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多巴胺激动剂:从 20 世纪 70 年代至今。

Dopamine Agonists: From the 1970s to Today.

机构信息

Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.

Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy,

出版信息

Neuroendocrinology. 2019;109(1):34-41. doi: 10.1159/000499470. Epub 2019 Mar 11.

DOI:10.1159/000499470
PMID:30852578
Abstract

The discovery of dopamine inhibitory effects on prolactin secretion has led to an era of successful dopaminergic therapy for prolactinomas. Herein we provide an overview of the evolution of dopamine agonists and their use in patients with PRL-secreting pituitary tumors, starting from the 1970s up to today, highlighting that normalization of PRL levels, restoration of eugonadism, and reduction of tumor mass can be achieved in the majority of patients by treatment with dopamine agonists.

摘要

多巴胺对催乳素分泌的抑制作用的发现开创了催乳素瘤多巴胺能治疗的成功时代。在此,我们回顾了多巴胺激动剂的发展历程及其在泌乳素分泌型垂体瘤患者中的应用,从 20 世纪 70 年代至今,重点强调大多数患者通过多巴胺激动剂治疗可以实现催乳素水平正常化、性腺功能恢复正常以及肿瘤体积缩小。

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1
Dopamine Agonists: From the 1970s to Today.多巴胺激动剂:从 20 世纪 70 年代至今。
Neuroendocrinology. 2019;109(1):34-41. doi: 10.1159/000499470. Epub 2019 Mar 11.
2
Hormone levels and tumour size response to quinagolide and cabergoline in patients with prolactin-secreting and clinically non-functioning pituitary adenomas: predictive value of pituitary scintigraphy with 123I-methoxybenzamide.分泌催乳素和临床无功能垂体腺瘤患者中激素水平及肿瘤大小对喹高利特和卡麦角林的反应:123I-甲氧基苄胺垂体闪烁显像的预测价值
Clin Endocrinol (Oxf). 2000 Apr;52(4):437-45. doi: 10.1046/j.1365-2265.2000.00951.x.
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Diagnosis and drug therapy of prolactinoma.泌乳素瘤的诊断与药物治疗
Drugs. 1996 Jun;51(6):954-65. doi: 10.2165/00003495-199651060-00004.
4
The effect of quinagolide and cabergoline, two selective dopamine receptor type 2 agonists, in the treatment of prolactinomas.两种选择性2型多巴胺受体激动剂喹高利特和卡麦角林在治疗泌乳素瘤中的作用。
Clin Endocrinol (Oxf). 2000 Jul;53(1):53-60. doi: 10.1046/j.1365-2265.2000.01016.x.
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Treatment of pituitary tumors: dopamine agonists.垂体肿瘤的治疗:多巴胺激动剂
Endocrine. 2005 Oct;28(1):101-10. doi: 10.1385/endo:28:1:101.
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Hyperprolactinemia: pathophysiology and management.高催乳素血症:病理生理学与管理
Treat Endocrinol. 2003;2(1):23-32. doi: 10.2165/00024677-200302010-00003.
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Prolactinomas resistant to bromocriptine: long-term efficacy of quinagolide and outcome of pregnancy.对溴隐亭耐药的泌乳素瘤:喹高利特的长期疗效及妊娠结局
Eur J Endocrinol. 1996 Oct;135(4):413-20. doi: 10.1530/eje.0.1350413.
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Prolactin excess: treatment and toxicity.催乳素过多:治疗与毒性
Pediatr Endocrinol Rev. 2004 Nov;2 Suppl 1:108-14.
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Primary medical therapy of micro- and macroprolactinomas in men.男性微小及大泌乳素瘤的主要药物治疗
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The assessment of cabergoline efficacy and tolerability in patients with pituitary prolactinoma type.卡麦角林对垂体泌乳素瘤患者的疗效和耐受性评估。
Pol Arch Med Wewn. 2003 May;109(5):489-95.

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Cabergoline targets multiple pathways to inhibit PRL secretion and increases stromal fibrosis.卡麦角林通过多种途径抑制 PRL 分泌并增加间质纤维化。
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