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Published in: Journal of Medical Case Reports 1/2011

Open Access 01-12-2011 | Case report

Rosiglitazone as an option for patients with acromegaly: a case series

Authors: Héctor E Tamez-Pérez, Ana Bahena-García, María D Gómez de Ossio, Hugo Gutiérrez-Hermosillo, Alejandra L Tamez-Peña

Published in: Journal of Medical Case Reports | Issue 1/2011

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Abstract

Introduction

In the patient with acromegaly, pituitary surgery is the therapeutic standard. Despite undergoing surgery, a significant number of patients with acromegaly continue to have uncontrolled growth hormone secretion. These patients require other treatments such as external irradiation and/or drug therapy.

Case presentation

We present the clinical and laboratory responses to six months of treatment with rosiglitazone in four cases. In all four cases, the patients had persistent growth hormone overproduction despite previous surgical treatment and other conventional therapy. Case 1 is a 57-year-old Caucasian woman, case 2 is a 51-year-old Hispanic man, case 3 is a 32-year-old Hispanic woman, and case 4 is a 36-year-old Hispanic man. In three of these patients, basal and nadir growth hormone and insulin-like growth factor 1 levels were significantly decreased (P < 0.05 and P < 0.01, respectively).

Conclusion

Rosiglitazone could be a treatment option in select patients with acromegaly.
Literature
1.
2.
go back to reference Melmed S, Colao A, Barkan A, Molitch M, Grossman AB, Kleinberg D, Clemmons D, Chanson P, Laws E, Schlechte J, Vance ML, Ho K, Giustina A, Acromegaly Consensus Group: Guidelines for acromegaly management: an update. J Clin Endocrinol Metab. 2009, 94: 1509-1517. 10.1210/jc.2008-2421.CrossRefPubMed Melmed S, Colao A, Barkan A, Molitch M, Grossman AB, Kleinberg D, Clemmons D, Chanson P, Laws E, Schlechte J, Vance ML, Ho K, Giustina A, Acromegaly Consensus Group: Guidelines for acromegaly management: an update. J Clin Endocrinol Metab. 2009, 94: 1509-1517. 10.1210/jc.2008-2421.CrossRefPubMed
3.
go back to reference Besser GM, Burman P, Daly AF: Predictors and rates of treatment-resistant tumor growth in acromegaly. Eur J Endocrinol. 2005, 153: 187-193. 10.1530/eje.1.01968.CrossRefPubMed Besser GM, Burman P, Daly AF: Predictors and rates of treatment-resistant tumor growth in acromegaly. Eur J Endocrinol. 2005, 153: 187-193. 10.1530/eje.1.01968.CrossRefPubMed
4.
go back to reference Grardišer M, Matovinović M, Vrkljan M: Decrease in growth hormone and insulin-like growth factor (IGF)-1 release and amelioration of acromegaly features alter rosiglitazone treatment of type 2 diabetes mellitus in a patient with acromegaly. Croat Med J. 2007, 48: 87-91. Grardišer M, Matovinović M, Vrkljan M: Decrease in growth hormone and insulin-like growth factor (IGF)-1 release and amelioration of acromegaly features alter rosiglitazone treatment of type 2 diabetes mellitus in a patient with acromegaly. Croat Med J. 2007, 48: 87-91.
5.
go back to reference Bastemir M, Akin F, Yaylali GF: The PPAR-γ activator rosiglitazone fails to lower plasma growth hormone and insulin-like growth factor-1 levels in patients with acromegaly. Neuroendocrinology. 2007, 86: 119-123. 10.1159/000106830.CrossRefPubMed Bastemir M, Akin F, Yaylali GF: The PPAR-γ activator rosiglitazone fails to lower plasma growth hormone and insulin-like growth factor-1 levels in patients with acromegaly. Neuroendocrinology. 2007, 86: 119-123. 10.1159/000106830.CrossRefPubMed
6.
