Acromegaly and anaplastic astrocytoma: coincidence or pathophysiological relation?

Insulin-like growth factor type I (IGF-I) is an important promoter in the tumorigenesis of several extracranial and intracranial neoplasms. In astrocytic-cell tumors, the role of autocrine and paracrine IGF-I expression in enhancing tumoral progression is well established. However, the influence of...

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Những tác giả chính: Fernandez, A, Karavitaki, N, Ansorge, O, Fazal-Sanderson, V, Wass, J
Định dạng: Journal article
Ngôn ngữ:English
Được phát hành: 2008
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author Fernandez, A
Karavitaki, N
Ansorge, O
Fazal-Sanderson, V
Wass, J
author_facet Fernandez, A
Karavitaki, N
Ansorge, O
Fazal-Sanderson, V
Wass, J
author_sort Fernandez, A
collection OXFORD
description Insulin-like growth factor type I (IGF-I) is an important promoter in the tumorigenesis of several extracranial and intracranial neoplasms. In astrocytic-cell tumors, the role of autocrine and paracrine IGF-I expression in enhancing tumoral progression is well established. However, the influence of systemic IGF-I levels on the clinical behavior of astrocytic neoplasms remains an open subject of research. We report the case of a 28-year-old man who presented simultaneously with acromegaly and an anaplastic astrocytoma, which had rapidly progressed from a low-grade astrocytoma. The coexistence of systemic IGF-I hypersecretion with a quick progression in the histopathological grade of the astrocytoma raises the compelling question of whether the clinical behavior of the astrocytic tumor was influenced by the acromegalic status. The role of IGF-I signaling in the pathogenesis of astrocytic-cell tumors and the experience with therapeutic strategies addressing this pathway in astrocytomas are also discussed.
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spelling oxford-uuid:d69cc1b9-d4e5-46fb-949c-f16046ce35212022-03-27T08:34:47ZAcromegaly and anaplastic astrocytoma: coincidence or pathophysiological relation?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d69cc1b9-d4e5-46fb-949c-f16046ce3521EnglishSymplectic Elements at Oxford2008Fernandez, AKaravitaki, NAnsorge, OFazal-Sanderson, VWass, JInsulin-like growth factor type I (IGF-I) is an important promoter in the tumorigenesis of several extracranial and intracranial neoplasms. In astrocytic-cell tumors, the role of autocrine and paracrine IGF-I expression in enhancing tumoral progression is well established. However, the influence of systemic IGF-I levels on the clinical behavior of astrocytic neoplasms remains an open subject of research. We report the case of a 28-year-old man who presented simultaneously with acromegaly and an anaplastic astrocytoma, which had rapidly progressed from a low-grade astrocytoma. The coexistence of systemic IGF-I hypersecretion with a quick progression in the histopathological grade of the astrocytoma raises the compelling question of whether the clinical behavior of the astrocytic tumor was influenced by the acromegalic status. The role of IGF-I signaling in the pathogenesis of astrocytic-cell tumors and the experience with therapeutic strategies addressing this pathway in astrocytomas are also discussed.
spellingShingle Fernandez, A
Karavitaki, N
Ansorge, O
Fazal-Sanderson, V
Wass, J
Acromegaly and anaplastic astrocytoma: coincidence or pathophysiological relation?
title Acromegaly and anaplastic astrocytoma: coincidence or pathophysiological relation?
title_full Acromegaly and anaplastic astrocytoma: coincidence or pathophysiological relation?
title_fullStr Acromegaly and anaplastic astrocytoma: coincidence or pathophysiological relation?
title_full_unstemmed Acromegaly and anaplastic astrocytoma: coincidence or pathophysiological relation?
title_short Acromegaly and anaplastic astrocytoma: coincidence or pathophysiological relation?
title_sort acromegaly and anaplastic astrocytoma coincidence or pathophysiological relation
work_keys_str_mv AT fernandeza acromegalyandanaplasticastrocytomacoincidenceorpathophysiologicalrelation
AT karavitakin acromegalyandanaplasticastrocytomacoincidenceorpathophysiologicalrelation
AT ansorgeo acromegalyandanaplasticastrocytomacoincidenceorpathophysiologicalrelation
AT fazalsandersonv acromegalyandanaplasticastrocytomacoincidenceorpathophysiologicalrelation
AT wassj acromegalyandanaplasticastrocytomacoincidenceorpathophysiologicalrelation