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Journal of Clinical Endocrinology & Metabolism Vol. 71, No. 4 831-835
doi:10.1210/jcem-71-4-831
Copyright © 1990 by the Endocrine Society.
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Immunoreactive Gastrin-Releasing Peptide in Medullary Thyroid Carcinoma

E. MODIGLIANI, S. CASANOVA, J. A. CHAYVIALLE, C. BERNARD, B. FRANC, R. COHEN and C. CALMETTES

Department of Endocrinology (E.M., S.C., R.C.), Paris XIII University, Hôpital Avicenne 93009 Bobigny, France;
INSERM U45 (J.A.C., C.B.), Hôpital Edouard Herriot 69379 Lyon Cedex 08, France;
Department of Pathology (B.F.), Hôpital Ambroise Paré 92100 Boulogne, France;
INSERM U113 (C.C.) Hôpital Saint Antoine 75012 Paris, France

Address requests for reprints to: E. Modigliani, Department of Endocrinology, Paris XIII University, Hôpital Avicenne, 93009 Bobigny, France.

This paper was the work of GETC, a French group of medullary thyroid tumor. This work was supported in part by CNAMTS Grant 387 (to J.A.C.).

We have previously shown that immunoassayable concentration of somatostatin (SRIH) was elevated in 70% of 34 consecutive medullary thyroid carcinoma (MTC) tissue samples. In the present study gastrin releasing peptide (GRP)- like immunoreactivity was measured in tissue extracts from these 34 MTC (25 inherited, 7 sporadic, 2 unclassified) and in 7 normal thyroid tissue. Plasma SRIH, calcitonin (CT) and carcinoembryonic antigen were assayed in all patients. Normal thyroid tissue contained less than 61 pmol GRP per g wet weight; in contrast GRP concentration was elevated (62–7800 pmol/g) in 32/34 tumor extracts. The distribution of tissue GRP values were similar in sporadic as well as in familial MTC. We found no significant correlation between tumor GRP concentration and plasma SRIH (r = –0.05), plasma CT (r = –0.24), or plasma carcinoembryonic antigen levels (r = –0.21). Tumor concentrations of immunoreactive GRP and SRIH were positively correlated when logarithmic transformation was used (P < 0.01). Thus GRP, as well as SRIH, is a major product of tumoral C cells in human MTC when systematically evaluated in a large number of cases.

Received June 1, 1989.







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