[免疫增生性肿瘤刺激自身生长的正反馈机制]。

Bilten za hematologiju i transfuziju Pub Date : 1983-01-01
B Pekić, M Popović, K Pavelić, V Bratić-Mikes
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摘要

根据部分增生性肿瘤患者的临床表现和实验数据,提出了肿瘤刺激自身生长的正反馈机制假说。在一些患有霍奇金病和非霍奇金淋巴瘤(即白血病)的患者中,发现血液中与胰岛素免疫交叉反应的物质(SICRI)水平高,血糖值低,生长激素值升高。这些发现与疾病的状态和阶段有关。在疾病的晚期,缓解期患者的胰岛素样物质浓度较高,血糖水平较低。胰岛素样物质SICRI水平升高与SICRI水平呈高相关性,表现出更快的增长。可以肯定的是,一些肿瘤细胞会分泌这些物质。在患有黑色素瘤的小鼠中,在血液中发现了高浓度的这些物质、生长激素和低血糖水平。在这些发现的基础上,提出了肿瘤刺激自身生长的正反馈机制假说。肿瘤分泌SICRI,降低血液中的葡萄糖浓度。低血糖是刺激垂体向血液中释放生长激素。这种激素可能刺激肿瘤细胞的蛋白质合成和复制,导致SICRI分泌增加等。这种正反馈机制的最终结果是肿瘤更快生长和宿主死亡。
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[Positive feedback mechanisms by which immunoproliferative tumors stimulate their own growth].

Based on clinical findings of patients with some proliferative tumors and experimental data, a hypothesis of positive feedback mechanism by which tumor stimulates its own growth has been formulated. In some patients with Hodgkin's disease and non-Hodgkin's lymphomas, i.e. leukemias, the high levels of substances immunologically cross reactive with insulin (SICRI), low glycemic values and increased values of growth hormone were found in the blood. These findings were in correlation with the status and stages of the disease. In a more advanced stage of the disease, the concentration of insulin-like substances was higher and glucose levels were lower in patients in remission. The high correlation was found between the increased SICRI levels of insulin-like substances showed faster growth. It is certain that some tumor cells excrete these substances. In mice with melanomas, high concentrations of these substances, growth hormone and low glucose levels were found in the blood. On the basis of these findings a hypothesis was formulated about positive feedback mechanism by which tumors stimulates their own growth. Tumor excretes SICRI which decreases glucose concentration in the blood. Hypoglycemia is a stimulation for the pituitary to release growth hormone into the blood. This hormone probably stimulates protein synthesis and replication of tumor cells contributing to increased SICRI excretion, etc. The final results of this positive feedback mechanism is faster growth of tumor and death of host.

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