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A case of Graves' disease with false hyperthyrotropinemia who developed silent thyroiditis. Graves病合并假甲状腺球蛋白高血症并发隐匿性甲状腺炎1例。
Pub Date : 1991-12-01 DOI: 10.1507/endocrj1954.38.667
M Iitaka, J Ishii, N Ishikawa, H Yoshimura, N Momotani, H Saitou, K Ito

We encountered a patient who developed silent thyroiditis during the course of Graves' disease. The diagnosis of silent thyroiditis was made on the basis of a low thyroidal 131I uptake, no response to the thyrotropin releasing hormone (TRH) test, and subsequent hypothyroidism despite the presence of high titers of thyrotropin (TSH) receptor antibody (TRAb) and thyroid stimulating antibody (TSAb). The patient, in addition, had a discrepancy between serum TSH and thyroid hormone values. This was due to the presence of interfering substances that react to mouse IgG in the sera since serum TSH levels were decreased in a dose dependent manner by the addition of increasing amounts of mouse IgG to the sera. It should therefore be noted that silent thyroiditis can develop in patients with Graves' disease. Furthermore, clinicians should be aware that two-site immunoassay kits that use mouse monoclonal antibodies are subject to interference by some substances, possibly antibodies which react to mouse IgG.

我们遇到一位在格雷夫斯病病程中发展为隐匿性甲状腺炎的病人。无症状甲状腺炎的诊断是基于低甲状腺131I摄取,对促甲状腺激素释放激素(TRH)试验无反应,尽管存在高滴度的促甲状腺激素(TSH)受体抗体(TRAb)和促甲状腺抗体(TSAb),但随后的甲状腺功能减退。此外,患者血清TSH和甲状腺激素值存在差异。这是由于在血清中加入越来越多的小鼠IgG,血清TSH水平以剂量依赖的方式降低,因此存在与血清中小鼠IgG发生反应的干扰物质。因此,应注意,隐匿性甲状腺炎可发生在格雷夫斯病患者。此外,临床医生应该意识到,使用小鼠单克隆抗体的双位点免疫测定试剂盒会受到某些物质的干扰,可能是对小鼠IgG起反应的抗体。
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引用次数: 11
Clinical evaluation of accuracy in determining serum free thyroxine and free triiodothyronine in patients with non-thyroidal illness: immunoglobulin effect on T3/TBG ratio and T4/TBG ratio. 非甲状腺疾病患者血清游离甲状腺素和游离三碘甲状腺原氨酸测定准确性的临床评价:免疫球蛋白对T3/TBG比值和T4/TBG比值的影响
Pub Date : 1991-12-01 DOI: 10.1507/endocrj1954.38.633
T Hashimoto, K Kawai, M Nishibu, S Fujita, H Horita

We examined the effect of endogenous immunoglobulins (G, A and M) and albumin on the measurement of thyroid hormones by different methods, including a new non-isotopic immunoassay of free thyroxine (FT4) and free triiodothyronine (FT3), in a large number of patients with non-thyroidal illness (NTI). Variations in serum protein concentrations can affect the results of radioimmunoassay of human thyroid hormones and thyroxine binding globulin (TBG). Our data revealed that in patients with non-thyroidal illness, when fluctuations in serum gamma-globulin occurred the T3/TBG and T4/TBG ratios altered. Consequently, when patients are suffering from non-thyroidal illness with changing gamma-globulin levels, clinical scientists should take care when they use T3/TBG and T4/TBG ratios as a substitute for FT3 or FT4 estimation. We found FT4 and FT3 (determined with Amerlex-M kits) T3 and the T3/TBG ratio were altered inversely due to the difference in the serum gamma-globulin levels. A recently developed enhanced luminescence enzyme immunoassay for FT3 and FT4 (Amerlite FT3 and FT4 kits) provides more reliable and accurate results, because of its resistance to interference, especially from albumin and gamma-globulin.

