Slavnov V N, Markov V V, Luchitskiĭ E V, Iakovlev A A, Komissarenko I V
Probl Endokrinol (Mosk). 1988 Sep-Oct;34(5):19-23.
The results of investigation of the secretion of hypophyseal, adrenal and renal hormones resulting from parlodel administration in 44 patients with Itsenko-Cushing disease were discussed. Concentrations of corticotropin (ACTH), prolactin, somatotropin (STH), thyrotropin (TSH), cortisol, aldosterone, adrenalin, noradrenaline, dopamine and blood renin activity were determined by radioimmunoassays and radioenzymatic methods on an empty stomach and 30, 60 min., 2, 4 and 24 h after parlodel administration (2.5 mg) per os. Parlodel administration in Itsenko-Cushing disease was shown to cause a decrease in the secretion of hypophyseal hormones (ACTH, prolactin and STH). The level of cortisol raised before the start of the investigation was gradually decreased after the drug administration and reached its minimum in 2-4 h. Correlation of the basal level of aldosterone and blood renin activity, and a response of the renin-angiotensin-aldosterone system to parlodel administration was revealed. Changes in the secretion of catecholamines were of diverse nature: a decrease in the blood concentration of noradrenaline in the absence of adrenalin and dopamine shifts.
讨论了对44例库欣病患者口服溴隐亭(2.5mg)后垂体、肾上腺和肾脏激素分泌情况的研究结果。采用放射免疫分析和放射酶法,于空腹时及口服溴隐亭后30分钟、60分钟、2小时、4小时和24小时,测定促肾上腺皮质激素(ACTH)、催乳素、生长激素(STH)、促甲状腺激素(TSH)、皮质醇、醛固酮、肾上腺素、去甲肾上腺素、多巴胺及血液肾素活性的浓度。结果显示,库欣病患者口服溴隐亭后,垂体激素(ACTH、催乳素和STH)分泌减少。研究开始前升高的皮质醇水平在用药后逐渐下降,并在2 - 4小时达到最低值。揭示了醛固酮基础水平与血液肾素活性的相关性,以及肾素 - 血管紧张素 - 醛固酮系统对溴隐亭给药的反应。儿茶酚胺分泌的变化具有多种性质:去甲肾上腺素血浓度降低,而肾上腺素和多巴胺无变化。