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[胰岛素依赖型糖尿病患者催乳素对促甲状腺激素释放激素的反应]

[Prolactin response to TRH in insulin-dependent diabetes mellitus].

作者信息

Gragnoli G, Tanganelli I, Signorini A M

出版信息

Boll Soc Ital Biol Sper. 1980 Oct 15;56(19):1989-95.

PMID:6779839
Abstract

17 obese women were examined, 8 of which were diabetic and 9 affected only by essential obesity. These patients, all of whom had become obese during adult life and 8 control subjects were tested for IRI, GH and PRL levels in basal conditions and after infusion of TRH. In the obese and diabetic women fasting GH values were normal while IRI levels were higher than those of the control subjects. In all cases neither IRI nor GH variations during TRH stimulation test. There was no difference in the plasma levels of PRL between the 3 groups when examined in basal conditions. After TRH the hormone increased considerably in all the subjects. In the obese and diabetic obese women the incremental area did not present different values from those observed in the control subjects. In conclusion in insulin-independent diabetes, as in essential obesity, the pharmacological stimulus did not show any evident alteration of the specific hypofisary receptorial system that regulates the secretion of PRL and GH.

摘要

对17名肥胖女性进行了检查,其中8名患有糖尿病,9名仅患有原发性肥胖症。这些患者均在成年期肥胖,对8名对照受试者在基础状态及注射促甲状腺激素释放激素(TRH)后检测了胰岛素抵抗指数(IRI)、生长激素(GH)和催乳素(PRL)水平。肥胖且患糖尿病的女性空腹GH值正常,而IRI水平高于对照受试者。在所有病例中,TRH刺激试验期间IRI和GH均无变化。在基础状态下检查时,三组之间PRL的血浆水平无差异。注射TRH后,所有受试者体内该激素均显著升高。肥胖且患糖尿病的肥胖女性的增量面积与对照受试者观察到的值无差异。总之,在非胰岛素依赖型糖尿病中,如同在原发性肥胖症中一样,药物刺激并未显示出调节PRL和GH分泌的特定垂体受体系统有任何明显改变。

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