serum of women increased notably after 70 years old, but SOD activity already decreased significantly from 60. By partial correlation analysis (controlling BMI, FSH, LH and PRL),HDL- C、 CD4 +、 CD4 +/CD8 + showed a certain correlation with E2/P respectively; γ were 0.245、 0.157、0.154 (P＜O.05); TG、 LDL、 apoB、 apoA1/ apoB、SOD presented a negatively correlation with E2/P respectively, γ were 0.452、 0.236、 0.321、 0.135、0.156、0.154、 0.426 (P＜0.05). Conclusions The Disequilibrium of SH had correlations with lipid profile, cellular immunological function and lipid peroxides and oxidation system; these suggested SH took an important role in the process of aging.