促甲状腺激素释放激素(TRH)诱导肢端肥大症患者腺瘤细胞体内和体外释放7B2(神经内分泌多肽)。

S Natori, H Iguchi, M Ohashi, T Kitamoto, M Chrétien, H Nawata
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引用次数: 1

摘要

我们证明了trh诱导的7B2(一种神经内分泌多肽)在体内和体外(生长营养腺瘤细胞)在肢端肥大症患者中的释放。术前平均基础血浆7B2和生长激素(GH)水平分别为142.8 +/- 3.2 ng/l和52.4 +/- 1.6微克/l(平均+/- SEM),静脉注射500微克促甲状腺激素释放激素(TRH)后显著升高。经蝶窦腺瘤切除术后,血浆GH基础水平恢复正常,血浆7B2略有下降。此外,trh诱导的血浆7B2和GH的反应在术后消失。在手术获得的生长滋长性腺瘤细胞的原代培养中,TRH显著诱导7B2和GH的分泌。免疫组化研究显示,生长滋长性腺瘤细胞7B2和GH免疫反应阳性。这些结果强烈提示本病例的生长滋长性腺瘤细胞在生长激素的同时产生和释放7B2。
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Thyrotropin releasing hormone (TRH)-induced release of 7B2 (neuroendocrine polypeptide) in vivo and in vitro using adenoma cells of a patient with acromegaly.

We demonstrated TRH-induced release of 7B2 (a neuroendocrine polypeptide) in vivo and in vitro (somatotroph adenoma cells) in a patient with acromegaly. The mean basal plasma 7B2 and growth hormone (GH) levels before operation were 142.8 +/- 3.2 ng/l and 52.4 +/- 1.6 micrograms/l (mean +/- SEM), respectively and these levels significantly rose after an i.v. administration of 500 micrograms of thyrotropin releasing hormone (TRH). After the transsphenoidal adenomectomy, the basal level of plasma GH was restored to the normal level and that of plasma 7B2 was slightly decreased. In addition, TRH-induced response of plasma 7B2 and GH disappeared post-operatively. In a primary culture of somatotroph adenoma cells obtained at surgery, TRH significantly induced secretions of both 7B2 and GH. Immunohistochemical studies showed the positive 7B2 and GH immunoreactivities in somatotroph adenoma cells. These findings strongly suggest that the somatotroph adenoma cells in this case produced and released 7B2 concomitant with GH.

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