Assays for thyroid growth immunoglobulins and their clinical implications: methods, concepts, and misconceptions.

Assays for thyroid growth immunoglobulins and their clinical implications: methods, concepts, and misconceptions.
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甲状腺生长免疫球蛋白的测定及其临床意义:方法、概念和误解。

DOI:
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发表时间:
1987
期刊:
影响因子:
20.3
通讯作者:
M. Ludgate
M. Ludgate
中科院分区:
医学1区
文献类型:
--
作者:
J. Dumont;P. Roger;M. Ludgate

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格雷夫斯病的特点是甲状腺功能亢进和增生,导致甲状腺毒症和甲状腺肿。甲状腺功能亢进症显然与血浆中免疫球蛋白的存在有关,免疫球蛋白通过腺苷酸环化酶刺激 TSH 受体,即甲状腺刺激性免疫球蛋白 (TSI) (1-4)。关于增长,一些事实表明可能涉及其他机制。格雷夫斯病的功能水平与甲状腺肿大小之间没有简单的关系。事实上,有些甲状腺机能亢进病例的甲状腺体积几乎没有增加,而另一些病例则有轻微的甲状腺毒症和大的甲状腺肿。此外,据报道,甲状腺功能正常和甲状腺功能减退的甲状腺肿患者体内存在循环生长刺激因子 (5-10)。另一方面,根据物种的不同,几种生化途径可能参与甲状腺细胞增殖的调节:1) TSH 激活的腺苷酸环化酶-cAMP 级联 (11-13); 2) 不依赖 cAMP 的表皮生长...
GRAVES' disease is characterized by thyroid hyperfunction and hyperplasia which lead to thyrotoxicosis and goiter. Hyperthyroidism has been clearly related to the presence in plasma of immunoglobulins which stimulate the TSH receptor via its adenylate cyclase, the thyroid stimulatory immunoglobulins (TSI) (1–4). With regard to growth, several facts have suggested that additional mechanisms may be involved. There is no simple relationship between level of function in Graves' disease and goiter size; indeed there are cases of hyperthyroidism with little increase in thyroid size and others with slight thyrotoxicosis and large goiters. Moreover, the presence of circulating growth-stimulating factors in euthyroid and hypothyroid patients with goiter has been reported (5–10). On the other hand, depending on the species, several biochemical pathways may be involved in the regulation of thyroid cell proliferation: 1) the TSH-activated adenylate cyclase-cAMP cascade (11–13); 2) the cAMP-independent epidermal growt...
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