The Hypothalamic-Pituitary Axis and Autoantibody Related Disorders.

The Hypothalamic-Pituitary Axis and Autoantibody Related Disorders.
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DOI:
10.3390/ijms18112322
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发表时间:
2017-11-03
影响因子:
5.6
通讯作者:
Ferri GL
Ferri GL
中科院分区:
生物学2区
文献类型:
--
作者:
Cocco C;Brancia C;Corda G;Ferri GL

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This review summarized different studies reporting the presence of autoantibodies reacting against cells of the pituitary (APAs) and/or hypothalamus (AHAs). Both APAs and AHAs have been revealed through immunofluorescence using different kinds of substrates. Autoantibodies against gonadotropic cells were mainly found in patients affected by cryptorchidism and hypogonadotropic hypogonadism while those against prolactin cells were found in different kinds of patients, the majority without pituitary abnormalities. APAs to growth hormone (GH) cells have been associated with GH deficiency while those against the adrenocorticotropic cells have distinguished central Cushing’s disease patients at risk of incomplete cure after surgical adenoma removal. AHAs to vasopressin cells have identified patients at risk of developing diabetes insipidus. APAs have been also found together with AHAs in patients affected by idiopathic hypopituitarism, but both were also present in different kinds of patients without abnormalities of the hypothalamic–pituitary axis. Despite some data being promising, the clinical use of pituitary and hypothalamus autoantibodies is still limited by the low diagnostic sensitivity, irreproducibility of the results, and the absence of autoantigen/s able to discriminate the autoimmune reaction involving the pituitary or the hypothalamus from the other autoimmune states.
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发表时间: 2012-09-01
期刊: AUTOIMMUNITY
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