Recent Developments in Pituitary-directed Medical Treatment for Cushing's Disease

Cushing's disease is caused by excessive secretion of adrenocorticotropic hormone (ACTH) by hormone-secreting pituitary adenomas, the first-choice treatment for which is surgical resection of the pituitary adenoma. Medication therapy is the second-line treatment, and a necessary treatment f...

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Main Author: Ling LI, Huijuan ZHANG
Format: Article
Language:zho
Published: Chinese General Practice Publishing House Co., Ltd 2022-05-01
Series:Zhongguo quanke yixue
Subjects:
Online Access:https://www.chinagp.net/fileup/1007-9572/PDF/1649303613379-1396165756.pdf
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author Ling LI, Huijuan ZHANG
author_facet Ling LI, Huijuan ZHANG
author_sort Ling LI, Huijuan ZHANG
collection DOAJ
description Cushing's disease is caused by excessive secretion of adrenocorticotropic hormone (ACTH) by hormone-secreting pituitary adenomas, the first-choice treatment for which is surgical resection of the pituitary adenoma. Medication therapy is the second-line treatment, and a necessary treatment for some patients with unsatisfactory surgical results or failing to use the surgery. With recent developments in pathogenesis studies of Cushing's disease, medications specifically targeting hormone-secreting pituitary adenomas have proven to be effective in controlling the tumor growth, and suppressing the tumor's secretion of ACTH, which may be a theoretical and practical basis for medical treatment of Cushing's disease. In this review, we discussed pituitary-directed medical therapies for Cushing's disease and their mechanisms of actions, aiming to increase medical workers' understanding of this disease, and to offer theoretical evidence for the development of appropriate treatment strategies.
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spelling doaj.art-c7f56e4bf50d44808b45a3412489c3542024-04-09T03:12:56ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722022-05-0125141789179410.12114/j.issn.1007-9572.2021.01.039Recent Developments in Pituitary-directed Medical Treatment for Cushing's DiseaseLing LI, Huijuan ZHANG0Department of Endocrinology and Metabolism, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, ChinaCushing's disease is caused by excessive secretion of adrenocorticotropic hormone (ACTH) by hormone-secreting pituitary adenomas, the first-choice treatment for which is surgical resection of the pituitary adenoma. Medication therapy is the second-line treatment, and a necessary treatment for some patients with unsatisfactory surgical results or failing to use the surgery. With recent developments in pathogenesis studies of Cushing's disease, medications specifically targeting hormone-secreting pituitary adenomas have proven to be effective in controlling the tumor growth, and suppressing the tumor's secretion of ACTH, which may be a theoretical and practical basis for medical treatment of Cushing's disease. In this review, we discussed pituitary-directed medical therapies for Cushing's disease and their mechanisms of actions, aiming to increase medical workers' understanding of this disease, and to offer theoretical evidence for the development of appropriate treatment strategies.https://www.chinagp.net/fileup/1007-9572/PDF/1649303613379-1396165756.pdfcushing syndrome|adrenocorticotropic hormone|drug therapy|review
spellingShingle Ling LI, Huijuan ZHANG
Recent Developments in Pituitary-directed Medical Treatment for Cushing's Disease
Zhongguo quanke yixue
cushing syndrome|adrenocorticotropic hormone|drug therapy|review
title Recent Developments in Pituitary-directed Medical Treatment for Cushing's Disease
title_full Recent Developments in Pituitary-directed Medical Treatment for Cushing's Disease
title_fullStr Recent Developments in Pituitary-directed Medical Treatment for Cushing's Disease
title_full_unstemmed Recent Developments in Pituitary-directed Medical Treatment for Cushing's Disease
title_short Recent Developments in Pituitary-directed Medical Treatment for Cushing's Disease
title_sort recent developments in pituitary directed medical treatment for cushing apos s disease
topic cushing syndrome|adrenocorticotropic hormone|drug therapy|review
url https://www.chinagp.net/fileup/1007-9572/PDF/1649303613379-1396165756.pdf
work_keys_str_mv AT linglihuijuanzhang recentdevelopmentsinpituitarydirectedmedicaltreatmentforcushingapossdisease