Simultaneous measurement of β-endorphin, lipotrophins and met-enkephalin in phaeochromocytomas

Abstract
Tissue concentrations of immunoreactive lipotrophin, .beta.-endorphin and Met-enkephalin were determined in 10 pheochromocytomas, 3 of which were responsible for the ectopic ACTH syndrome. Lipotropin and .beta.-endorphin immunoreactivities were detected in all cases, whether or not Cushing''s syndrome was present, and their tissue concentrations were significantly correlated (r = 0.95, P < 0.001). Chromatographic studies showed that .gamma.-lipotropin and .beta.-endorphin were the main peptides in the tumors. Met-enkephalin immunoreactivity were also found in all tumors examined, at much higher concentration and showing no correlation with either lipotropin or .beta.-endorphin immunoreactivity. Although .beta.-endorphin and Met-enkephalin are thought to originate from different precursor molecules, these data show that the 2 opioid peptides may be secreted by the same tumor. The evidence for excess secretion of opioid peptides and their pathological significance in pheochromocytomas remain to be established.

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