Guilland J C, Caillard B, Putelat R, Klepping C, Klepping J, Malval M
Ann Endocrinol (Paris). 1980 Jan-Feb;41(1):43-9.
In 3 patients with proved pheochromocytoma, circulating catecholamine concentrations, vanillylmandelic acid and total free catecholamine urinary excretion, dopamine-beta-hydroxylase activities in plasma were measured the day before surgery, during the removal of the tumour and postoperatively. Following the removal of the pheochromocytoma, all these parameters declined with a different rate, possibly related to the half-life proper to each molecule. The results showing a decrease in plasma D beta H activities after the removal of the tumors are in good accordance with most authors. The mechanism and the meaning of catecholamines release from non-innervated tumor-cells remain to be elucidated. By considering these three cases, it does not seem that the evolution of D beta H activity after removal of the tumor is dependent upon the fact that the pheochromocytoma releases preferentially either epinephrine or nephinephrine.
在3例已证实患有嗜铬细胞瘤的患者中,于手术前一天、肿瘤切除期间及术后,测量了循环儿茶酚胺浓度、香草扁桃酸和总游离儿茶酚胺尿排泄量、血浆中多巴胺-β-羟化酶活性。切除嗜铬细胞瘤后,所有这些参数均以不同速率下降,这可能与每个分子的固有半衰期有关。肿瘤切除后血浆多巴胺-β-羟化酶活性降低的结果与大多数作者的研究结果高度一致。非神经支配的肿瘤细胞释放儿茶酚胺的机制和意义仍有待阐明。通过对这三例病例的分析,似乎肿瘤切除后多巴胺-β-羟化酶活性的变化并不取决于嗜铬细胞瘤优先释放肾上腺素还是去甲肾上腺素这一事实。