我们研究了内源性免疫球蛋白(G、A和M)和白蛋白对大量非甲状腺疾病(NTI)患者甲状腺激素测量的影响,包括一种新的非同位素免疫分析法——游离甲状腺素(FT4)和游离三碘甲状腺原氨酸(FT3)。血清蛋白浓度的变化会影响人甲状腺激素和甲状腺素结合球蛋白(TBG)的放射免疫测定结果。我们的数据显示,在非甲状腺疾病患者中,当血清γ -球蛋白发生波动时,T3/TBG和T4/TBG比值发生改变。因此,当患者患有γ -球蛋白水平变化的非甲状腺疾病时,临床科学家在使用T3/TBG和T4/TBG比值代替FT3或FT4时应谨慎。我们发现FT4和FT3(用Amerlex-M试剂盒测定)T3和T3/TBG比值由于血清γ -球蛋白水平的差异而呈负相关改变。最近开发的一种针对FT3和FT4的增强型发光酶免疫分析法(Amerlite FT3和FT4试剂盒)提供了更可靠和准确的结果,因为它具有抗干扰性,特别是白蛋白和γ -球蛋白。
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引用次数: 4
Effects of a beta 3-adrenoceptor agonist, BRL 26830A, on insulin and glucagon release in mice. β 3-肾上腺素能受体激动剂BRL 26830A对小鼠胰岛素和胰高血糖素释放的影响。
Pub Date : 1991-12-01 DOI: 10.1507/endocrj1954.38.641
T Yoshida, N Hiraoka, M Kondo

The beta 3-adrenoceptor agonist, BRL 26830A, which is not inhibited by either beta 1 or beta 2-selective antagonists, has been shown to possess anti-obesity and anti-diabetic actions. However, the effects of this agent on insulin and glucagon release have not yet been substantiated. Therefore, we tested the hypothesis that BRL 26830A promotes insulin and glucagon secretion via beta 3 receptors on pancreatic islet B and A cells. In ICR mice fasted for 48 h, BRL 26830A significantly stimulated insulin secretion from 5 min after administration, markedly decreased blood glucose levels from 30 min after administration, and significantly increased glucagon secretion from 30 min after administration. The administration of a non-selective beta-receptor antagonist, at a dose of 50 mg/kg, 30 min prior to BRL 26830A injection completely abolished the effects induced by BRL 26830A. However, the administration of a beta 1-selective antagonist at doses of 50 or 100 mg/kg did not produce any significant effects. On the action of BRL 26830A, whereas the administration of a beta 2-selective antagonist at 50 mg/kg, a near maximal effective dose, partially abolished the effects of BRL 26830A. BRL 26830A had no effect on insulin, glucagon, or glucose levels in streptozocin (STZ) diabetic mice fasted for 48 h. These results suggest that, in mice, BRL 26830A may promote insulin secretion mainly via beta 3 receptors and partially via beta 2 receptors on pancreatic-islet B cells, and that glucagon may be secreted as the result of hypoglycemia induced by this agent.

