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在中部和外围的原发性自主性衰竭中,生长激素对克洛尼丁的反应
T N Thomaides1, K R Chaudhuri, S Maule
1Department of Medicine, St Mary's Hospital Medical School, Imperial College of Science, Technology and Medicine, London, UK.
Lancet (London, England)
|August 1, 1992
概括
克洛尼丁在患有纯自主性衰竭 (PAF) 的患者中刺激生长激素的释放,但不刺激多个系统缩 (MSA). 这种荷尔蒙反应可以帮助区分这些自主障碍.
科学领域:
- 神经内分泌学神经内分泌学
- 自主神经系统障碍 自主神经系统障碍
- 神经学 神经学
背景情况:
- 主要自主性衰竭包括纯自主性衰竭 (PAF) 和多系统缩 (MSA).
- 由于MSA的并发症和不良预后,早期区分PAF和MSA至关重要.
- 这两种情况都涉及来自交感性衰竭的严重姿势低血压,在MSA中是中心的,在PAF中是外围的.
研究的目的:
- 研究克洛尼丁在患有PAF和MSA的患者中释放生长激素 (GH) 的作用.
- 确定GH对克洛尼丁的反应是否可以作为神经内分泌标记物来区分PAF与MSA.
主要方法:
- 克隆丁被用于PAF,MSA和年龄相匹配的正常对照患者.
- 克隆尼丁注射后测量了血GH度.
- 血葡萄糖和胰岛素水平也被监测.
主要成果:
- 克隆尼丁后,血GH度在对照组和PAF患者中增加.
- 在使用克隆尼丁后,在MSA患者中没有观察到血GH显著增加.
- 血葡萄糖和胰岛素的变化在所有组中都是可比的.
结论:
- 克洛尼丁在纯自主性衰竭 (PAF) 中刺激生长激素的释放,但在多重系统缩 (MSA) 中没有.
- 这种对克洛尼丁的差异性GH反应可能作为一种有价值的神经内分泌标记,用于区分MSA (中央自主缺陷) 和PAF (外围自主缺陷).
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