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生长抑素类似物对肢端肥大症患者精氨酸诱导的胰岛素、胰高血糖素和生长激素释放的解离作用。

Dissociated effects of somatostatin analogs on arginine-induced insulin, glucagon and growth hormone release in acromegalic patients.

作者信息

Wajchenberg B L, Cesar F P, Leme C E, Borghi V C, Souza V C, Souza I T, Neto D G, Germek O A, Coy D H, Comaru-Schally A M

出版信息

Horm Metab Res. 1983 Oct;15(10):471-4. doi: 10.1055/s-2007-1018762.

Abstract

Two analogs of somatostatin (Ala2,D-Trp8,D-Cys14-Somatostatin and L-5F-Trp8-Somatostatin) infused into acromegalics at the rate of 4.5 micrograms/min suppressed arginine-stimulated growth hormone release more strongly than 6 micrograms/min somatostatin (110 +/- 11% and 129 +/- 14%, respectively). Under the same conditions the two somatostatin analogs induced a much smaller inhibition of insulin (33 +/- 13% and 44 +/- 18%) and glucagon (28 +/- 10% and 45 +/- 17%, respectively) release than somatostatin did. Somatostatin analogs with dissociated actions could be promising for the treatment of diseases such as acromegaly, diabetes mellitus and some ectopic hormone syndromes.

摘要

以4.5微克/分钟的速率向肢端肥大症患者输注两种生长抑素类似物(Ala2,D-Trp8,D-Cys14-生长抑素和L-5F-Trp8-生长抑素),比以6微克/分钟的速率输注生长抑素更强烈地抑制精氨酸刺激的生长激素释放(分别为110±11%和129±14%)。在相同条件下,这两种生长抑素类似物对胰岛素(分别为33±13%和44±18%)和胰高血糖素(分别为28±10%和45±17%)释放的抑制作用比生长抑素小得多。具有解离作用的生长抑素类似物可能有望用于治疗肢端肥大症、糖尿病和一些异位激素综合征等疾病。

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