β 3肾上腺素能受体激动剂BRL 26830A不受β 1或β 2选择性拮抗剂的抑制,已被证明具有抗肥胖和抗糖尿病的作用。然而,这种药物对胰岛素和胰高血糖素释放的影响尚未得到证实。因此,我们验证了BRL 26830A通过胰岛B和A细胞上的β 3受体促进胰岛素和胰高血糖素分泌的假设。在禁食48 h的ICR小鼠中,BRL 26830A在给药后5分钟显著刺激胰岛素分泌,在给药后30分钟显著降低血糖水平,在给药后30分钟显著增加胰高血糖素分泌。在BRL 26830A注射前30分钟给予非选择性β受体拮抗剂50 mg/kg,完全消除BRL 26830A诱导的效应。然而,50或100 mg/kg剂量的β 1选择性拮抗剂的施用没有产生任何显著的影响。在BRL 26830A的作用上,β 2选择性拮抗剂50mg /kg(接近最大有效剂量)可部分消除BRL 26830A的作用。BRL 26830A对禁食48小时的STZ糖尿病小鼠的胰岛素、胰高血糖素和葡萄糖水平没有影响。这些结果表明,BRL 26830A可能主要通过胰岛B细胞上的β 3受体和部分通过β 2受体促进胰岛素分泌,并且胰高血糖素可能是由于该药物引起的低血糖而分泌的。
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引用次数: 15
Disturbance of thyroidal iodine metabolism in BB/W rat. BB/W大鼠甲状腺碘代谢紊乱。
Pub Date : 1991-12-01 DOI: 10.1507/endocrj1954.38.647
S Miura, Y Hara, M Iitaka, N Fukasawa, K Hase, M Urabe, Y Sakatsume, M Yanagisawa, J Ishii, S Kawazu
To investigate the thyroid function in Bio-Breeding Worcester (BB/W) rats, we have examined the iodine metabolism, serum TSH and thyroid hormone levels in 8- and 16-week-old BB/W and normal Wistar (W) rats. At 8 weeks of age, serum TSH levels were significantly higher in BB/W rats than in W rats, although there was no difference in the serum levels of free T3 and free T4. Furthermore, the thyroidal radioactive iodine incorporation at 48 h was significantly lower in BB/W rats, suggesting that they might have some defects in iodine organification. At 16 weeks of age, serum TSH levels were also significantly higher in BB/W rats than in W rats. Furthermore, serum TSH levels in 16-week-old BB/W rats were significantly higher than in 8-week-old BB/W rats. The thyroid weight was significantly greater in BB/W rats, probably due to the increased serum TSH. The thyroidal radioactive iodine uptake at 48 h and the iodine content in the thyroid homogenates were significantly lower in BB/W rats. These results suggest that BB/W rats have some defect in iodine metabolism resulting in impaired thyroid hormone synthesis.
为了研究生物育种伍斯特(BB/W)大鼠的甲状腺功能,我们检测了8、16周龄BB/W和正常Wistar (W)大鼠的碘代谢、血清TSH和甲状腺激素水平。8周龄时,BB/W大鼠血清TSH水平显著高于W大鼠,但血清游离T3和游离T4水平无显著差异。此外,BB/W大鼠48 h甲状腺放射性碘掺入量明显降低,提示BB/W大鼠可能在碘组织方面存在缺陷。16周龄时,BB/W大鼠血清TSH水平也显著高于W大鼠。16周龄BB/W大鼠血清TSH水平显著高于8周龄BB/W大鼠。BB/W大鼠甲状腺重量明显增加,可能是由于血清TSH升高。BB/W大鼠48 h甲状腺放射性碘摄取和甲状腺匀浆中碘含量显著降低。提示BB/W大鼠碘代谢存在一定缺陷,导致甲状腺激素合成受损。
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引用次数: 4
Nucleotide sequences of cDNA clones, pSv-1 and pSv-2, hybridizing to androgen-stimulated mRNAs in rat seminal vesicles. 大鼠精囊中与雄激素刺激mrna杂交的cDNA克隆pSv-1和pSv-2的核苷酸序列。
Pub Date : 1991-12-01 DOI: 10.1507/endocrj1954.38.577
M Izawa

In order to further characterize the cDNA clones, pSv-1 and pSv-2, which had been newly isolated from a cDNA library of intact rat seminal vesicles as clones hybridizing to androgen-stimulated mRNAs of approximately 1,500 and 3,500 nucleotides in length, respectively, the whole nucleotide sequences were determined. The pSv-1 and pSv-2 were 1135 and 1819 nucleotides in length, respectively, and seemed not to contain entire sequences corresponding to the mRNAs. When the 0.7 kb HindIII fragments from pSv-1 and the 1 kb fragments from pSv-2 were used to probe rat genomic DNA that had been digested with four restriction enzymes, the Southern blots suggested the existence of multiple genes related to pSv-1 and a single gene related to pSv-2. These results suggest that pSv-1 and pSv-2 provide useful probes not only for further characterization of products encoded by the mRNAs, but also for the study on the physiological roles of androgen-dependent gene expression in rat seminal vesicles.

为了进一步鉴定从完整大鼠精囊cDNA文库中新分离到的pSv-1和pSv-2克隆与雄激素刺激的mrna杂交,其长度分别约为1500和3500个核苷酸,我们测定了它们的全核苷酸序列。pSv-1和pSv-2的长度分别为1135和1819个核苷酸,似乎不包含与mrna对应的完整序列。用4种限制性内切酶酶切后的0.7 kb的pSv-1和1 kb的pSv-2的HindIII片段检测大鼠基因组DNA,结果显示存在多个与pSv-1相关的基因和一个与pSv-2相关的基因。这些结果表明,pSv-1和pSv-2不仅为进一步表征mrna编码产物提供了有用的探针,而且为研究雄激素依赖性基因在大鼠精囊中的生理作用提供了有用的探针。
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引用次数: 3
Salmon calcitonin induces pituitary tumor in rats. 鲑鱼降钙素诱导大鼠垂体瘤。
Pub Date : 1991-12-01 DOI: 10.1507/endocrj1954.38.705
J Ishii, S Katayama, A Itabashi, M Takahama, S Kawazu

