Louis W J, Doyle A E, Heath W C, Robinson M J
Br Med J. 1972 Nov 11;4(5836):325-7. doi: 10.1136/bmj.4.5836.325.
In a series of 11 cases with phaeochromocytoma, two patients were found in whom the tumour secreted dopa in addition to dopamine, noradrenaline, and adrenaline. These two patients were normotensive in spite of high plasma and urinary levels of noradrenaline and adrenaline. This raises the possibility that dopa may be able to protect against the hypertensive action of noradrenaline. Such a mechanism would also explain the absence of hypertension in many cases of neuroblastoma.
在一系列11例嗜铬细胞瘤患者中,发现有两名患者的肿瘤除了分泌多巴胺、去甲肾上腺素和肾上腺素外,还分泌多巴。尽管这两名患者血浆和尿液中的去甲肾上腺素和肾上腺素水平很高,但他们的血压正常。这增加了多巴可能能够抵御去甲肾上腺素高血压作用的可能性。这样一种机制也可以解释许多神经母细胞瘤病例中高血压的缺失。