铁素相关的内分泌学变化在发红细胞瘤和偏角细胞瘤
Yuko Matsuo1, Kenji Ashida1, Ayako Nagayama1
1Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan.
Endocrine oncology (Bristol, England)
|October 12, 2023
概括
甲氨酸有效地降低了色细胞瘤/状细胞瘤患者的甲氨酸,改善了血压和胰岛素敏感性. 这种治疗有助于手术安全性和术后代谢稳定.
科学领域:
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
- 在瘤学瘤学.
背景情况:
- 乳红细胞瘤和偏角细胞瘤是罕见的瘤,产生过多的甲基醇胺.
- 甲氨酸 (α-甲基-甲氨酸) 抑制了甲基胺的合成.
- 甲氨酸对生理,代谢和内分泌功能的外科效应需要验证.
研究的目的:
- 评估甲基洛辛在患有黄染色细胞瘤/黄斑细胞瘤的患者生理,代谢和内分泌功能上的影响.
- 为了比较metyrosine的影响与外科手术后期的结果.
主要方法:
- 一个单一的大学医院的回顾性队列研究.
- 包括十名患有染细胞瘤/帕拉格林瘤的患者,接受米氨酸,α阻断剂和手术.
- 评估尿中甲基可胺代谢物,血压,胰岛素敏感性和内分泌参数在甲基和手术前后.
主要成果:
- 甲氨酸显著降低了以剂量依赖的方式在尿路中的甲类胺代谢物.
- 缩和腹缩血压在米托洛辛和手术后显著下降.
- 甲氨酸改善了胰岛素敏感性,而手术增强了基础胰岛素分泌. 益生素和TSH增加; 蛋白活性下降.
结论:
- 甲氨酸有效地降低了类甲醇胺,确保了染细胞瘤/副质瘤患者的手术安全.
- 经过优化对美铁的使用,可以改善外科手术期间的血压和葡萄糖代谢.
- 观察到的内分泌变化反映了系统性美铁效应.
相关概念视频
Transducer Mechanism: Enzyme-Linked Receptors
2.5K
Enzyme-linked receptors are cell-surface receptors acting as an enzyme or associating with an enzyme intracellularly. They make excellent drug targets. Drugs can bind to the extracellular ligand-binding domain or directly affect their enzymatic domain and alter their activity.
Major types that are helpful drug targets include:
Major types that are helpful drug targets include:
2.5K
Adrenergic Neurons: Neurotransmission
3.8K
Postganglionic sympathetic fibers (except those supplying the sweat glands) releasing noradrenaline or norepinephrine are called noradrenergic or adrenergic neurons. Noradrenaline, dopamine, adrenaline, or epinephrine are collectively called "catecholamines" as they contain a catechol moiety and an amine side chain. The five stages of neurotransmitter release involve their synthesis, storage, release, reuptake and metabolism.
Synthesis: Catecholamine synthesis requires tyrosine, which...
Synthesis: Catecholamine synthesis requires tyrosine, which...
3.8K
Drugs Affecting Neurotransmitter Release or Uptake
1.1K
Certain drugs can affect how neurotransmitters called catecholamines, are released or taken back up in the adrenergic neuron. They can have different effects on the body's sympathetic transmission. Reserpine, a natural compound found in the Rauwolfia shrub, blocks a transporter called vesicular monoamine transporter (VMAT), which leads to a buildup of catecholamines in the cell and reduces sympathetic transmission. Another drug called guanethidine works in multiple ways, including blocking...
1.1K
Sympathetic Signaling
990
Sympathetic signaling, a vital part of the autonomic nervous system, plays a crucial role in mobilizing the body's resources in response to stress or emergencies. It involves the transmission of nerve impulses from sympathetic preganglionic fibers to postganglionic fibers. This results in the release of specific neurotransmitters and activation of adrenergic receptors.
Sympathetic preganglionic fibers release the neurotransmitter acetylcholine (ACh) onto the ganglionic neurons in the...
Sympathetic preganglionic fibers release the neurotransmitter acetylcholine (ACh) onto the ganglionic neurons in the...
990
Adrenergic Agonists: Indirect-Acting Agents
1.7K
Indirect-acting adrenergic agonists potentiate the effects of endogenous catecholamines through different mechanisms without directly binding to adrenoceptors.
One mechanism involves depleting stored catecholamines by displacing them from synaptic vesicles. These agents, known as "displacers," are transported into vesicles at the expense of noradrenaline. Examples include amphetamine and tyramine, which lack a catechol moiety, resulting in prolonged action, improved oral...
One mechanism involves depleting stored catecholamines by displacing them from synaptic vesicles. These agents, known as "displacers," are transported into vesicles at the expense of noradrenaline. Examples include amphetamine and tyramine, which lack a catechol moiety, resulting in prolonged action, improved oral...
1.7K
Drugs Affecting Neurotransmitter Synthesis
1.4K
Drugs affecting neurotransmitter synthesis can impact the adrenergic neuron and the synthesis of neurotransmitters. For example, α-methyltyrosine and carbidopa target specific enzymes involved in catecholamine synthesis. α-methyltyrosine inhibits the enzyme tyrosine hydroxylase, which converts tyrosine into dopamine. By blocking this enzyme, α-methyltyrosine reduces dopamine production and other catecholamines. Carbidopa, on the other hand, inhibits the enzyme dopa decarboxylase,...
1.4K