Calcitonin is widely used in the treatment of post-menopausal osteoporosis. The present study was designed to investigate the effects of salmon calcitonin (SCT) on the incidence of the pituitary tumors in Sprague-Dawley (SD) rats. Subcutaneous injections of SCT at a dose of 160 IU/kg/day for 6 months reduced body weight and induced one pituitary hyperplasia and three pituitary adenomas in 4 of 5 animals, while 5 controls did not show any changes. Prolactin-positive cells were located at the periphery of the affected pituitaries adjacent to the prolactin-negative adenomas. In addition, serum concentrations of prolactin and TSH were lower than in the controls, although serum calcium or LH levels were not significantly different from the controls. Among 7 animals treated with SCT for 6 months followed by no medication for another 6 months, 5 adenomas were detected, one of which had invasive growth toward the adjacent tissue, whereas only one adenoma was found in 9 controls. These results suggest that SCT administration at a high dose may induce the formation of pituitary adenoma, or may accelerate the development of spontaneous pituitary adenomas, some of which show frequent mitotic figures and invasive growth into the surrounding tissue, possibly resulting in malignant transformation. This indicates the need for caution in considering whether calcitonin injections into patients with osteoporosis as well as Paget's disease may induce such pituitary tumors.

降钙素广泛用于治疗绝经后骨质疏松症。本研究旨在探讨鲑鱼降钙素(SCT)对Sprague-Dawley (SD)大鼠垂体肿瘤发生的影响。皮下注射剂量为160 IU/kg/天的SCT,持续6个月,5只动物中有4只体重减轻,并诱导1例垂体增生和3例垂体腺瘤,而5只对照组没有出现任何变化。催乳素阳性细胞位于与催乳素阴性腺瘤相邻的受累垂体周围。此外,血清催乳素和TSH浓度低于对照组,但血清钙和LH水平与对照组无显著差异。在7只接受SCT治疗6个月后再无药物治疗6个月的动物中,检测到5个腺瘤,其中1个向邻近组织浸润性生长,而在9只对照组中仅发现1个腺瘤。提示高剂量SCT可诱导垂体腺瘤的形成,或加速自发性垂体腺瘤的发展,部分自发性垂体腺瘤表现为频繁的有丝分裂象,并向周围组织浸润生长,可能发生恶性转化。这提示在考虑骨质疏松症和Paget病患者注射降钙素是否会诱发此类垂体瘤时需要谨慎。
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引用次数: 7
Lack of PTC gene (ret proto-oncogene rearrangement) in human thyroid tumors. PTC基因(ret原癌基因重排)在人甲状腺肿瘤中的缺失。
Pub Date : 1991-12-01 DOI: 10.1507/endocrj1954.38.627
H Namba, S Yamashita, H C Pei, N Ishikawa, M C Villadolid, T Tominaga, H Kimura, M Tsuruta, N Yokoyama, M Izumi

PTC gene, which is derived from the rearranged form of the ret proto-oncogene, was originally discovered in human thyroid papillary carcinomas. This gene has been thought to act as a tumorigenetic factor in thyroid carcinoma, although the action of PTC oncogene products is still unknown. To study the frequency of the PTC gene present in human thyroid carcinomas, we investigated four cell lines derived from thyroid carcinoma and 22 thyroid tumor tissue specimens. The reverse transcriptase-polymerase chain reaction (RT-PCR) method was performed to detect putative PTC mRNA. The presence of the PTC gene in genomic DNA was analyzed by Southern blot hybridization. PTC mRNA was detected by the RT-PCR method in only one papillary carcinoma cell line (TPC-1 cell). Southern gel analysis confirmed the rearrangement of the ret proto-oncogene in this cell line. In the other three cell lines and 22 tumor tissue specimens, however, neither the PTC gene or mRNA was detected. These results demonstrate that the prevalence of the PTC gene in thyroid tumor is low and may not be essential for human thyroid tumorigenesis. That our present results conflict with previous reports may be due to general differences in genetic background among races.

