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[内分泌学历史:肾上腺皮质激素发现的回忆]

[From the history of endocrinology: reminiscence of the discovery of adrenocortical hormones].

作者信息

Pura M, Kreze A

机构信息

Národný endokrinologický a diabetologický ústav-endokrinologické oddelenie, L'ubochna, SR.

出版信息

Cas Lek Cesk. 2005;144(9):648-50; discussion 650-1.

Abstract

In the article authors describe the milestones in history of discoveries of the adrenocortical hormones. Preparation of the adrenal extract cortine was the first experimental contribution. Cortine prolonged life of animals whose adrenals have been removed and had beneficial effects in patients with Addison disease (AD). It was mixture of compounds comprising carbon, hydrogen and oxygen that belong to the steroids. From those deoxycorticosterone had impact on mineral metabolism, substances that Kendall termed as compounds A, B, E, and F influenced metabolism of saccharides and proteins. In 1929 Dr. Hench had observed that the painful symptoms of rheumatoid arthritis (RA) were relieved in a patient who developed jaundice and in 1931 he remarked favourable effects of pregnancy to the course of RA. He suggested that some agent (substance X) was present during jaundice and in pregnancy through that the symptoms of RA were relieved. In 1941 interest concerned to the compound A, however, this was almost ineffective in patients with AD. In 1948 compound E was successfully administered to patients with AD and RA for the first time. Concerning the relation between vitamin E Kendall and Hench gave compound E distinctive name cortisone. Consequently it was confirmed that compound F (hydrocortisone) is the final product of the adrenal cortex. Appreciating the work of the most significant groups was awarding the Nobel Prize to Edward Kendall, Tadeusz Reichstein and Philip Hench in 1950.

摘要

在这篇文章中,作者描述了肾上腺皮质激素发现史上的里程碑。肾上腺提取物皮质素的制备是第一项实验性贡献。皮质素延长了肾上腺被切除动物的寿命,并对艾迪生病(AD)患者有有益作用。它是由属于类固醇的碳、氢和氧组成的化合物混合物。其中脱氧皮质酮对矿物质代谢有影响,肯德尔称为化合物A、B、E和F的物质影响糖类和蛋白质的代谢。1929年,亨奇医生观察到一名患黄疸的类风湿关节炎(RA)患者的疼痛症状得到缓解,1931年他提到怀孕对RA病程有有利影响。他认为黄疸和怀孕期间存在某种因子(物质X),通过它RA的症状得以缓解。1941年人们对化合物A产生兴趣,然而,它对AD患者几乎无效。1948年,化合物E首次成功用于AD和RA患者。关于维生素E与肯德尔和亨奇的关系,他们给化合物E起了个独特的名字——可的松。随后证实化合物F(氢化可的松)是肾上腺皮质的最终产物。鉴于最重要研究团队的工作,1950年爱德华·肯德尔、塔德乌什·赖希施泰因和菲利普·亨奇被授予诺贝尔奖。

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