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老年斯普拉格-道利大鼠垂体促性腺激素腺瘤

Pituitary gonadotroph adenomas in old Sprague-Dawley rats.

作者信息

McComb D J, Kovacs K, Beri J, Zak F, Milligan J V, Shin S H

出版信息

J Submicrosc Cytol. 1985 Oct;17(4):517-30.

PMID:3935810
Abstract

Light microscopic and immunocytologic investigation revealed focal or diffuse pituitary gonadotroph hyperplasia in 3/27 male and 3/39 female Sprague-Dawley rats over 2 years of age. Three male and 2 female rats exhibited proliferation of morphologically abnormal gonadotrophs which were described as nodules, and 4 male and 5 female rats possessed gonadotroph adenomas which contained both immunoreactive beta-LH and beta-FSH. On plastic sections at the ultrastructural level, a further female rat was found to possess focal gonadotroph hyperplasia, 2 male and 2 female rats, gonadotroph nodules and 2 male and 2 female rats gonadotroph adenomas. While extensive gonadotroph and thyrotroph hyperplasia was observed in the nontumorous portion of the 2 pituitaries harboring thyrotroph adenoma, widespread gonadrotroph hyperplasia was noted in only 2 of 13 pituitaries with gonadotroph adenoma. Gonadotroph adenomas appeared to develop from discrete foci of morphologically altered gonadotrophs. These foci probably then progressed to form nodules and subsequently adenomas. Gonadotrophs within the nodules were often similar in morphology to adenomatous gonadotrophs whereas the earlier, smaller lesions were pleomorphic or more commonly trabecular in appearance. Serum LH levels were measured in some animals. As a group, rats displaying changes in gonadotroph morphology had a higher mean serum LH level than those without these changes, however, the values ranging from 23-249 ng/ml were well within the normal serum LH levels reported in aging rats. Gonadotroph adenomas in human patients have only recently been identified with accuracy and are relatively uncommon. As in the case of rats, they do not appear to arise from a pre-existing end organ hypofunction or pre-existing gonadotroph hyperplasia. A suitable animal model, in the form of spontaneously occurring gonadotroph adenomas in aging rats, might be useful in establishing the etiology, biochemical properties and appropriate therapy for these tumors.

摘要

光学显微镜和免疫细胞学研究显示,在2岁以上的27只雄性和39只雌性斯普拉格-道利大鼠中,有3只雄性和3只雌性出现局灶性或弥漫性垂体促性腺激素细胞增生。3只雄性和2只雌性大鼠表现出形态异常的促性腺激素细胞增殖,被描述为结节,4只雄性和5只雌性大鼠患有促性腺激素腺瘤,其中同时含有免疫反应性β-LH和β-FSH。在超微结构水平的塑料切片上,又发现1只雌性大鼠有局灶性促性腺激素细胞增生,2只雄性和2只雌性大鼠有促性腺激素细胞结节,2只雄性和2只雌性大鼠有促性腺激素腺瘤。在两个患有促甲状腺激素腺瘤的垂体的非肿瘤部分观察到广泛的促性腺激素细胞和促甲状腺激素细胞增生,而在13个患有促性腺激素腺瘤的垂体中,只有2个观察到广泛的促性腺激素细胞增生。促性腺激素腺瘤似乎由形态改变的促性腺激素细胞的离散病灶发展而来。这些病灶可能随后发展形成结节,继而形成腺瘤。结节内的促性腺激素细胞形态通常与腺瘤性促性腺激素细胞相似,而早期较小的病变形态多样,或更常见的是小梁状外观。对一些动物测量了血清LH水平。总体而言,促性腺激素细胞形态有变化的大鼠平均血清LH水平高于无这些变化的大鼠,然而,23 - 249 ng/ml的值仍在衰老大鼠报告的正常血清LH水平范围内。人类患者的促性腺激素腺瘤直到最近才被准确识别,且相对罕见。与大鼠一样,它们似乎并非由先前存在的终末器官功能减退或先前存在的促性腺激素细胞增生引起。以老年大鼠自发发生的促性腺激素腺瘤形式存在的合适动物模型,可能有助于确定这些肿瘤的病因、生化特性和适当治疗方法。

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