Saitoh Y, Koizumi K, Arita N, Hayakawa T, Aono T, Matsumoto K, Mogami H, Mori H
No To Shinkei. 1987 Apr;39(4):347-54.
Bromocriptine (CB) not only lowers serum prolactin (PRL) levels but also reduces tumor size of human prolactinomas. Gen et al and we have suggested that the size reduction of human prolactinomas by bromocriptine treatment results from the reduction in size of individual tumor cell as well as the reduction in number of tumor cells secondary to cell necrosis. This implies that bromocriptine has a cytosuppressive action and possibly a cytocidal action on human prolactinomas which causes reduction in cell size and cell necrosis, respectively. The mechanism of cytosuppressive action of CB has been investigated by using mostly non-neoplastic pituitary tissues of experimental animals. A decrease in exocytosis of secretory granules and a subsequent accumulation of granules within the cells are suggested to cause the reduction in serum levels of PRL in early stage of CB treatment. However we have reported that in spite of a pronounced reduction of serum PRL levels, the number of exocytosis of the granules in human prolactinomas treated with CB for 2 weeks increased to more than 4 times much as that in the untreated prolactinomas. This is a phenomenon which contradictory to the current hypothesis. The present study is intended to clarify whether the phenomenon we observed is specific for human prolactinomas or common also to the prolactinomas in experimental animals. Seventeen female SD rats were used. They were implanted subcutaneously with a pellet of 20 mg of 17 estradiol-benzoate (20% in cholesterol), and left to grow a pituitary tumor for 10 weeks.(ABSTRACT TRUNCATED AT 250 WORDS)
溴隐亭(CB)不仅能降低血清催乳素(PRL)水平,还能减小人类催乳素瘤的肿瘤大小。Gen等人以及我们都曾提出,溴隐亭治疗使人类催乳素瘤体积减小是由于单个肿瘤细胞大小的减小以及继发于细胞坏死的肿瘤细胞数量的减少。这意味着溴隐亭对人类催乳素瘤具有细胞抑制作用,可能还有细胞杀伤作用,分别导致细胞大小减小和细胞坏死。CB的细胞抑制作用机制主要通过使用实验动物的非肿瘤性垂体组织进行了研究。分泌颗粒胞吐作用的减少以及随后颗粒在细胞内的积累被认为是导致CB治疗早期血清PRL水平降低的原因。然而,我们曾报道,尽管血清PRL水平显著降低,但用CB治疗2周的人类催乳素瘤中颗粒的胞吐次数增加到未治疗催乳素瘤的4倍多。这是一种与当前假说相矛盾的现象。本研究旨在阐明我们观察到的这种现象是人类催乳素瘤特有的,还是在实验动物的催乳素瘤中也普遍存在。使用了17只雌性SD大鼠。它们皮下植入了一粒20毫克的17β-雌二醇苯甲酸酯(在胆固醇中占20%),并任其生长垂体肿瘤10周。(摘要截断于250字)