下垂体干中断综合征:对生长激素治疗反应的分析
Raghuraman Ravichandran1, Uma K Saikia1, Ashok K Bhuyan1
1Department of Endocrinology, Gauhati Medical College, Guwahati, Assam, India.
Indian pediatrics
|February 7, 2024
概括
在儿童中,垂体茎中断综合征 (PSIS) 最常见的是由于生长激素 (GH) 缺乏导致的矮身. 重组人体生长激素 (rhGH) 疗法有效地改善了这些患者的身高.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 神经内分泌学神经内分泌学
- 遗传学 遗传学 是一个
背景情况:
- 垂体茎中断综合征 (PSIS) 是一种罕见的先天性疾病.
- 它的特征在于在成像上缺少或稀薄的垂体茎.
- 脑垂体综合症通常会导致多种下垂体激素缺乏.
研究的目的:
- 分析PSIS的临床和放射性特征.
- 为了评估新的垂体腺体激素缺陷的发展.
- 评估对复合人类生长激素 (rhGH) 治疗的反应.
主要方法:
- 确认PSIS病例的回顾性分析.
- 对临床表现和放射学发现的评估.
- 监测垂体荷尔蒙状况和对rhGH治疗的生长反应.
主要成果:
- 该研究包括14名患有PSIS的儿童,主要是男孩.
- 矮身是最常见的表现,所有患者都有GH缺乏.
- 在RhGH治疗的第一年观察到显著的身高增长.
结论:
- 低身高与孤立的GH缺乏是PSIS最常见的表现.
- 患有PSIS的患者对rhGH疗法有积极的反应.
- 建议长期监测额外的垂体激素缺乏症.
相关概念视频
Hormones of the Pituitary Gland
6.6K
The small, pea-sized pituitary gland is located at the base of the brain. It is crucial in regulating various bodily functions, from growth to reproduction. The gland is divided into the anterior lobe and the posterior lobe. The secretory cell clusters in the pars distalis of the anterior pituitary lobe are controlled by hypothalamic regulators and synthesize six primary hormones.
The most abundantly secreted hormone from the anterior lobe is the growth hormone, which controls overall growth by...
The most abundantly secreted hormone from the anterior lobe is the growth hormone, which controls overall growth by...
6.6K
Nature and Nurture
20.5K
Many human characteristics, like height, are shaped by both nature—in other words, by our genes—and by nurture, or our environment. For example, chronic stress during childhood inhibits the production of growth hormones and consequently reduces bone growth and height. Scientists estimate that 70-90% of variation in height is due to genetic differences among individuals, and 10-30% of variation in height is due to differences in the environments that individuals experience,...
20.5K
Hypothalamic-Pituitary Axis
60.0K
The response to stress—be it physical or psychological, acute or chronic—involves activation of the Hypothalamic-Pituitary-Adrenal (HPA) axis. The HPA axis is part of the neuroendocrine system because it involves both neuronal and hormonal communication. Its function is to regulate homeostatic systems—metabolic, cardiovascular, and immune—providing the necessary means to respond to a stressor.
60.0K
Target Cell Response to Hormones
3.1K
Hormones intricately bind to receptors on the surface or within target cells, initiating a cascade of cellular responses.
Notably, the cellular response can be regulated by altering the number of receptors expressed in the cell. For example, prolonged exposure to elevated hormone levels results in a gradual decline or down-regulation in the number of receptors for that specific hormone on the cell surface. Conversely, in response to low hormone levels, cells may use up-regulation, producing an...
Notably, the cellular response can be regulated by altering the number of receptors expressed in the cell. For example, prolonged exposure to elevated hormone levels results in a gradual decline or down-regulation in the number of receptors for that specific hormone on the cell surface. Conversely, in response to low hormone levels, cells may use up-regulation, producing an...
3.1K
Regulation of Hormone Secretion
3.4K
Regulation of hormone secretion is a finely tuned orchestration driven by various types of stimuli, encompassing neural, humoral, and hormonal signals. Environmental cues instigate neural stimuli, where action potentials traverse nerve fibers to reach their designated targets. An illustrative scenario is the body's response to stress, wherein the sympathetic nervous system releases epinephrine from the adrenal glands, inducing the well-known 'fight or flight' reaction.
Humoral...
Humoral...
3.4K
Major Hormones and Their Functions
394
Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
394


