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不同生命阶段人体组织中的皮质醇。

Cortisol in human tissues at different stages of life.

作者信息

Costa A, Benedetto C, Fabris C, Giraudi G F, Testori O, Bertino E, Marozio L, Varvello G, Arisio R, Ariano M, Emanuel A

机构信息

Ospedale Mauriziano Umberto I, Torino, Italy.

出版信息

J Endocrinol Invest. 1996 Jul-Aug;19(7):463-71. doi: 10.1007/BF03349892.

Abstract

Aim of the work was to measure the cortisol level in human tissues at different stages of life, by means of radioimmunoassay and by chromatography. Viable samples of 13 different tissues were obtained during surgical intervention from 30 to 70 years old patients of either sex. Mean tissue cortisol concentration was 78 +/- 35 ng/g, ranging from 20 +/- 10 ng/g in the thyroid to 124 +/- 76 ng/g in the kidney. Similar values were measured in the corresponding tissues from not decayed corpses, so that paired values could be mediated. However the pancreas, and corrupted autopsy tissues, gave nil or exceedingly high cortisol concentration values; in some cases, opposite extreme values were measured in different organs of the same body. Cortisol concentration was also measured in 11 sound different tissues of spontaneously aborted or stillbirth fetuses, between 16 and 36 weeks of gestation. Mean value was 63 +/- 27 ng/g, ranging from 30 +/- 25 ng/g in the liver to 104 +/- 52 ng/g in the lungs. Also in fetuses nil or exceedingly high cortisol values occurred in altered tissues. One hundred and fourteen samples of limbs and carcasses of 7 to 12 gestational weeks embryos, obtained from voluntary abortions, were also examined: 20% gave nil result, in the remaining mean cortisol concentration was 32 ng/g. In 33 samples of embryos' mixed viscera, RIA and chromatography gave unreliable exceedingly high values. The nil and the exceedingly high values measured in the altered autoptic tissue specimens were inconsistent with the cortisol blood level measured in the patients, as were those measured in embryonic tissues with the acknowledged blood and adrenals cortisol levels at that stage of life. Thus cortisol may be measured by RIA and by chromatography in sound tissues, while the values obtained in the pancreas, in corrupted tissues, and in embryonal viscera do not represent the hormonal milieu, but are likely artifacts due to impeachment of the diagnostic system.

摘要

这项工作的目的是通过放射免疫分析和色谱法测量不同生命阶段人体组织中的皮质醇水平。在手术干预期间,从30至70岁的男女患者身上获取了13种不同组织的活组织样本。组织中皮质醇的平均浓度为78±35 ng/g,范围从甲状腺中的20±10 ng/g到肾脏中的124±76 ng/g。在未腐烂尸体的相应组织中测量到了类似的值,因此可以对配对值进行分析。然而,胰腺以及腐败的尸检组织,皮质醇浓度值为零或极高;在某些情况下,在同一具尸体的不同器官中测量到了相反的极端值。还对妊娠16至36周自然流产或死产胎儿的11种健康不同组织中的皮质醇浓度进行了测量。平均值为63±27 ng/g,范围从肝脏中的30±25 ng/g到肺中的104±52 ng/g。在胎儿的病变组织中也出现了皮质醇值为零或极高的情况。还检查了从自愿堕胎中获得的7至12孕周胚胎的114个肢体和尸体样本:20%的样本结果为零,其余样本的皮质醇平均浓度为32 ng/g。在33个胚胎混合内脏样本中,放射免疫分析和色谱法给出了不可靠的极高值。在病变的尸检组织样本中测得的零值和极高值与患者血液中的皮质醇水平不一致,在胚胎组织中测得的值与该生命阶段公认的血液和肾上腺皮质醇水平也不一致。因此,在健康组织中可以通过放射免疫分析和色谱法测量皮质醇,而在胰腺、腐败组织和胚胎内脏中获得的值并不代表激素环境,而可能是由于诊断系统受到影响而产生的假象。

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