PTC基因源于ret原癌基因的重排形式,最初是在人甲状腺乳头状癌中发现的。尽管PTC癌基因产物的作用尚不清楚,但该基因被认为是甲状腺癌的一个致瘤因子。为了研究PTC基因在人甲状腺癌中的表达频率,我们研究了4个甲状腺癌细胞系和22个甲状腺肿瘤组织标本。采用逆转录聚合酶链反应(RT-PCR)方法检测推测的PTC mRNA。采用Southern blot杂交分析PTC基因在基因组DNA中的存在。RT-PCR法仅在1株乳头状癌细胞(TPC-1细胞)中检测到PTC mRNA。Southern凝胶分析证实了ret原癌基因在该细胞系中的重排。而在另外3个细胞系和22个肿瘤组织标本中,PTC基因和mRNA均未被检测到。这些结果表明PTC基因在甲状腺肿瘤中的流行率很低,可能不是人类甲状腺肿瘤发生所必需的。我们目前的结果与以前的报告相冲突,可能是由于种族间遗传背景的普遍差异。
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引用次数: 27
Isolation and characterization of cDNA clones for castration-induced mRNAs in the rat ventral prostate. 大鼠腹侧前列腺去势诱导mrna cDNA克隆的分离与鉴定。
Pub Date : 1991-12-01 DOI: 10.1507/endocrj1954.38.619
Y Hoshikawa, Y Satoh, S Ichii

To identify gene products involved in castration-induced involution of the rat ventral prostate, we constructed a subtraction cDNA library of the ventral prostate from rats castrated for 48 h. The library was screened with subtracted cDNA probes enriched for sequences with a low copy number expressed in intact or castrated rats. As a result of differential screening, 48 cDNA clones representing 10 different induced mRNAs were isolated. The time course of these mRNA inductions after castration was examined. Within the first 24 h after castration, the level of mRNAs for these cDNA clones was significantly increased and it reached its peak by 48-72 h after castration. Although mRNAs for these cDNA clones were expressed in various tissues from intact rats, an increase in mRNA as a response to castration was observed only in the ventral prostate. Partial sequence analyses of the 10 cDNA clones indicate that three cDNA clones represent rat glutathione S-transferase Yb-1, Yb-2 and Yb-3 subunit mRNA sequences, but for others respective homologues could not be found in a search of the GenBank database (release 67).

为了鉴定与去势诱导的大鼠腹侧前列腺退化相关的基因产物,我们构建了一个去势48 h大鼠腹侧前列腺的减法cDNA文库。对文库进行筛选的减法cDNA探针富集了在完整或去势大鼠中表达的低拷贝数序列。通过差异筛选,分离到48个cDNA克隆,分别代表10种不同的诱导mrna。观察去势后这些mRNA诱导的时间过程。在去势后24 h内,这些cDNA克隆的mrna水平显著升高,在去势后48 ~ 72 h达到峰值。尽管这些cDNA克隆的mRNA在完整大鼠的各种组织中都有表达,但作为阉割的反应,mRNA的增加仅在前列腺腹侧观察到。对10个cDNA克隆的部分序列分析表明,其中3个cDNA克隆代表大鼠谷胱甘肽s -转移酶Yb-1、Yb-2和Yb-3亚基mRNA序列,而其他cDNA克隆在GenBank数据库(release 67)中搜索不到各自的同源物。
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引用次数: 4
Radioimmunoassay with heterologous antibody (hetero-antibody RIA): utilization of highly cross-reactive antibody present in polyclonal antiserum. 异源抗体放射免疫测定(hetero-antibody RIA):利用多克隆抗血清中存在的高交叉反应抗体。
Pub Date : 1991-12-01 DOI: 10.1507/endocrj1954.38.673
A Iwasawa, H Hayashi, Z Itoh, K Wakabayashi

