Assan R
Diabete Metab. 1976 Sep;2(3):135-46.
Somatostatin, or SRIF (Somatotropin Release Inhibiting Factor), is a tetradecapeptide of hypothalamic origin, which inhibits the secretion of growth hormone. It has also been recognized in other parts of the central nervous system, in the islets of Langerhans, and the mucosa of the upper digestive tract. Parenteral administration of synthetic SRIF inhibits the release of growth hormone, basal and stimulated by muscular exercise, arginine, L-DOPA, insulin-induced hypoglycemia, and sleeping. It also inhibits insulin and glucagon secretion, basal and stimulated, and several other secretory processes in endocrine and exocrine glands. It may have a depressor effect on some neurons in the central nervous system. Considerable interest has been prompted in the field of diabetology by the demonstration of somatostatin-induced suppression of growth hormone and glucagon : both hormones are over-secreted in many diabetic patients, and both may be noxious for small blood vessels in the diabetic. The eventual therapeutic use of somatostatin in humans is restricted, for the moment, by the unavaibility of long-acting SRIF preparations and the possibility of some adverse effects mainly affecting hemostasis. Evaluation of the physiological role (s) for this newcomer, and of the eventual pathophysiology of endogenous somatostatin, represent an unexpected and exciting field of neuro-endocrinology.
生长抑素,即SRIF(生长激素释放抑制因子),是一种起源于下丘脑的十四肽,它能抑制生长激素的分泌。在中枢神经系统的其他部位、胰岛以及上消化道黏膜中也发现了它的存在。肠胃外注射合成的SRIF可抑制生长激素的释放,包括基础状态下以及由体育锻炼、精氨酸、左旋多巴、胰岛素诱导的低血糖和睡眠所刺激引起的生长激素释放。它还能抑制基础状态下以及受刺激时胰岛素和胰高血糖素的分泌,以及内分泌腺和外分泌腺的其他一些分泌过程。它可能对中枢神经系统的某些神经元有抑制作用。生长抑素诱导的生长激素和胰高血糖素抑制作用的证实引发了糖尿病学领域的极大兴趣:在许多糖尿病患者中这两种激素都分泌过多,并且它们对糖尿病患者的小血管可能都有害。目前,由于长效SRIF制剂难以获得以及可能存在一些主要影响止血的不良反应,生长抑素在人类中的最终治疗用途受到限制。评估这种新物质的生理作用以及内源性生长抑素最终的病理生理学,代表了神经内分泌学中一个意想不到且令人兴奋的领域。