Acute elevation of interleukin 6 and matrix metalloproteinase 9 during the onset of pituitary apoplexy in Cushing's disease.
CRH
Cushing's disease
IL-6
MMP9
Pituitary apoplexy
Journal
Pituitary
ISSN: 1573-7403
Titre abrégé: Pituitary
Pays: United States
ID NLM: 9814578
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
accepted:
17
05
2021
pubmed:
28
5
2021
medline:
18
1
2022
entrez:
27
5
2021
Statut:
ppublish
Résumé
Pituitary apoplexy is a rare endocrine emergency. The purpose of this study is to characterize physiological changes involved in pituitary apoplexy, especially during the acute phase. A Cushing's disease patient experienced corticotroph releasing hormone (CRH)-induced pituitary apoplexy during inferior petrosal sinus sampling (IPSS). The IPSS blood samples from the Cushing's disease patient were retrospectively analyzed for cytokine markers. For comparison, we also analyzed cytokine markers in blood samples from two pituitary ACTH-secreting microadenoma patients and one patient with an ectopic ACTH-secreting tumor. Acute elevation of interleukin 6 (IL-6) and matrix metalloproteinase 9 (MMP9) was observed in the IPSS blood sample on the apoplectic hemorrhagic site of the tumor. In contrast, such a change was not observed in the blood samples from the contralateral side of the apoplexy patient and in other IPSS samples from two non-apoplexy Cushing's disease patient and a patient with ectopic Cushing's syndrome. IL-6 and MMP9 may be involved in the acute process of pituitary apoplexy in Cushing's disease.
Identifiants
pubmed: 34041660
doi: 10.1007/s11102-021-01157-0
pii: 10.1007/s11102-021-01157-0
pmc: PMC8551006
mid: NIHMS1722466
doi:
Substances chimiques
IL6 protein, human
0
Interleukin-6
0
Corticotropin-Releasing Hormone
9015-71-8
MMP9 protein, human
EC 3.4.24.35
Matrix Metalloproteinase 9
EC 3.4.24.35
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
859-866Subventions
Organisme : NIAMS NIH HHS
ID : R01 AR064195
Pays : United States
Organisme : National Institute of Child Health and Human Development
ID : R01AR064195
Organisme : Graduate School, University of Minnesota
ID : UMF0011528
Organisme : Graduate School, University of Minnesota
ID : AHC Grant-in-Aid 212588
Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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