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褪黑素给药对人体垂体激素分泌的影响。

The effect of melatonin administration on pituitary hormone secretion in man.

作者信息

Forsling M L, Wheeler M J, Williams A J

机构信息

Departments of Gynaecology and Physiology King's College, St Thomas' Campus, London, UK.

出版信息

Clin Endocrinol (Oxf). 1999 Nov;51(5):637-42. doi: 10.1046/j.1365-2265.1999.00820.x.

Abstract

OBJECTIVE

Evidence is accumulating that the nocturnal increase in melatonin may influence pituitary hormone secretion. The aim of this study was to determine the effect of exogenous melatonin, in concencetrations spanning the physiological range, on the release of pituitary hormones in man during daylight hours.

DESIGN

A double blind, randomized, crossover study.

SUBJECTS

Eight healthy male volunteers with a mean age of 21 +/- 0.5 years were studied on four occasions, observations being made after the adminstration of melatonin in doses of 0.05, 0.5 or 5.0 mg or placebo. They refrained from taking heavy exercise, alcohol and from smoking for 24 h prior to the study.

MEASUREMENTS

Serum cortisol, growth hormone, prolactin and plasma oxytocin, vasopressin, sodium, osmolality and packed cell volume were measured in samples taken at 30 minutes intervals for 150 minutes after the administration of melatonin.

RESULTS

Melatonin produced dose-dependent changes in circulating concentrations of oxytocin and vasopressin, the 0.5 mg dose being stimulatory, while 5.0 mg was inhibitory. These two doses stimulated growth hormone release, while there was no significant effect on prolactin or cortisol release.

CONCLUSIONS

These results confirm that the nocturnal increase in melatonin could contribute to the patterns of oxytocin, vasopressin and growth hormone release seen over 24 h.

摘要

目的

越来越多的证据表明褪黑素的夜间分泌增加可能会影响垂体激素的分泌。本研究的目的是确定在白天时间段内,生理浓度范围内的外源性褪黑素对人体垂体激素释放的影响。

设计

一项双盲、随机、交叉研究。

研究对象

对8名平均年龄为21±0.5岁的健康男性志愿者进行了4次研究,分别在给予0.05、0.5或5.0毫克褪黑素或安慰剂后进行观察。在研究前24小时,他们避免剧烈运动、饮酒和吸烟。

测量指标

在给予褪黑素后150分钟内,每隔30分钟采集一次样本,测量血清皮质醇、生长激素、催乳素以及血浆催产素、血管加压素、钠、渗透压和红细胞压积。

结果

褪黑素使催产素和血管加压素的循环浓度产生剂量依赖性变化,0.5毫克剂量具有刺激作用,而5.0毫克剂量具有抑制作用。这两个剂量刺激了生长激素的释放,而对催乳素或皮质醇的释放没有显著影响。

结论

这些结果证实夜间褪黑素分泌增加可能导致24小时内催产素、血管加压素和生长激素的释放模式。

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