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尸体垂体提取的人生长激素时代(1958 - 1985年):生物学与临床方面

The Era of Cadaveric Pituitary Extracted Human Growth Hormone (1958-1985):Biological and Clinical Aspects.

作者信息

Laron Zvi

机构信息

Endocrinology and Diabetes Research Unit, Schneider Children's Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel, e-mail:

出版信息

Pediatr Endocrinol Rev. 2018 Sep;16(Suppl 1):11-16. doi: 10.17458/per.vol16.2018.la.hghcadavericpituitary.

Abstract

The first patient treated with cadaveric pituitary GH (hGH) was reported in 1958. Subsequently, collection of cadaveric pituitaries started in many countries and several centers extracted the hormone using one of two methods: a. Acetone preservation and extraction with hot glacial acetic acid (Rabin method) b. Collection in distilled water, freezing and extraction on columns yielding several pituitary hormones including hGH (Wilhelmi method). The purified extracts of hGH were found to have metabolic and growth stimulating activity but the limited amounts permitted the treatment only of children with GH deficiency (GHD). The purified hormone also permitted the development of specific radioimmunoassays enabling the study of the physiological and pharmacological actions of GH. In 1985 a number of patients treated years before with Wilhelmi hGH were diagnosed with Creutzfeld-Jacob-Disease (CJD). This led to the arrest of hGH production and the use of the then recently developed biosynthetic recombinant hGH.

摘要

1958年报道了首例接受尸体垂体生长激素(hGH)治疗的患者。随后,许多国家开始收集尸体垂体,一些中心采用以下两种方法之一提取该激素:a. 用丙酮保存并用热冰醋酸提取(拉宾法);b. 收集于蒸馏水中,冷冻后在柱上提取,可得到包括hGH在内的多种垂体激素(威廉米法)。人们发现纯化后的hGH提取物具有代谢和生长刺激活性,但由于产量有限,仅能用于治疗生长激素缺乏症(GHD)儿童。纯化后的激素还推动了特异性放射免疫分析的发展,从而能够研究生长激素的生理和药理作用。1985年,一些多年前接受威廉米法hGH治疗的患者被诊断出患有克雅氏病(CJD)。这导致hGH生产停止,并开始使用当时新开发的生物合成重组hGH。

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