Zusammenfassung.
Rezeptoren für Peptidhormone wurden auf Tumoren und Tumorzelllinien des Gastrointestinaltrakts
nachgewiesen. In der Übersicht werden Daten über Peptide, für deren Agonisten bzw.
Antagonisten Wirkungen bei humanen Tumoren gezeigt wurden, zusammenfassend dargestellt.
Gastrin-Antagonisten können das Wachstum von Pankreas- und Kolonkarzinomzelllinien
in vitro und in Nacktmäusen hemmen, nicht dagegen bisher bei Patienten mit Pankreas-
und Magenkarzinomen. Eine Rolle des Gastrins bei der Karzinogenese des Magen- und
Kolonkarzinoms wird diskutiert. Weder Cholezystokinin-Antagonisten noch
-agonisten konnten das Wachstum von Pankreaskarzinomen bei Patienten hemmen. Über
Neurotensin-Rezeptoren kann in vitro das Wachstum von Kolon- und Pankreaszelllinien
gesteigert werden. Vasoaktives Intestinales Peptid (VIP) beeinflusst das Wachstum
von humanen gastrointestinalen Tumoren unterschiedlich. Das Peptid YY kann das Wachstum
humaner Pankreas- und Kolonkarzinomzelllinien hemmen. Der Einsatz von Somatostatin
und Analoga bei neuronendokrinen Tumoren ist etabliert. Auch bei Kolonkarzinomen und
deren Vorläufern sowie beim hepatozellulären Karzinom könnten diese Substanzen wirksam
sein.
The Role of Gastrointestinal Hormones for the Growth of Gastrointestinal Malignancies.
Receptors for regulatory gut/brain peptides are expressed on gastrointestinal tumors
and tumor cell lines. This review summarizes data on those agonists and antagonists
of peptides which effect the growth of human gastrointestinal tumors. Growth of pancreatic
and colon carcinomas is retarded by gastrin and its agonists in vitro and in nude
mice but not in men. A significant role of gastrin in human colorectal and stomach
cancers has recently been discussed. Cholecystokinin and its agonists/antagonists
did not stop the growth of pancreatic carcinomas in patients. In vitro growth of pancreatic
and colon cancer cell lines could be stimulated via receptors for neurotensin. Vasoactive
intestinal peptide (VIP) has ambivalent effects on the growth of gastrointestinal
tumors. Peptide YY decreases the growth of human pancreatic and colon cancer cell
lines. Somatostatin and its agonists are successfully used for therapy of neuroendocrine
tumors. They also could be effective in therapy of colon and hepatocellular carcinomas.
Schlüsselwörter:
Gastrointestinale Peptidhormone - Agonisten - Antagonisten - Gastrointestinale Tumoren
Key Words:
Gastrointestinal peptides - Agonists - Antagonists - Gastrointestinal malignancies
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1 Diese Arbeit wird von der Sander Stiftung unterstützt.
Christian Lersch
II. Medizinische Klinik und Poliklinik
der Technischen Universität München
Klinikum rechts der Isar
Ismaninger Straße 22
81675 München
Phone: 089-4140-2482
Fax: 089-4140-4968
Email: christian.lersch@lrz.tum.de