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大鼠下丘脑-垂体-肾上腺皮质轴对分娩相关事件无反应:内源性阿片类物质的抑制作用。

Nonresponsiveness of the rat hypothalamo-pituitary-adrenocortical axis to parturition-related events: inhibitory action of endogenous opioids.

作者信息

Wigger A, Lörscher P, Oehler I, Keck M E, Naruo T, Neumann I D

机构信息

Max Planck Institute of Psychiatry, Munich, Germany.

出版信息

Endocrinology. 1999 Jun;140(6):2843-9. doi: 10.1210/endo.140.6.6784.

Abstract

During the last 2 days of pregnancy in rats, basal corticosterone secretion is enhanced, although the response of the hypothalamo-pituitary-adrenocortical (HPA) axis to emotional and physical stressors is blunted, independent of the action of endogenous opioids. In this study, alterations in the reactivity of the HPA axis, which may accompany parturition-related stimuli, and the involvement of endogenous opioids were examined in chronically catheterized rats. In vehicle-treated controls (n = 9), ACTH and corticosterone secretion decreased in preparation for birth (P < 0.01) and further declined immediately after delivery of the second pup (P < 0.01), remaining low for 150 min. In contrast, in animals injected with the opiate antagonist naloxone (5 mg ml(-1) kg(-1), i.v., n = 6) after delivery of the second pup, ACTH and corticosterone release were enhanced within 20 min (ACTH, 5.0-fold; corticosterone, 2.3-fold; P < 0.01 vs. controls) and returned to control levels after 90 min. In confirmation of previous reports, oxytocin secretion into blood was elevated in control rats after the onset of parturition (P < 0.01) and was further enhanced in the naloxone group (1.4-fold, P < 0.01 vs. control). Plasma lactate concentration was increased, 30 min after the onset of delivery (1.9-fold, P < 0.01), independent of the treatment. The data indicate that parturition-related events do not trigger HPA axis hormone release because of an effective inhibition by endogenous opioids. This nonresponsiveness of the HPA axis is likely to protect the pups' well-being during birth.

摘要

在大鼠孕期的最后两天,基础皮质酮分泌增加,尽管下丘脑 - 垂体 - 肾上腺皮质(HPA)轴对情绪和身体应激源的反应减弱,且与内源性阿片类物质的作用无关。在本研究中,对长期插管的大鼠进行了研究,以检测可能伴随分娩相关刺激的HPA轴反应性变化以及内源性阿片类物质的参与情况。在接受载体处理的对照组(n = 9)中,促肾上腺皮质激素(ACTH)和皮质酮分泌在为分娩做准备时下降(P < 0.01),在第二只幼崽出生后立即进一步下降(P < 0.01),并在150分钟内保持低水平。相比之下,在第二只幼崽出生后注射阿片类拮抗剂纳洛酮(5 mg ml(-1) kg(-1),静脉注射,n = 6)的动物中,ACTH和皮质酮释放在20分钟内增强(ACTH为5.0倍;皮质酮为2.3倍;与对照组相比P < 0.01),并在90分钟后恢复到对照水平。正如之前报道所证实的,分娩开始后对照大鼠血液中催产素分泌升高(P < 0.01),在纳洛酮组中进一步增强(1.4倍,与对照组相比P < 0.01)。分娩开始30分钟后血浆乳酸浓度升高(1.9倍,P < 0.01),与处理无关。数据表明,由于内源性阿片类物质的有效抑制,分娩相关事件不会触发HPA轴激素释放。HPA轴的这种无反应性可能在分娩期间保护幼崽的健康。

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