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Perioperative plasma active and total ghrelin levels are reduced in acromegaly when compared with in nonfunctioning pituitary tumours even after normalization of serum GH.

Perioperative plasma active and total ghrelin levels are reduced in acromegaly when compared with in nonfunctioning pituitary tumours even after normalization of serum GH. Research Abstract Details 

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  • Perioperative plasma active and total ghrelin levels are reduced in acromegaly when compared with in nonfunctioning pituitary tumours even after normalization of serum GH. Abstract Text:

    takakazu kawamataTakakazu Kawamata,akio inuiAkio Inui,hiroshi hosodaHiroshi Hosoda,kenji kangawaKenji Kangawa,tomokatsu horiTomokatsu Hori,

    OBJECTIVE: Ghrelin is a novel gastric peptide known to stimulate GH secretion, but the relationship between ghrelin and the GH-insulin-like growth factor (IGF)-1 axis in GH excess or deficiency is poorly understood. This study investigated dysregulation of ghrelin secretion in acromegaly and its short-term postoperative recovery. METHODS: A prospective study was conducted on eight patients who underwent complete transsphenoidal resection of GH-producing pituitary adenomas (acromegaly group) and 22 for endocrinologically nonfunctioning pituitary tumours (control group). Active and total plasma ghrelin levels were measured serially before and after surgery. RESULTS: Preoperative active and total plasma ghrelin concentrations (mean +/- SD; fmol/ml) were significantly reduced in acromegalic patients when compared with those in the controls (9.6 +/- 4.3 and 157.4 +/- 65.6 vs. 21.8 +/- 13.0 and 267.1 +/- 111.4; P = 0.023 and P = 0.021, respectively). Both levels were still significantly suppressed on postoperative Day 7 in the acromegaly group when compared with those in the control group (11.7 +/- 4.3 and 197.8 +/- 68.9 vs. 22.5 +/- 12.6 and 302.7 +/- 100.0; P = 0.038 and P = 0.018, respectively). The ratios of active to total ghrelin were not significantly different between the two groups before and after operation. In acromegalic patients, active and total ghrelin levels remained significantly suppressed even after normalization of serum GH levels. CONCLUSIONS: The putative negative feedback mechanism of GH on ghrelin secretion may in part account for the low ghrelin levels observed in acromegalic patients, and the mechanism may persist even after normalization of serum GH.

    Perioperative plasma active and total ghrelin levels are reduced in acromegaly when compared with in nonfunctioning pituitary tumours even after normalization of serum GH. Publishing Authors By Initials

    t kawamataT Kawamata,a inuiA Inui,h hosodaH Hosoda,k kangawaK Kangawa,t horiT Hori,

    For similar surgical procedures, operative: postoperative period research abstracts see: surgical procedures, operative: postoperative period research

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    Perioperative plasma active and total ghrelin levels are reduced in acromegaly when compared with in nonfunctioning pituitary tumours even after normalization of serum GH. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Clinical endocrinology

    VOLUME: 67

    Page Numbers: 140-4

    Journal Abbreviation: Clin. Endocrinol. (Oxf)

    ISSN: 0300-0664

    DAY: 27

    MONTH: 04

    YEAR: 2007

    Perioperative plasma active and total ghrelin levels are reduced in acromegaly when compared with in nonfunctioning pituitary tumours even after normalization of serum GH. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 346653

    Perioperative plasma active and total ghrelin levels are reduced in acromegaly when compared with in nonfunctioning pituitary tumours even after normalization of serum GH. Keywords Mesh Terms:

    KEYWORDS: Postoperative Period

    MESH TERMS: surgery

    Chemical & Substance for Abstract: Perioperative plasma active and total ghrelin levels are reduced in acromegaly when compared with in nonfunctioning pituitary tumours even after normalization of serum GH. Information

    Substance Name: Growth Hormone

    Registry Number: 9002-72-6

    Grant and Affiliation Information for Perioperative plasma active and total ghrelin levels are reduced in acromegaly when compared with in nonfunctioning pituitary tumours even after normalization of serum GH.

    AFFILIATION: Department of Neurosurgery, Tokyo Women's Medical University, Tokyo, Japan. tkawamata@nij.twmu.ac.jp

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Clin Endocrinol (Oxf)

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