go back to reference Winczyk K, Kunert-Radek J, Gruszka A, Radek M, Ławnicka H, Pawlikowski M: Effects of rosiglitazone-peroxisome proliferator-activated receptor γ (PPARγ) agonist on cell viability of human pituitary adenomas in vitro. Neuro Endocrinol Lett. 2009, 30: 107-110.PubMed Winczyk K, Kunert-Radek J, Gruszka A, Radek M, Ławnicka H, Pawlikowski M: Effects of rosiglitazone-peroxisome proliferator-activated receptor γ (PPARγ) agonist on cell viability of human pituitary adenomas in vitro. Neuro Endocrinol Lett. 2009, 30: 107-110.PubMed
7.
go back to reference Magenta G, Borenstein X, Rolando R, Jasnis MA: Rosiglitazone inhibits metastasis development of a murine mammary tumor cell line LMM3. BMC Cancer. 2008, 8: 47-10.1186/1471-2407-8-47.CrossRefPubMedPubMedCentral Magenta G, Borenstein X, Rolando R, Jasnis MA: Rosiglitazone inhibits metastasis development of a murine mammary tumor cell line LMM3. BMC Cancer. 2008, 8: 47-10.1186/1471-2407-8-47.CrossRefPubMedPubMedCentral
8.
go back to reference Castinetti F, Morange I, Dubois N, Albarel F, Conte-Devolx B, Dufour H, Brue T: Does first-line surgery still have its place in the treatment of acromegaly?. Ann Endocrinol (Paris). 2009, 70: 107-112.CrossRef Castinetti F, Morange I, Dubois N, Albarel F, Conte-Devolx B, Dufour H, Brue T: Does first-line surgery still have its place in the treatment of acromegaly?. Ann Endocrinol (Paris). 2009, 70: 107-112.CrossRef
9.
go back to reference Emery MN, Leontiou C, Bonner SE, Merulli C, Nanzer AM, Musat M, Galloway M, Powell M, Nikookam K, Korbonits M, Grossman AB: PPAR-γ expression in pituitary tumours and the functional activity of the glitazones: evidence that any anti-proliferative effect of the glitazones is independent of the PPAR-γ receptor. Clin Endocrinol (Oxf). 2006, 65: 389-395. 10.1111/j.1365-2265.2006.02610.x.CrossRef Emery MN, Leontiou C, Bonner SE, Merulli C, Nanzer AM, Musat M, Galloway M, Powell M, Nikookam K, Korbonits M, Grossman AB: PPAR-γ expression in pituitary tumours and the functional activity of the glitazones: evidence that any anti-proliferative effect of the glitazones is independent of the PPAR-γ receptor. Clin Endocrinol (Oxf). 2006, 65: 389-395. 10.1111/j.1365-2265.2006.02610.x.CrossRef
10.
go back to reference Heaney AP: Novel pituitary ligands: peroxisome proliferator activating receptor-γ. Pituitary. 2003, 6: 153-159.CrossRefPubMed Heaney AP: Novel pituitary ligands: peroxisome proliferator activating receptor-γ. Pituitary. 2003, 6: 153-159.CrossRefPubMed
12.
go back to reference Morcos M, Fohr B, Tafel J, Pfisterer F, Hamann A, Humpert P, Bode H, Schwenger V, Zeier M, Becker C, Kasperk C, Schilling T, Hammes HP, Bierhaus A, Nawroth PP: Long-term treatment of central Cushing's syndrome with rosiglitazone. Exp Clin Endocrinol Diabetes. 2007, 115: 292-297. 10.1055/s-2007-970162.CrossRefPubMed Morcos M, Fohr B, Tafel J, Pfisterer F, Hamann A, Humpert P, Bode H, Schwenger V, Zeier M, Becker C, Kasperk C, Schilling T, Hammes HP, Bierhaus A, Nawroth PP: Long-term treatment of central Cushing's syndrome with rosiglitazone. Exp Clin Endocrinol Diabetes. 2007, 115: 292-297. 10.1055/s-2007-970162.CrossRefPubMed
13.
go back to reference Wajchenberg BL: β-cell failure in diabetes and preservation by clinical treatment. Endocr Rev. 2007, 28: 187-218.CrossRefPubMed Wajchenberg BL: β-cell failure in diabetes and preservation by clinical treatment. Endocr Rev. 2007, 28: 187-218.CrossRefPubMed
Metadata
Title
Rosiglitazone as an option for patients with acromegaly: a case series
Authors
Héctor E Tamez-Pérez
Ana Bahena-García
María D Gómez de Ossio
Hugo Gutiérrez-Hermosillo
Alejandra L Tamez-Peña
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2011
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-5-200

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