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溴隐亭的抗糖尿病作用与叙利亚仓鼠视交叉上核内单胺代谢日节律的改变之间的关联。

Association of the antidiabetic effects of bromocriptine with a shift in the daily rhythm of monoamine metabolism within the suprachiasmatic nuclei of the Syrian hamster.

作者信息

Luo S, Luo J, Cincotta A H

机构信息

Ergo Science Corporation, North Andover, Massachusetts, USA.

出版信息

Chronobiol Int. 2000 Mar;17(2):155-72. doi: 10.1081/cbi-100101040.

DOI:10.1081/cbi-100101040
PMID:10757461
Abstract

Bromocriptine, a dopamine D2 agonist, inhibits seasonal fattening and improves seasonal insulin resistance in Syrian hamsters. Alterations in daily rhythms of neuroendocrine activities are involved in the regulation of seasonal metabolic changes. Changes in circadian neuroendocrine activities that regulate metabolism are believed to be modulated by central circadian oscillators within the hypothalamic suprachiasmatic nuclei (SCN) of seasonal animals. We examined the association of metabolic responses to bromocriptine with its effects on the daily rhythms of metabolic hormones and daily monoamine profiles within the SCN, a primary circadian pacemaker known to regulate metabolism, in Syrian hamsters. Obese glucose-intolerant male Syrian hamsters (body weight [BW] 185 +/- 10 g) held on 14h daily photoperiods were treated at light onset with bromocriptine (800 microg/animal/day, ip) or vehicle for 2 weeks. Animals were then subjected to a glucose tolerance test (GTT) (3 g/kg BW, ip). Different subsets of animals (n = 6) from each treatment group were sacrificed at 0h/24h, 5h, 10h, 15h, or 20h after light onset for analyses of SCN monoamines, plasma insulin, prolactin, cortisol, thyroxin (T4), triiodothyronine (T3), glucose, and free fatty acids (FFAs). Compared with control values, bromocriptine treatment significantly reduced weight gain (14.9 vs. -2.9 g, p < .01) and the areas under the GTT glucose and insulin curves by 29% and 48%, respectively (p < .05). Basal plasma insulin concentration was markedly reduced throughout the day in bromocriptine-treated animals without influencing plasma glucose levels. Bromocriptine reduced the daily peak in FFA by 26% during the late light span (p < .05). Bromocriptine significantly shifted the daily plasma cortisol peak from the early dark to the light period of the day, reduced the plasma prolactin (mean 1.8 vs. 39.4 ng/dL) and T4 throughout the day (mean 1.6 vs. 3.8 microg/dL), and selectively reduced T3 during the dark period of the day (p < .01). Concurrently, bromocriptine treatment significantly reduced SCN dopamine turnover during the light period and shifted daily peaks of SCN serotonin and 5-hydroxy-indoleacetic acid (5-HIAA) content by 12h from the light to the dark period of the day (p < .05). This was confirmed by a further in vivo microdialysis study in which bromocriptine increased SCN extracellular 5-HIAA of glucose-intolerant hamsters during the dark phase (47% increase, p < .05) toward levels observed in normal glucose-tolerant hamsters. Thus, bromocriptine-induced resetting of daily patterns of SCN neurotransmitter metabolism is associated with the effects of bromocriptine on attenuation of the obese insulin-resistant and glucose-intolerant condition. A large body of corroborating evidence suggests that such bromocriptine-induced changes in SCN monoamine metabolism may be functional in its effects on metabolism.

摘要

溴隐亭是一种多巴胺D2激动剂,可抑制叙利亚仓鼠的季节性肥胖,并改善其季节性胰岛素抵抗。神经内分泌活动的日常节律变化参与季节性代谢变化的调节。调节新陈代谢的昼夜神经内分泌活动变化被认为是由季节性动物下丘脑视交叉上核(SCN)内的中枢昼夜节律振荡器调节的。我们研究了叙利亚仓鼠对溴隐亭的代谢反应与其对SCN内代谢激素的日常节律和日常单胺谱的影响之间的关联,SCN是一个已知调节新陈代谢的主要昼夜节律起搏器。将肥胖且糖耐量受损的雄性叙利亚仓鼠(体重[BW]185±10克)置于每天14小时光照周期下,在光照开始时用溴隐亭(800微克/动物/天,腹腔注射)或赋形剂处理2周。然后对动物进行葡萄糖耐量试验(GTT)(3克/千克体重,腹腔注射)。在光照开始后的0小时/24小时、5小时、10小时、15小时或20小时,从每个治疗组中处死不同亚组的动物(n = 6),以分析SCN单胺、血浆胰岛素、催乳素、皮质醇、甲状腺素(T4)、三碘甲状腺原氨酸(T3)、葡萄糖和游离脂肪酸(FFA)。与对照值相比,溴隐亭治疗显著减少了体重增加(14.9克对 -2.9克,p <.01),GTT葡萄糖和胰岛素曲线下面积分别减少了29%和48%(p <.05)。在溴隐亭治疗的动物中,全天基础血浆胰岛素浓度显著降低,而不影响血浆葡萄糖水平。溴隐亭在光照后期将FFA的每日峰值降低了26%(p <.05)。溴隐亭显著将每日血浆皮质醇峰值从黑暗早期转移到白天的光照期,全天降低血浆催乳素(平均1.8对39.4纳克/分升)和T4(平均1.6对3.8微克/分升),并在白天黑暗期选择性降低T3(p <.01)。同时,溴隐亭治疗显著降低了光照期SCN多巴胺周转率,并将SCN血清素和5-羟色胺酸(5-HIAA)含量的每日峰值从白天的光照期转移到黑暗期12小时(p <.05)。这在进一步的体内微透析研究中得到证实,其中溴隐亭在黑暗期增加了糖耐量受损仓鼠的SCN细胞外5-HIAA(增加47%,p <.05),使其达到正常糖耐量仓鼠中观察到的水平。因此,溴隐亭诱导的SCN神经递质代谢日常模式重置与溴隐亭对肥胖胰岛素抵抗和糖耐量受损状况的减轻作用相关。大量确凿证据表明,这种溴隐亭诱导的SCN单胺代谢变化可能在其对代谢的影响中发挥作用。

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