Academic Journal

Central ghrelin production does not substantially contribute to systemic ghrelin concentrations: a study in two subjects with active acromegaly

التفاصيل البيبلوغرافية
العنوان: Central ghrelin production does not substantially contribute to systemic ghrelin concentrations: a study in two subjects with active acromegaly
المؤلفون: Toorn, F.M. (Fanny) van der, Herder, W.W. (Wouter) de, Broglio, F. (Fabio), Ghigo, E. (Ezio), Lely, A-J. (Aart-Jan) van der, Janssen, J.A.M.J.L. (Joop)
المصدر: European Journal of Endocrinology
سنة النشر: 2002
المجموعة: RePub - Publications from Erasmus University, Rotterdam
مصطلحات موضوعية: Peptide Hormones, Acromegaly/blood/*metabolism, Body Mass Index, Comparative Study, Corticotropin-Releasing Hormone/diagnostic use, Corticotropin/blood, Humans, Kinetics, Male, Peptides/analysis/*blood/*metabolism, Petrosal Sinus Sampling, Pituitary Gland/metabolism, Somatotropin-Releasing Hormone/diagnostic use
الوصف: INTRODUCTION: In an animal model of acromegaly (PEPCK-hGH transgenic mice), low systemic levels of ghrelin have been observed compared with normal mice. We hypothesized that systemic circulating ghrelin levels are also decreased in humans with active acromegaly and that the contribution of central ghrelin production to systemic ghrelin levels is minimal. OBJECTIVES: The aim of the present study was to investigate, in two subjects with active acromegaly, whether there are differences between systemic ghrelin levels and ghrelin concentrations in the petrosal sinus. DESIGN: We measured systemic and central ghrelin levels in these two acromegalic patients by bilateral simultaneous inferior petrosal sinus sampling. Central and systemic blood samples were drawn before and 1, 5, 10, 15 and 20 min after stimulation with GH-releasing hormone (GHRH). Ghrelin was measured with a commercially available radioimmunoassay. RESULTS: In one acromegalic subject, the baseline systemic and central ghrelin levels were within the same range as in two non-acromegalic obese subjects. No gradient could be observed between central and systemic ghrelin concentrations. Stimulation with GHRH did not change the ghrelin concentrations in this patient. In the other acromegalic subject, the systemic ghrelin levels were also in the same range as in two non-acromegalic obese subjects. However, in this subject, baseline ghrelin concentrations in the right inferior petrosal vein were considerably lower than the systemic ghrelin concentrations, indicating a peripheral over central gradient. Administration of GHRH induced a significant rise in central ghrelin concentrations in the right inferior petrosal vein. Ghrelin levels in the left inferior petrosal vein and systemic ghrelin levels were in the normal range and GHRH stimulation did not change these concentrations. CONCLUSIONS: The absence of a central over peripheral ghrelin gradient in these two acromegalics indicated that circulating ghrelin is mainly produced peripherally. Circulating systemic ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
Relation: http://repub.eur.nl/pub/9941; urn:hdl:1765/9941
الاتاحة: http://repub.eur.nl/pub/9941
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.ED1B852F
قاعدة البيانات: BASE