To develop a homologous radioimmunoassay (RIA) for a hormone of a small or rare animal often meets difficulty in collecting a large amount of purified antigen required for antibody production. On the other hand, to employ a heterologous RIA to estimate the hormone often gives poor sensitivity. To overcome this difficulty, a "hetero-antibody" RIA was studied. In a hetero-antibody RIA system, a purified preparation of a hormone is used for radioiodination and standardization and a heterologous antibody to the hormone is used for the first antibody. Canine motilin and rat LH were selected as examples, and anti-porcine motilin and anti-hCG, anti-hCG beta or anti-ovine LH beta was used as the heterologous antibody. The sensitivities of the hetero-antibody RIAs were much higher than those of heterologous RIAs in any case, showing that these hetero-antibody RIA systems were suitable for practical use. To clarify the principle of hetero-antibody RIA, antiserum to porcine motilin was fractionated on an affinity column where canine motilin was immobilized. The fraction bound had greater constants of affinity with both porcine and canine motilins than the rest of the antibody fractions. This fraction also reacted with a synthetic peptide corresponding to the C-terminal sequence common to porcine and canine motilins in a competitive binding test with labeled canine motilin. These results suggest that an antibody population having high affinity and cross-reactivity is present in polyclonal antiserum and indicate that the population can be used in hetero-antibody RIA at an appropriate concentration.

在对小型或稀有动物的激素进行同源放射免疫测定(RIA)时,往往难以收集到生产抗体所需的大量纯化抗原。另一方面,采用异源RIA来估计激素往往灵敏度较差。为了克服这一困难,研究了一种“异抗体”RIA。在异抗体RIA系统中,激素的纯化制剂用于放射碘化和标准化,激素的异源抗体用于第一抗体。以犬胃动素和大鼠LH为例,以抗猪胃动素和抗hcg、抗hcg β或抗羊LH β为异源抗体。在任何情况下,异种抗体RIA系统的灵敏度都远高于异种RIA系统,表明这些异种抗体RIA系统适合实际应用。为了阐明异抗体RIA的原理,将猪胃动素抗血清在固定犬胃动素的亲和柱上分离。与其他抗体片段相比,该片段界与猪和犬的运动素具有更大的亲和力常数。在竞争性结合试验中,该部分还与猪和犬运动素共同的c端序列对应的合成肽反应。这些结果表明,在多克隆抗血清中存在一个具有高亲和力和交叉反应性的抗体群体,表明该群体可以在适当的浓度下用于异抗体RIA。
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引用次数: 3
Involvement of protein kinase C in angiotensin II-mediated release of 12-hydroxyeicosatetraenoic acid in bovine adrenal glomerulosa cells. 蛋白激酶C参与血管紧张素ii介导的牛肾上腺肾小球细胞中12-羟基二十碳四烯酸的释放。
Pub Date : 1991-12-01 DOI: 10.1507/endocrj1954.38.611
H Shibata, I Kojima

The present study was conducted to determine whether protein kinase C was involved in angiotensin II-mediated release of 12-hydroxyeicosatetraenoic acid (12-HETE) from bovine adrenal glomerulosa cells. Activators of protein kinase C, 12-O-tetradecanoylphorbol 4-acetate (TPA) and 1-oleoyl-2-acetylglycerol (OAG), significantly increased release of 12-HETE. The effect of OAG was potentiated by BAYK8644, a stimulator of calcium entry. Sphingosine, H-7 and staurosporine, which inhibited the activity of protein kinase C in vitro, almost completely blocked 12-HETE release induced by TPA. These agents also significantly reduced angiotensin II-mediated 12-HETE release. When time course of the liberation of 12-HETE was measured, angiotensin II elicited sustained release of 12-HETE, which was inhibited by staurosporine. These results indicate that angiotensin II induces sustained release of 12-HETE, a feed forward regulator of aldosterone secretion, and that protein kinase C may be involved in this process.

本研究旨在确定蛋白激酶C是否参与血管紧张素ii介导的牛肾上腺肾小球细胞中12-羟基二碳四烯酸(12-HETE)的释放。蛋白激酶C的激活剂,12- o -十四烷醇- 4-乙酸酯(TPA)和1-油基-2-乙酰甘油(OAG),显著增加12-HETE的释放。钙离子进入刺激剂BAYK8644可增强OAG的作用。体外抑制蛋白激酶C活性的鞘氨醇、H-7和星孢素几乎完全阻断TPA诱导的12-HETE释放。这些药物也显著降低血管紧张素ii介导的12-HETE释放。测量12-HETE释放的时间过程,血管紧张素II引起12-HETE的缓释,而staurosporine抑制了这种缓释。这些结果表明,血管紧张素II诱导了醛固酮分泌前传调节剂12-HETE的持续释放,蛋白激酶C可能参与了这一过程。
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引用次数: 5
期刊
Endocrinologia japonica
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