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通过阿片类药物阻断逆转青春期雄性大鼠慢性乙醇诱导的睾酮抑制

Reversal of chronic ethanol-induced testosterone suppression in peripubertal male rats by opiate blockade.

作者信息

Emanuele N V, LaPaglia N, Steiner J, Kirsteins L, Emanuele M A

机构信息

Department of Medicine, Loyola University Medical Center, Maywood, Illinois 60153, USA.

出版信息

Alcohol Clin Exp Res. 1999 Jan;23(1):60-6.

Abstract

Teenage drinking continues to be a significant problem in the U.S., as well as abroad. We have previously demonstrated that opiate blockade with naltrexone, a drug currently used in patients to diminish alcohol craving, prevented the fall in serum testosterone seen after acute ethanol (EtOH) exposure in young, peripubertal male rats. To follow-up on this reversal, a series of experiments was performed to determine if naltrexone would also prevent the testosterone suppression caused by chronic EtOH exposure. Peripubertal rats either 45 days old (mid-pubertal) or 55 days old (late pubertal) were fed an EtOH-containing liquid diet or pair-fed control diet for 14 days. Each animal was implanted with either a naltrexone containing or placebo pellet before starting the liquid diet. In each age group, EtOH alone significantly suppressed testosterone, whereas naltrexone prevented this fall, although it had no effect alone. Serum luteinizing hormone was also suppressed by EtOH; however, naltrexone did not abrogate this fall. In the 45-day-old animals, beta-luteinizing hormone mRNA levels rose significantly in the EtOH group, but not when naltrexone was coadministered with EtOH. There was no change in hypothalamic luteinizing hormone releasing hormone (LHRH) mRNA, pro-LHRH, or LHRH in any group at either age. Thus, naltrexone is able to partially prevent the EtOH-induced suppression of gonadal testosterone of young, adolescent male rats. This effect appears to be mediated directly at gonadal level, because hypothalamic and pituitary hormone changes were minor and nonsignificant.

摘要

青少年饮酒在美国乃至国外仍然是一个重大问题。我们之前已经证明,使用纳曲酮进行阿片类药物阻断(纳曲酮是目前用于患者以减少酒精渴望的一种药物),可防止青春期前雄性幼鼠急性乙醇(EtOH)暴露后血清睾酮水平下降。为了跟进这一逆转现象,我们进行了一系列实验,以确定纳曲酮是否也能预防慢性EtOH暴露引起的睾酮抑制。将45日龄(青春期中期)或55日龄(青春期后期)的青春期前大鼠喂食含EtOH的液体饲料或配对喂食对照饲料14天。在开始液体饲料喂养前,给每只动物植入含纳曲酮或安慰剂的药丸。在每个年龄组中,单独使用EtOH可显著抑制睾酮,而纳曲酮可防止这种下降,尽管其单独使用时没有效果。血清黄体生成素也受到EtOH的抑制;然而,纳曲酮并没有消除这种下降。在45日龄的动物中,EtOH组的β-黄体生成素mRNA水平显著升高,但当纳曲酮与EtOH联合使用时则没有升高。在任何一个年龄组中,下丘脑黄体生成素释放激素(LHRH)mRNA、前体LHRH或LHRH均无变化。因此,纳曲酮能够部分预防EtOH诱导的年轻青春期雄性大鼠性腺睾酮抑制。这种作用似乎直接在性腺水平介导,因为下丘脑和垂体激素的变化很小且不显著。

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