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RU486可克服孕酮对促黄体生成素峰的阻断作用。

The progesterone blockade of the luteinizing hormone surge is overcome by RU486.

作者信息

Skinner D C, Bouchard P, Caraty A

机构信息

Institut National de la Recherche Agronomique, Neuroendocrinologie Sexuelle, Physiologie de la Reproduction des Mammiferes Domestiques, Nouzilly, France.

出版信息

J Neuroendocrinol. 1999 Aug;11(8):637-41. doi: 10.1046/j.1365-2826.1999.00375.x.

Abstract

Progesterone can prevent the oestrogen-induced and spontaneous preovulatory luteinizing hormone (LH) surges but the mechanisms underlying this effect remain poorly understood. Using a follicular phase ovariectomised (OVX) ewe model and by elevating progesterone in the presence of oestrogen to inhibit the LH surge, we investigated whether the progesterone receptor antagonist, RU486, could block the inhibitory effects of progesterone. Accordingly, intravaginal progesterone implants were inserted into OVX Ile-de-France ewes (n = 18), bearing 10 mm Silastic 17beta-oestradiol implants. Ten days later, the progesterone implants were removed, whereupon new implants were inserted immediately into 12 ewes: six of which were also injected with 100 mg RU486 dissolved in 10 mL vehicle (10% alcohol in peanut oil) and six received vehicle only. The remaining six ewes were injected with vehicle only. RU486 and vehicle injections were made again 12 and 24 h later. After the last injection, oestrogen concentrations were raised to peak follicular phase levels in all ewes by subcutaneous insertion of four 3-cm 17beta-oestradiol implants. Blood samples were collected every 2 h for 40 h starting 9 h after the insertion of the oestrogen implants. As expected, the six ewes treated only with oestradiol had a LH surge whereas no ewes given the implants in the presence of progesterone surged. RU486 completely blocked the inhibitory effect of progesterone. There were no differences in the time of LH surge onset, duration over which LH levels remained above their half-maximal concentration or magnitude of the LH surge between the two groups showing surges. Our study suggests strongly that the progesterone-mediated blockade of the ovine oestrogen-induced LH surge is not through allopregnanolone activation of the GABA(A) receptor. Rather, our study demonstrates that this effect is transduced by the classic nuclear progesterone receptor.

摘要

孕酮可抑制雌激素诱导的和自发的排卵前促黄体生成素(LH)峰,但这种作用的潜在机制仍知之甚少。我们采用卵泡期卵巢切除(OVX)母羊模型,通过在雌激素存在的情况下升高孕酮以抑制LH峰,研究孕酮受体拮抗剂RU486是否能阻断孕酮的抑制作用。因此,将阴道内孕酮植入物插入到携带10mm硅橡胶17β-雌二醇植入物的法国岛OVX母羊(n = 18)体内。10天后,取出孕酮植入物,随即立即将新的植入物插入12只母羊体内:其中6只还注射了溶解于10mL溶媒(花生油中10%乙醇)的100mg RU486,另外6只仅接受溶媒。其余6只母羊仅注射溶媒。12小时和24小时后再次注射RU486和溶媒。最后一次注射后,通过皮下插入4个3cm的17β-雌二醇植入物,使所有母羊的雌激素浓度升高至卵泡期峰值水平。从插入雌激素植入物后9小时开始,每2小时采集一次血样,持续40小时。正如预期的那样,仅用雌二醇处理的6只母羊出现了LH峰,而在孕酮存在的情况下植入植入物的母羊均未出现LH峰。RU486完全阻断了孕酮的抑制作用。在出现LH峰的两组之间,LH峰开始的时间、LH水平保持在其半数最大浓度以上的持续时间或LH峰的幅度均无差异。我们的研究强烈表明,孕酮介导的对绵羊雌激素诱导的LH峰的阻断不是通过别孕烯醇酮对GABA(A)受体的激活。相反,我们的研究表明这种作用是由经典的核孕酮受体介导的。

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