Gossain V V, Dimitrov N, Ashby D, Rovner D R, Goldstein A
Department of Medicine, Michigan State University, East Lansing 4824-1317.
J Med. 1988;19(5-6):335-43.
Several interactions between thymosin (fraction 5) and the endocrine system have been described in animals, but its effects in humans have not been studied. Plasma levels of glucose, insulin and glucagon were obtained in response to a glucose load before and after treatment with thymosin in eight patients. The glucose tolerance was normal in all subjects and remained so following thymosin administration. No significant changes in the levels of glucagon and insulin were obtained. In six patients, baseline levels of plasma cortisol and ACTH were also obtained. Four out of six patients demonstrated an increase in ACTH levels although the mean differences did not achieve statistical significance. Plasma cortisol levels also did not change significantly. We conclude that thymosin given over a short term is unlikely to significantly influence carbohydrate metabolism. Since four out of six patients showed an increase in basal ACTH levels, it suggests that thymosin may affect the hypothalamic pituitary/adrenal axis. However, further study is needed for complete evaluation of these effects.
动物实验中已发现胸腺素(5组分)与内分泌系统之间存在多种相互作用,但尚未对其在人体中的作用进行研究。在8名患者中,于胸腺素治疗前后给予葡萄糖负荷,测定血浆葡萄糖、胰岛素和胰高血糖素水平。所有受试者的糖耐量均正常,给予胸腺素后仍保持正常。胰高血糖素和胰岛素水平未出现显著变化。在6名患者中,还测定了血浆皮质醇和促肾上腺皮质激素(ACTH)的基础水平。6名患者中有4名ACTH水平升高,尽管平均差异未达到统计学显著性。血浆皮质醇水平也未出现显著变化。我们得出结论,短期给予胸腺素不太可能对碳水化合物代谢产生显著影响。由于6名患者中有4名基础ACTH水平升高,这表明胸腺素可能影响下丘脑-垂体/肾上腺轴。然而,需要进一步研究以全面评估这些作用。