New aspects in the diagnosis and treatment of cushing disease

Cushing disease which is caused by the excessive production of ACTH is a rare and complex endocrine disorder that still represents a major challenge for the physician in terms of accurate diagnosis and efficient treatment. Diagnosing Cushing syndrome and its etiology is an elaborate procedure and no...

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Autor principal: Labeur, M.
Otros Autores: Theodoropoulou, M., Sievers, C., Paez-Pereda, M., Castillo, V., Arzt, E., Stalla, G.K
Formato: Capítulo de libro
Lenguaje:Inglés
Publicado: 2006
Acceso en línea:Registro en Scopus
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Registro en la Biblioteca Digital
Aporte de:Registro referencial: Solicitar el recurso aquí
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024 7 |2 cas  |a retinoic acid, 302-79-4; somatostatin, 38916-34-6, 51110-01-1; Dopamine Agonists; Ligands; PPAR gamma; Somatostatin, 51110-01-1; Tretinoin, 302-79-4 
040 |a Scopus  |b spa  |c AR-BaUEN  |d AR-BaUEN 
100 1 |a Labeur, M. 
245 1 0 |a New aspects in the diagnosis and treatment of cushing disease 
260 |c 2006 
270 1 0 |m Stalla, G.K.; Internal Medicine, Endocrinology and Clinical Chemistry, Max-Planck-Institute of Psychiatry, Kraepelinstrasse 10, 80804 Munich, Germany; email: stalla@mpipsykl.mpg.de 
506 |2 openaire  |e Política editorial 
504 |a Arnaldi, G., Diagnosis and complications of Cushing's syndrome: A consensus statement (2003) J Clin Endocrinol Metab, 88, pp. 5593-5602 
504 |a Labeur, M., New perspectives in the treatment of Cushing's syndrome (2004) Curr Drug Targets Immune Endocr Metabol Disord, 4, pp. 335-342 
504 |a Findling, J.W., Raff, H., Aron, D.C., The low-dose dexamethasone suppression test: A reevaluation in patients with Cushing's syndrome (2004) J Clin Endocrinol Metab, 89, pp. 1222-1226 
504 |a Papanicolaou, D.A., Nighttime salivary cortisol: A useful test for the diagnosis of Cushing's syndrome (2002) J Clin Endocrinol Metab, 87, pp. 4515-4521 
504 |a Pacak, K., Eisenhofer, G., Goldstein, D.S., Functional imaging of endocrine tumors: Role of positron emission tomography (2004) Endocr Rev, 25, pp. 568-580 
504 |a Ben-Jonathan, N., Dopamine: A prolactin-inhibiting hormone (1985) Endocr Rev, 6, pp. 564-589 
504 |a Stack, J., Surprenant, A., Dopamine actions on calcium currents, potassium currents and hormone release in rat melanotrophs (1991) J Physiol, 439, pp. 37-58 
504 |a De Camilli, P., Macconi, D., Spada, A., Dopamine inhibits adenylate cyclase in human prolactin-secreting pituitary adenomas (1979) Nature, 278, pp. 252-254 
504 |a Colao, A., Annunziato, L., Lombardi, G., Treatment of prolactinomas (1998) Ann Med, 30, pp. 452-459 
504 |a Miller, J.W., Crapo, L., The medical treatment of Cushing's syndrome (1993) Endocr Rev, 14, pp. 443-458 
504 |a Pivonello, R., Dopamine receptor expression and function in corticotroph pituitary tumors (2004) J Clin Endocrinol Metab, 89, pp. 2452-2462 
504 |a Lamberts, S.W., Uitterlinden, P., Klijn, J.M., The effect of the long-acting somatostatin analogue SMS 201-995 on ACTH secretion in Nelson's syndrome and Cushing's disease (1989) Acta Endocrinol, 120, pp. 760-766. , Copenh 
504 |a Von Werder, K., Muller, O.A., Stalla, G.K., Somatostatin analogs in ectopic corticotropin production (1996) Metabolism, 45 (1 SUPPL.), pp. 129-131 
504 |a Stalla, G.K., Octreotide exerts different effects in vivo and in vitro in Cushing's disease (1994) Eur J Endocrinol, 130, pp. 125-131 
504 |a Holland, L.J., The multi-ligand somatostatin analogue SOM230 inhibits ACTH secretion by cultured human corticotroph adenomas via somatostatin receptor type 5 (2005) Eur J Endocrinol, 152, pp. 645-654 
504 |a Nielsen, S., Expression of somatostatin receptors on human pituitary adenomas in vivo and ex vivo (2001) J Endocrinol Invest, 24, pp. 430-437 
