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肌萎缩侧索硬化症中的鞘内注射促甲状腺激素释放激素

Intrathecal thyrotropin-releasing hormone in amyotrophic lateral sclerosis.

作者信息

Munsat T L, Taft J, Kasdon D

出版信息

Neurol Clin. 1987 Feb;5(1):159-70.

PMID:3104751
Abstract

Thyrotropin releasing hormone (TRH) has potential therapeutic applications in amyotrophic lateral sclerosis (ALS) and related diseases because of its function as a neuroregulator of the anterior horn cell. However, its therapeutic potential, and that of other neuropeptides, is reduced by the blood-brain barrier that limits access to neuronal cells. We have thus explored the direct intrathecal administration of TRH in ALS, with both short-term boluses and infusions and chronic constant infusions. Our experience suggests that this approach is safe, has high patient acceptance, and is worthy of more careful evaluation.

摘要

促甲状腺激素释放激素(TRH)因其作为前角细胞的神经调节因子的功能,在肌萎缩侧索硬化症(ALS)及相关疾病中具有潜在的治疗应用价值。然而,其治疗潜力以及其他神经肽的治疗潜力,因血脑屏障限制了对神经元细胞的作用而降低。因此,我们探索了在ALS中直接鞘内注射TRH,包括短期推注和输注以及长期持续输注。我们的经验表明,这种方法是安全的,患者接受度高,值得更仔细的评估。

相似文献

1
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.
2
Therapeutic trial of intrathecal thyrotropin-releasing hormone (TRH) and a TRH-analogue in amyotrophic lateral sclerosis (ALS).鞘内注射促甲状腺激素释放激素(TRH)及一种TRH类似物治疗肌萎缩侧索硬化症(ALS)的试验
Adv Exp Med Biol. 1987;209:305-8. doi: 10.1007/978-1-4684-5302-7_44.
3
[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.
4
[Treatment of amyotrophic lateral sclerosis with daily intrathecal TRH. A year's experience. Pilot study II].
Neurologia. 1992 Jan;7(1):4-9.
5
Prolonged intrathecal infusion of thyrotropin releasing hormone in amyotrophic lateral sclerosis.在肌萎缩侧索硬化症中长时间鞘内输注促甲状腺激素释放激素。
Ann N Y Acad Sci. 1988;531:187-93. doi: 10.1111/j.1749-6632.1988.tb31826.x.
6
[Trials of 1-cysteine, TRH and 5HTP in amyotrophic lateral sclerosis].
Rinsho Shinkeigaku. 1984 Dec;24(12):1270-3.
7
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.
8
[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.
9
Intrathecal thyrotropin-releasing hormone does not alter the progressive course of ALS: experience with an intrathecal drug delivery system.
Neurology. 1992 May;42(5):1049-53. doi: 10.1212/wnl.42.5.1049.
10
Intrathecal thyrotropin-releasing hormone therapy of amyotrophic lateral sclerosis.肌萎缩侧索硬化症的鞘内注射促甲状腺激素释放激素疗法
J Neurol. 1985;232(1):13-4. doi: 10.1007/BF00314033.

引用本文的文献

1
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.
2
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.
3
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.
4
Low doses of TRH in amyotrophic lateral sclerosis and in other neurological diseases.低剂量促甲状腺激素释放激素在肌萎缩侧索硬化症及其他神经疾病中的应用
Ital J Neurol Sci. 1991 Apr;12(2):193-8. doi: 10.1007/BF02337033.