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生长激素分泌型大鼠垂体瘤诱导甲状腺功能减退和催乳素血症

Induction of hypothyroidism and hypoprolactinemia by growth hormone producing rat pituitary tumors.

作者信息

Seo H, Refetoff S, Fang V S

出版信息

Endocrinology. 1977 Jan;100(1):216-26. doi: 10.1210/endo-100-1-216.

Abstract

The GH3 rat pituitary tumor cell line which secretes both growth hormone (GH) and prolactin (PRL) stopped releasing PRL when transplanted to animals; furthermore, it suppressed PRL production by the hosts' pituitary glands. When the same tumor was transferred back to cell culture, PRL production resumed. The PRL to GH ratio in cell culture medium and cells ranged from 5 to 1 while in the tumor and serum of the host animals it averaged 0.09 and 0.001, respectively. To investigate further this phenomenon, female rats were transplanted with GH3 tumors (T) and compared to intact normal (N) and to thyroidectomized (Tx) rats. T animals were larger and had splanchnomegaly but smaller pituitaries and thyroids. Serum PRL concentrations in the basal state were decreased, as were levels of triiodothyronine (T3), thyroxine (T4), and free T4 index. Despite reduced serum thyroid hormone concentrations, and in contrast to Tx animals, the serum thyrotropin (TSH) level in T rats was not elevated and they did not show a supranormal TSH response to thyrotropin-releasing hormone (TRH) administration. The PRL response to TRH in T animals was completely abolished while all N and Tx animals responded by a significant increase in serum PRL. Serum corticosteroids and estrogens were normal in T rats. Pituitary content of PRL was decreased and that of TSH increased in T rats. Tx animals, however, had a reduced pituitary content of PRL, TSH, and GH. When GH3 cells were grown in cell culture media containing serum from T animals, there was a reduction of PRL content in cells and released in the medium. Addition of T3 to the T serum did not alter its suppressive effect on PRL nor did rat GH added to N serum alter PRL production and release in vitro. In a preliminary experiment, rats injected ip with 50 mug hGH in two divided doses for eighteen days, suppressed serum T4 and T3 concentrations; pituitary content of TSH was significantly increased and that of PRL slightly decreased. Injection with 250 mug oPRL or saline, on the same schedule and for the same length of time, had no significant effect on the levels of serum thyroid hormones. Thus, GH, but also possibly other substance(s) secreted by GH3 tumors in vivo a) suppress the production of tumor and pituitary PRL; b) suppress the release of TSH, causing mild hypothyroidism; c) inhibit the PRL and TSH responses to TRH; and d) decrease the production of PRL in tissue culture. Although no simple and unifying theory could explain these findings, an hypothesis implicating somatomedin is presented.

摘要

分泌生长激素(GH)和催乳素(PRL)的GH3大鼠垂体肿瘤细胞系移植到动物体内后停止分泌PRL;此外,它还抑制宿主垂体产生PRL。当将同一肿瘤重新转移回细胞培养时,PRL的产生又恢复了。细胞培养基和细胞中PRL与GH的比例在5至1之间,而在肿瘤以及宿主动物的血清中,该比例分别平均为0.09和0.001。为了进一步研究这一现象,将雌性大鼠移植GH3肿瘤(T组),并与完整正常(N组)和甲状腺切除(Tx组)大鼠进行比较。T组动物体型较大且有内脏肿大,但垂体和甲状腺较小。基础状态下血清PRL浓度降低,三碘甲状腺原氨酸(T3)、甲状腺素(T4)和游离T4指数水平也降低。尽管血清甲状腺激素浓度降低,但与Tx组动物不同的是,T组大鼠血清促甲状腺激素(TSH)水平并未升高,且它们对促甲状腺激素释放激素(TRH)给药未表现出超常的TSH反应。T组动物对TRH的PRL反应完全消失,而所有N组和Tx组动物的血清PRL均显著升高。T组大鼠的血清皮质类固醇和雌激素水平正常。T组大鼠垂体中PRL含量降低,TSH含量增加。然而,Tx组动物垂体中PRL、TSH和GH的含量均降低。当GH3细胞在含有T组动物血清的细胞培养基中生长时,细胞内和培养基中释放的PRL含量均降低。向T组血清中添加T3并未改变其对PRL的抑制作用,向N组血清中添加大鼠GH也未改变体外PRL的产生和释放。在一项初步实验中,大鼠腹腔注射50μg hGH,分两次给药,共18天,血清T4和T3浓度降低;垂体中TSH含量显著增加,PRL含量略有降低。按相同方案和相同时间注射250μg oPRL或生理盐水,对血清甲状腺激素水平无显著影响。因此,GH3肿瘤在体内分泌的GH以及可能的其他物质:a)抑制肿瘤和垂体PRL的产生;b)抑制TSH的释放,导致轻度甲状腺功能减退;c)抑制PRL和TSH对TRH的反应;d)降低组织培养中PRL的产生。尽管没有简单统一的理论可以解释这些发现,但本文提出了一个涉及生长调节素的假说。

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