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L-脯氨酰-L-亮氨酰-甘氨酸酰胺对正常人和肢端肥大症患者生长激素分泌的影响。

Influence of L-prolyl-L-leucyl-glycine amide on growth hormone secretion in normal and acromegalic subjects.

作者信息

Faglia G, Paracchi A, Ferrari C, Beck-Peccoz P, Ambrosi B, Travaglini P, Spada A, Oliver C

出版信息

J Clin Endocrinol Metab. 1976 May;42(5):991-4. doi: 10.1210/jcem-42-5-991.

Abstract

Melanocyte Release-Inhibiting Peptide (MRIP-I) did not affect circulating levels of ACTH, LH, FSH, TSH,ORL, betaMSH and insulin when iv infused (5.0 mg in 5 min plus 0.4 mg/min for 70-115 min), while it significantly reduced serum GH response to hypoglycemia in normal subjects and lowered serum GH levels in acromegalics. There was no correlation between the fall in serum GH after MRIP and after dopaminergic drugs in acromegaly. These data are compatible with either a direct suppressive action exerted by MRIP-I at pituitary level or an extra-pituitary effect not involving dopaminergic pathways. It can be spec-lated that since labelled MRIP-I accumualtes in the pineal and melatonin blunts GH response to hypoglycemia, the pineal gland might be involved in the MRIP-I-induced suppression of GH secretion.

摘要

黑素细胞释放抑制肽(MRIP-I)静脉输注时(5分钟内输注5.0毫克,随后70 - 115分钟内以0.4毫克/分钟的速度输注),对促肾上腺皮质激素(ACTH)、促黄体生成素(LH)、促卵泡生成素(FSH)、促甲状腺激素(TSH)、促生长激素释放肽(ORL)、β-促黑素(βMSH)和胰岛素的循环水平没有影响,而它能显著降低正常受试者对低血糖的血清生长激素(GH)反应,并降低肢端肥大症患者的血清GH水平。在肢端肥大症患者中,MRIP后血清GH的下降与多巴胺能药物后血清GH的下降之间没有相关性。这些数据与MRIP-I在垂体水平发挥的直接抑制作用或不涉及多巴胺能途径的垂体外效应均相符。可以推测,由于标记的MRIP-I在松果体中积累,且褪黑素可减弱GH对低血糖的反应,松果体可能参与了MRIP-I诱导的GH分泌抑制。

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