Kubo O, Himuro H, Kamijo Y, Kitamura K, Demura R
No Shinkei Geka. 1977 Oct;5(11):1135-41.
We have performed tissue culture of pituitary adenomas (5 acromegalies, 7 non-acromegalies) and measured GH, PRL, LH and FSH in the media of tissue culture by radioimmunoassay (RIA) for 30-40 days. In addition, GH, PRL, LH and FSH were measured in the plasma and tumor tissue by RIA. GH concentration in the culture media was markedly high in all cases with acromegaly and high also in 2 out of 7 non-acromegaly cases (case 6 and 7). GH concentration in the media rapidly decreased almost as a straight line on a semilogarithmic scale until the 30-40 in day, when GH level became less than 10 ng/ml. PRL concentration in the culture media was high in 5 patients (3 acromegalies, 2 non-acromegalies). PRL concentration regressed more slowly than GH, but still remained higher than 10 ng/ml in all of the patients on the 25-40th day when the studies were discontinued. LH and FSH concentrations in the culture media was high in two patients. One patient was a pituitary adenoma secreting LH and FSH, and another case was a false high secreting one, possibly contaminated with gonadotropin in normal pituitary gland at surgical operation. LH and FSH concentrations rapidly decreased as that of GH. A rare case of primary LH and FSH secreting pituitary adenoma was demonstrated.
我们对垂体腺瘤(5例肢端肥大症患者,7例非肢端肥大症患者)进行了组织培养,并通过放射免疫分析法(RIA)在组织培养基中测量生长激素(GH)、催乳素(PRL)、促黄体生成素(LH)和促卵泡生成素(FSH),持续30 - 40天。此外,通过RIA测量血浆和肿瘤组织中的GH、PRL、LH和FSH。在所有肢端肥大症病例中,培养基中的GH浓度显著升高,在7例非肢端肥大症病例中的2例(病例6和7)也升高。在半对数尺度上,培养基中的GH浓度几乎呈直线快速下降,直到第30 - 40天,此时GH水平低于10 ng/ml。5例患者(3例肢端肥大症患者,2例非肢端肥大症患者)培养基中的PRL浓度较高。PRL浓度的下降比GH更缓慢,但在研究停止时的第25 - 40天,所有患者的PRL浓度仍高于10 ng/ml。两名患者培养基中的LH和FSH浓度较高。一名患者是分泌LH和FSH的垂体腺瘤,另一例是假高分泌情况,可能在手术时被正常垂体中的促性腺激素污染。LH和FSH浓度与GH一样快速下降。证实了一例罕见的原发性分泌LH和FSH的垂体腺瘤。