
As streptozocin has a toxic effect on gastrin producing cells in some patients with gastrinomas, the action of the drug upon normal gastrin release was evaluated in patients with carcinoid tumours (n=6) and malignant insulinomas (n=2). No acute effects were recorded in 22 instances where gastrin levels were followed during the first 24 hours after infusion of streptozocin. When gastrin levels were compared throughout a course of repeated infusions during months a significant increase was noted. Concentrations were doubled after 6 g streptozocin given during a four months period, and tripled after 10 g in nine months period. One patients developed bleeding duodenal ulcer after a total dose of 6 g. It is concluded that streptozocin does not damage normal G cells, but by some action seems to stimulate gastrin relase. Peptic ulceration may be an important side effect during a long term treatment.
Male, Pancreatic Neoplasms, Stomach Neoplasms, Gastrins, Humans, Female, Carcinoid Tumor, Neoplasm Metastasis, Adenoma, Islet Cell, Streptozocin
Male, Pancreatic Neoplasms, Stomach Neoplasms, Gastrins, Humans, Female, Carcinoid Tumor, Neoplasm Metastasis, Adenoma, Islet Cell, Streptozocin
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