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单个垂体腺瘤中两种不同细胞系同时产生促肾上腺皮质激素和催乳素:详细的免疫组织化学分析

Concurrent production of adrenocorticotropin and prolactin from two distinct cell lines in a single pituitary adenoma: a detailed immunohistochemical analysis.

作者信息

Sherry S H, Guay A T, Lee A K, Hedley Whyte E T, Federman M, Freidberg S R, Woolf P D

出版信息

J Clin Endocrinol Metab. 1982 Nov;55(5):947-55. doi: 10.1210/jcem-55-5-947.

DOI:10.1210/jcem-55-5-947
PMID:6288757
Abstract

A pituitary tumor from a patient with severe Cushing's disease and marked hyperprolactinemia was extensively studied by immunohistochemical techniques. Tissues from two separate areas of the adenoma were found to contain similar cell proportions of PRL as well as ACTH and related peptides (beta-lipotropin, beta-endorphin, and alpha MSH). The tumor was composed of approximately 70% immunoreactive PRL cells and 5% ACTH-containing cells. Double immunostaining revealed that PRL or ACTH and related peptides were found in two distinct populations of tumor cells. These results document for the first time inappropriate synthesis and secretion of an unusual combination of pituitary hormones from a mixed pituitary adenoma.

摘要

采用免疫组化技术对一名患有严重库欣病和显著高催乳素血症患者的垂体肿瘤进行了广泛研究。发现腺瘤两个不同区域的组织中PRL以及促肾上腺皮质激素(ACTH)和相关肽(β-促脂素、β-内啡肽和α-促黑素)的细胞比例相似。该肿瘤约由70%的免疫反应性PRL细胞和5%的含ACTH细胞组成。双重免疫染色显示,PRL或ACTH及相关肽存在于两个不同的肿瘤细胞群中。这些结果首次证明了混合性垂体腺瘤异常合成和分泌了异常组合的垂体激素。

相似文献

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Concurrent production of adrenocorticotropin and prolactin from two distinct cell lines in a single pituitary adenoma: a detailed immunohistochemical analysis.单个垂体腺瘤中两种不同细胞系同时产生促肾上腺皮质激素和催乳素:详细的免疫组织化学分析
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Am J Pathol. 1980 Apr;99(1):105-24.

引用本文的文献

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Front Endocrinol (Lausanne). 2024 Feb 8;15:1337741. doi: 10.3389/fendo.2024.1337741. eCollection 2024.
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An unusual case of Cushing's syndrome due to bihormonal ACTH-prolactin secreting pituitary macroadenoma with rapid response to cabergoline.一例罕见的库欣综合征,由分泌促肾上腺皮质激素和催乳素的双激素垂体大腺瘤引起,对卡麦角林反应迅速。
BMJ Case Rep. 2017 Aug 7;2017:bcr-2017-219921. doi: 10.1136/bcr-2017-219921.
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Retrospective Analysis of Cushing's Disease with or without Hyperprolactinemia.
伴或不伴高催乳素血症的库欣病回顾性分析
Int J Endocrinol. 2014;2014:919704. doi: 10.1155/2014/919704. Epub 2014 Nov 23.
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Macroprolactinoma associated with Cushing's disease, successfully treated with cabergoline.与库欣病相关的大泌乳素瘤,经卡麦角林成功治疗。
J Endocrinol Invest. 2002 Feb;25(2):172-5. doi: 10.1007/BF03343983.
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Double pituitary lesions in three patients with Cushing's disease.三名库欣病患者出现双垂体病变。
Pituitary. 2000 Nov;3(3):159-68. doi: 10.1023/a:1011499609096.
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Molecular determinants of pituitary cytodifferentiation.垂体细胞分化的分子决定因素。
Pituitary. 1999 May;1(3-4):159-68. doi: 10.1023/a:1009948813587.
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From macroprolactinoma to concomitant ACTH-PRL hypersecretion with Cushing's disease.从大泌乳素瘤到合并库欣病的促肾上腺皮质激素-泌乳素分泌过多
J Endocrinol Invest. 2000 Feb;23(2):107-11. doi: 10.1007/BF03343688.
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Two-step development of a pituitary adenoma: from hyperprolactinemic syndrome to Cushing's disease.垂体腺瘤的两步发展:从高催乳素血症综合征到库欣病。
J Endocrinol Invest. 1997 Apr;20(4):240-4. doi: 10.1007/BF03346911.
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Selective bilateral blood sampling from the inferior petrosal sinus in Cushing's disease: effects of corticotropin-releasing factor and thyrotropin-releasing hormone on pituitary secretion.库欣病中从岩下窦进行选择性双侧采血:促肾上腺皮质激素释放因子和促甲状腺激素释放激素对垂体分泌的影响。
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