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[肢端肥大症患者垂体生长激素对多巴胺能药物的异常反应研究]

[Studies on the abnormal response of pituitary somatotropin to dopaminergic drugs in patients with acromegaly].

作者信息

Shi Y F

机构信息

PUMC Hospital, Beijing.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1990 Jun;12(3):168-72.

PMID:2150352
Abstract

This article studies the effects of dopaminergic drugs on the pituitary GH secreting adenoma. The secretion of GH was enhanced and suppressed in 6 normal adults and 5 acromegalic patients respectively after intravenous infusion of dopamine and oral ingestion of L-dopa. Simultaneous administration of L-dopa and carbidopa (a drug that inhibits the conversion of L-dopa to dopamine in peripheral tissue) showed no suppressive or stimulatory effect on the secretion of GH in acromegaly. This result indicates that an abnormality in the GH secreting cell may be the cause of the different responses of GH to dopaminergic drugs in acromegaly.

摘要

本文研究了多巴胺能药物对垂体生长激素分泌腺瘤的影响。分别对6名正常成年人和5名肢端肥大症患者静脉输注多巴胺和口服左旋多巴后,生长激素的分泌分别增强和受到抑制。同时给予左旋多巴和卡比多巴(一种抑制外周组织中左旋多巴转化为多巴胺的药物)对肢端肥大症患者生长激素的分泌没有抑制或刺激作用。这一结果表明,生长激素分泌细胞的异常可能是肢端肥大症中生长激素对多巴胺能药物产生不同反应的原因。

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