504 |a Bruns, C., SOM230: A novel somatostatin peptidomimetic with broad somatotropin release inhibiting factor (SRIF) receptor binding and a unique antisecretory profile (2002) Eur J Endocrinol, 146, pp. 707-716 
504 |a Silva, A.P., Regulation of CRH-induced secretion of ACTH and corticosterone by SOM230 in rats (2005) Eur J Endocrinol, 153, pp. R7-R10 
504 |a Chambon, P., A decade of molecular biology of retinoic acid receptors (1996) FASEB J, 10, pp. 940-954 
504 |a Zhang, X.K., Retinoid X receptor is an auxiliary protein for thyroid hormone and retinoic acid receptors (1992) Nature, 355, pp. 441-446 
504 |a Paez-Pereda, M., Retinoic acid prevents experimental Cushing syndrome (2001) J Clin Invest, 108, pp. 1123-1131 
504 |a Heaney, A.P., Functional PPAR-gamma receptor is a novel therapeutic target for ACTH-secreting pituitary adenomas (2002) Nat Med, 8, pp. 1281-1287 
504 |a Heaney, A.P., Fernando, M., Melmed, S., PPAR-gamma receptor ligands: Novel therapy for pituitary adenomas (2003) J Clin Invest, 111, pp. 1381-1388 
504 |a Ambrosi, B., Effects of chronic administration of PPAR-gamma ligand rosiglitazone in Cushing's disease (2004) Eur J Endocrinol, 151, pp. 173-178 
520 3 |a Cushing disease which is caused by the excessive production of ACTH is a rare and complex endocrine disorder that still represents a major challenge for the physician in terms of accurate diagnosis and efficient treatment. Diagnosing Cushing syndrome and its etiology is an elaborate procedure and no single test is sensitive and specific enough to provide sufficient accuracy. Therefore, an ordered cascade of tests is necessary recommended by a consensus statement in 2002. The proposed diagnostic algorithm will be summarized in the following section. In the absence of efficient drug therapy, transsphenoidal resection of the pituitary adenoma is the treatment of choice for the reduction of ACTH secretion. However, not all patients can be cured by surgery. In the present article, we examine recent studies that have investigated the therapeutic potential of new generations of drugs for the treatment of Cushing disease such as cabergoline and SOM230. The role of nuclear receptors: retinoic acid receptors and peroxisome proliferator-activated receptor-γ as new approaches for treating pituitary tumors is also discussed. Copyright © 2006 S. Karger AG.  |l eng 
593 |a Max-Planck-Institute of Psychiatry, Munich, Germany 
593 |a Affectis Pharmaceuticals, Munich, Germany 
593 |a Facultad de Ciencias Veterinarias, UBA, Buenos Aires, Argentina 
593 |a Laboratorio de Fisiología Y Biología Molecular, FCEN, UBA, Buenos Aires, Argentina 
593 |a Internal Medicine, Endocrinology and Clinical Chemistry, Max-Planck-Institute of Psychiatry, Kraepelinstrasse 10, 80804 Munich, Germany 
690 1 0 |a DOPAMINE RECEPTOR STIMULATING AGENT 
690 1 0 |a DRUG DERIVATIVE 
690 1 0 |a LIGAND 
690 1 0 |a PEROXISOME PROLIFERATOR ACTIVATED RECEPTOR GAMMA 
690 1 0 |a RETINOIC ACID 
690 1 0 |a SOMATOSTATIN 
690 1 0 |a ALGORITHM 
690 1 0 |a ANIMAL 
690 1 0 |a CONFERENCE PAPER 
690 1 0 |a CUSHING DISEASE 
690 1 0 |a DIFFERENTIAL DIAGNOSIS 
690 1 0 |a HUMAN 
690 1 0 |a ALGORITHMS 
690 1 0 |a ANIMALS 
690 1 0 |a DIAGNOSIS, DIFFERENTIAL 
690 1 0 |a DOPAMINE AGONISTS 
690 1 0 |a HUMANS 
690 1 0 |a LIGANDS 
690 1 0 |a PITUITARY ACTH HYPERSECRETION 
690 1 0 |a PPAR GAMMA 
690 1 0 |a SOMATOSTATIN 
690 1 0 |a TRETINOIN 
700 1 |a Theodoropoulou, M. 
700 1 |a Sievers, C. 
700 1 |a Paez-Pereda, M. 
700 1 |a Castillo, V. 
700 1 |a Arzt, E. 
700 1 |a Stalla, G.K. 
773 0 |d 2006  |g v. 35  |h pp. 169-178  |p Front. Horm. Res.  |x 03013073  |z 3805581556  |z 9783805581554  |t Frontiers of Hormone Research 
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