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生长抑素对胰岛素瘤患者甲苯磺丁脲诱导的胰岛素分泌无抑制作用:一种可能的诊断工具。

Failure of somatostatin to inhibit tolbutamide-induced insulin secretion in patients with insulinomas: a possible diagnostic tool.

作者信息

Lorenzi M, Gerich J E, Karam J H, Forsham P H

出版信息

J Clin Endocrinol Metab. 1975 Jun;40(6):1121-4. doi: 10.1210/jcem-40-6-1121.

DOI:10.1210/jcem-40-6-1121
PMID:166088
Abstract

The effects of somatostatin on tolbutamide-stimulated insulin release were studied in 4 patients with insulin-producing tumors of the pancreas and in 6 normal subjects. In contrast to its effective inhibition of insulin release in normal subjects, somatostatin, without exception, failed to inhibit tolbutamide-induced insulin release in the patients with pancreatic beta-cell tumors. This differential effect of somatostatin may prove useful in the diagnosis of insulin-producing tumors of the pancreas.

摘要

在4例胰腺胰岛素瘤患者和6名正常受试者中研究了生长抑素对甲苯磺丁脲刺激的胰岛素释放的影响。与它对正常受试者胰岛素释放的有效抑制作用相反,生长抑素无一例外地未能抑制胰腺β细胞瘤患者中甲苯磺丁脲诱导的胰岛素释放。生长抑素的这种差异效应可能对胰腺胰岛素瘤的诊断有用。

相似文献

1
Failure of somatostatin to inhibit tolbutamide-induced insulin secretion in patients with insulinomas: a possible diagnostic tool.生长抑素对胰岛素瘤患者甲苯磺丁脲诱导的胰岛素分泌无抑制作用:一种可能的诊断工具。
J Clin Endocrinol Metab. 1975 Jun;40(6):1121-4. doi: 10.1210/jcem-40-6-1121.
2
[Tolbutamide plus somatostatin test in the diagnosis of insulinomas].甲苯磺丁脲加生长抑素试验在胰岛素瘤诊断中的应用
Rev Clin Esp. 1982 Jan 31;164(2):105-9.
3
Inhibition by somatostatin of tolbutamide-induced insulin secretion in a patient with an insulinoma.生长抑素对一名胰岛素瘤患者中甲苯磺丁脲诱导的胰岛素分泌的抑制作用。
Neth J Med. 1976;19(1):5-7.
4
Effects of somatostatin on insulin and glucagon in patients with insulinoma.生长抑素对胰岛素瘤患者胰岛素和胰高血糖素的影响。
J Endocrinol Invest. 1979 Jul-Sep;2(3):257-60. doi: 10.1007/BF03350412.
5
Pharmacological modifications of insulin release in vitro from fuel-responsive transplantable insulinomas.
Endocrinology. 1984 Oct;115(4):1496-9. doi: 10.1210/endo-115-4-1496.
6
Insulin, proinsulin, glucagon and gastrin in pancreatic tumors and in plasma of patients with organic hyperinsulinism.胰腺肿瘤及器质性高胰岛素血症患者血浆中的胰岛素、胰岛素原、胰高血糖素和胃泌素。
J Clin Endocrinol Metab. 1977 Apr;44(4):681-94. doi: 10.1210/jcem-44-4-681.
7
Somatostatin inhibition of insulin secretion in insulin-producing tumors.生长抑素对胰岛素瘤胰岛素分泌的抑制作用。
Metabolism. 1976 Jun;25(6):603-9. doi: 10.1016/0026-0495(76)90056-1.
8
Response of islet cell tumors to enterohormones.
Horm Metab Res. 1976;Suppl 6:34-9.
9
Role of insulin and glucose in the induction of hypoaminoacidemia in man: studies in normal, juvenile diabetic, and insuloma patients.胰岛素和葡萄糖在人体低氨基酸血症诱导中的作用:对正常、青少年糖尿病和胰岛素瘤患者的研究。
J Lab Clin Med. 1975 Sep;86(3):395-409.
10
Five cases of somatostatinoma: clinical heterogeneity and diagnostic usefulness of basal and tolbutamide-induced hypersomatostatinemia.五例生长抑素瘤:临床异质性及基础和甲苯磺丁脲诱导的高生长抑素血症的诊断价值
J Clin Endocrinol Metab. 1983 Jun;56(6):1236-42. doi: 10.1210/jcem-56-6-1236.

引用本文的文献

1
Somatostatin analogues for the treatment of hyperinsulinaemic hypoglycaemia.用于治疗高胰岛素血症性低血糖症的生长抑素类似物。
Ther Adv Endocrinol Metab. 2020 Dec 2;11:2042018820965068. doi: 10.1177/2042018820965068. eCollection 2020.
2
Differentiation of insulin secretion patterns in insulinoma.胰岛素瘤中胰岛素分泌模式的分化
World J Surg. 2008 May;32(5):918-29. doi: 10.1007/s00268-007-9450-3.
3
Effects of somatostatin in a case of severe hypoglycemia due to nesidioblastosis.生长抑素对一例因胰岛细胞增殖症导致的严重低血糖的作用。
J Endocrinol Invest. 1981 Apr-Jun;4(2):209-12. doi: 10.1007/BF03350454.
4
Studies on insulin secretion by monolayer cultures of normal and tumorous human pancreatic cells. Effects of glucose, somatostatin and SMS 201-995.正常和肿瘤性人胰腺细胞单层培养物的胰岛素分泌研究。葡萄糖、生长抑素和SMS 201-995的作用。
J Endocrinol Invest. 1987 Dec;10(6):547-52. doi: 10.1007/BF03346991.
5
Gastroenteropancreatic endocrine tumors.胃肠胰内分泌肿瘤
Klin Wochenschr. 1985 May 15;63(10):433-59. doi: 10.1007/BF01731493.
6
[Somatostatin -- a review (author's transl)].[生长抑素——综述(作者译)]
Klin Wochenschr. 1976 Apr 1;54(7):293-301. doi: 10.1007/BF01471574.
7
Effects of somatostatin on insulin and glucagon in patients with insulinoma.生长抑素对胰岛素瘤患者胰岛素和胰高血糖素的影响。
J Endocrinol Invest. 1979 Jul-Sep;2(3):257-60. doi: 10.1007/BF03350412.