TY - JOUR
T1 - MULTIPLE ENDOCRINE NEOPLASIA TYPE II
T2 - THE ROLE OF GASTROINTESTINAL HUMORAL FACTORS IN CALCITONIN RELEASE FOLLOWING ALCOHOL AND PENTAGASTRIN STIMULATION
AU - Fletcher, D. R.
AU - Gamvros, O.
AU - Man, W. K.
AU - Ahmed, Y.
AU - Trayner, I.
AU - Adrian, T.
PY - 1984/6
Y1 - 1984/6
N2 - Familial medullary carcinoma of thyroid (MCT) can be diagnosed early by measuring stimulated plasma calcitonin following provocation with 50 ml of oral whisky, or 0.5 m̈g kg‐1 i.v. pentagastrin. The calcitonin release, however, can be variable following both stimuli. To determine whether a humoral mechanism might be involved in mediating this calcitonin release, nine gut peptides, histamine, alcohol, calcium, and calcitonin, were measured in the plasma of eight patients whose family was affected by multiple endocrine neoplasia Type II syndrome. Pentagastrin produced significant rises in plasma calcitonin, histamine and pancreatic polypeptide. Whisky produced a variable rise in plasma alcohol, but significant rises in plasma calcitonin, histamine and pancreatic polypeptide as well as insulin (P < 0.05). This study suggests that histamine may be the mediator of calcitonin release following provocation by either pentagastrin or alcohol. Histamine infusion requires evaluation as a screening test for MCT in MEN II syndrome.
AB - Familial medullary carcinoma of thyroid (MCT) can be diagnosed early by measuring stimulated plasma calcitonin following provocation with 50 ml of oral whisky, or 0.5 m̈g kg‐1 i.v. pentagastrin. The calcitonin release, however, can be variable following both stimuli. To determine whether a humoral mechanism might be involved in mediating this calcitonin release, nine gut peptides, histamine, alcohol, calcium, and calcitonin, were measured in the plasma of eight patients whose family was affected by multiple endocrine neoplasia Type II syndrome. Pentagastrin produced significant rises in plasma calcitonin, histamine and pancreatic polypeptide. Whisky produced a variable rise in plasma alcohol, but significant rises in plasma calcitonin, histamine and pancreatic polypeptide as well as insulin (P < 0.05). This study suggests that histamine may be the mediator of calcitonin release following provocation by either pentagastrin or alcohol. Histamine infusion requires evaluation as a screening test for MCT in MEN II syndrome.
KW - GIP
KW - entero glucagon
KW - glucagon
KW - histamine
KW - insulin
KW - medullary carcinoma of thyroid
KW - motilin
KW - neurotensin
KW - pancreatic polypeptide
KW - phaechromocytoma
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U2 - 10.1111/j.1445-2197.1984.tb05316.x
DO - 10.1111/j.1445-2197.1984.tb05316.x
M3 - Article
C2 - 6147130
AN - SCOPUS:0021592926
SN - 0004-8682
VL - 54
SP - 271
EP - 275
JO - Australian and New Zealand Journal of Surgery
JF - Australian and New Zealand Journal of Surgery
IS - 3
ER -