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肌萎缩侧索硬化症患者静脉注射促甲状腺素释放激素。剂量反应及随机同期安慰剂对照试验研究

Intravenous thyrotropin-releasing hormone in patients with amyotrophic lateral sclerosis. Dose-response and randomized concurrent placebo-controlled pilot studies.

作者信息

Brooks B R, Sufit R L, Montgomery G K, Beaulieu D A, Erickson L M

出版信息

Neurol Clin. 1987 Feb;5(1):143-58.

PMID:3104750
Abstract

Focal, small-to-moderate and transient improvement occurred in the muscle strength and function of patients with ALS who received TRH in dose-response and screening studies. In a small pilot study of 12 patients, 3 months administration of TRH at 10 mg per kg on alternate days resulted in localized increased strength of jaw muscles as well as significant improvement in lower extremity function. Aerobic exercise capacity was particularly improved in patients with ALS following administration of TRH. Autonomic effects of TRH on heart rate, respiration, and blood pressure were not serious and attenuated slightly over the course of the study.

摘要

在剂量反应和筛查研究中,接受促甲状腺激素释放激素(TRH)治疗的肌萎缩侧索硬化症(ALS)患者的肌肉力量和功能出现了局灶性、轻度至中度且短暂的改善。在一项针对12名患者的小型试点研究中,每隔一天给予10毫克/千克的TRH,持续给药3个月,导致颌部肌肉局部力量增强,以及下肢功能显著改善。TRH给药后,ALS患者的有氧运动能力尤其得到改善。TRH对心率、呼吸和血压的自主神经效应并不严重,且在研究过程中略有减弱。

相似文献

1
Intravenous thyrotropin-releasing hormone in patients with amyotrophic lateral sclerosis. Dose-response and randomized concurrent placebo-controlled pilot studies.肌萎缩侧索硬化症患者静脉注射促甲状腺素释放激素。剂量反应及随机同期安慰剂对照试验研究
Neurol Clin. 1987 Feb;5(1):143-58.
2
[Treatment of amyotrophic lateral sclerosis with thyrotropin releasing hormone].[促甲状腺素释放激素治疗肌萎缩侧索硬化症]
Rev Neurol (Paris). 1986;142(2):133-9.
3
Riluzole for amyotrophic lateral sclerosis (ALS)/motor neuron disease (MND).利鲁唑用于治疗肌萎缩侧索硬化症(ALS)/运动神经元病(MND)。
Amyotroph Lateral Scler Other Motor Neuron Disord. 2003 Sep;4(3):191-206.
4
Intravenous thyrotropin releasing hormone in amyotrophic lateral sclerosis: autonomic effects.
Neurol Clin. 1987 May;5(2):269-90, vi.
5
[Clinical, electrophysiologic and endocrine effects of the perfusion of high doses of TRH in amyotrophic lateral sclerosis].
Rev Neurol (Paris). 1988;144(11):704-9.
6
Intrathecal thyrotropin-releasing hormone in amyotrophic lateral sclerosis.肌萎缩侧索硬化症中的鞘内注射促甲状腺激素释放激素
Neurol Clin. 1987 Feb;5(1):159-70.
7
Amyotrophic lateral sclerosis: effects of acute intravenous and chronic subcutaneous administration of thyrotropin-releasing hormone in controlled trials.肌萎缩侧索硬化症:促甲状腺激素释放激素急性静脉注射和慢性皮下注射在对照试验中的效果
Neurology. 1986 Feb;36(2):152-9. doi: 10.1212/wnl.36.2.152.
8
Controlled trial of thyrotropin releasing hormone in amyotrophic lateral sclerosis.促甲状腺激素释放激素治疗肌萎缩侧索硬化症的对照试验。
Neurology. 1986 Feb;36(2):146-51. doi: 10.1212/wnl.36.2.146.
9
A double-blind, placebo-controlled trial of TRH in amyotrophic lateral sclerosis.促甲状腺激素释放激素(TRH)治疗肌萎缩侧索硬化症的双盲、安慰剂对照试验。
Neurology. 1986 Feb;36(2):141-5. doi: 10.1212/wnl.36.2.141.
10
TRH-induced reflex changes in patients with ALS.
Electromyogr Clin Neurophysiol. 1989 Nov-Dec;29(7-8):465-7.

引用本文的文献

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New Efforts to Demonstrate the Successful Use of TRH as a Therapeutic Agent.新努力证明 TRH 作为治疗剂的成功应用。
Int J Mol Sci. 2023 Jul 4;24(13):11047. doi: 10.3390/ijms241311047.
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Drug Screening and Drug Repositioning as Promising Therapeutic Approaches for Spinal Muscular Atrophy Treatment.药物筛选和药物重新定位作为脊髓性肌萎缩症治疗的有前景的治疗方法。
Front Pharmacol. 2020 Nov 12;11:592234. doi: 10.3389/fphar.2020.592234. eCollection 2020.
3
Treatment for cramps in amyotrophic lateral sclerosis/motor neuron disease.肌萎缩侧索硬化症/运动神经元病中痉挛的治疗
Cochrane Database Syst Rev. 2012 Apr 18(4):CD004157. doi: 10.1002/14651858.CD004157.pub2.
4
Piracetam and TRH analogues antagonise inhibition by barbiturates, diazepam, melatonin and galanin of human erythrocyte D-glucose transport.吡拉西坦和促甲状腺激素类似物可拮抗巴比妥类、地西泮、褪黑素和甘丙肽对人红细胞D-葡萄糖转运的抑制作用。
Br J Pharmacol. 2004 Jun;142(3):594-608. doi: 10.1038/sj.bjp.0705798. Epub 2004 May 17.
5
Subacute administration of a TRH analogue (RX77368) in motorneuron disease: an open study.促甲状腺激素释放激素类似物(RX77368)在运动神经元病中的亚急性给药:一项开放性研究。
J Neurol Neurosurg Psychiatry. 1988 Sep;51(9):1146-57. doi: 10.1136/jnnp.51.9.1146.