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The discovery of hypothalamic factors that inhibited growth hormone
secretion and of pancreatic factors that inhibited insulin
secretion were the first clues to the existence of somatostatin.
During the course of efforts to isolate growth hormone releasing
factor, Krulich, McCann and Dhariwal found that hypothalamic
extracts contained a potent inhibitor of growth hormone secretion.
They postulated that growth hormone secretion was under a dual
control system, one inhibitory and the other excitatory (I) . In
studies being carried out at about the same time, Hellman and
Lernmark found a factor in pancreatic extracts that inhibited
insulin secretion (2). They postulated that islet cell function was
regulated by local hormonal factors. With the isolation and
chemical characterization of somatostatin by Brazeau and colleagues
(3), and the availability of relatively large amounts of the
synthetic peptide for research, it has been possible to demonstrate
that both predictions were true. Subsequent work revealed that
somatostatin, as initially isolated (somatostatin 14), was but one
of several related peptides, part of a multigene family, with
tissue specific processing. Many of the details of biosynthesis and
genetic control have been worked out, and this molecule has served
many workers as a model gut-brain peptide for detailed study. The
peptides are widely distributed in tissues and exert an
extraordinary range of effects on most glandular secretions, both
internal and external.
The elucidation of the structure, function, and clinical
significance of the neurohypophysis has been one of the most
rewarding chapters in the history of endocrinology. Diabetes
insipidus, which can be manifested by passage of 15 liters of urine
a day, is one of the most dramatic disorders of the endocrine
system, and can readily be managed by replacement therapy with the
natural secretions of this gland, or with synthetic analogues that
provide a more favorable therapeutic ratio. The neurohypophysis is
the archetypical neurosecretory gland. Its secretions arise within
well defined nerve cells in the hypothalamus, are transported by
axoplasmic flow to nerve endings in the neural lobe, are released
in response to propagated action potentials, and are regulated by
neurotransmitters and osmotic signals. This gland is a model for
homeostatic regulation; functional disorders of this regulation
lead to well defined disorders such as the syndrome of
inappropriate secretion of antidi uretic hormone (SIADH), which can
be mimicked by the ectopic secretion of its hormones by tumor
cells. These hormones were the first peptides to be sequenced and
synthesized chemically and their structure-function relations have
been characterized as well as those of any of the peptide hormones.
The concept that peptide hormones generally arise as products of
the processing of a larger prohormone precursor was first developed
from studies of the neurohypophysis. The concept of
stimulus-secretion coupling was first ap plied in neuronal tissue
to the neurohypophysis.
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