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地塞米松对怀孕恒河猴外周血中雄烯二酮、睾酮和皮质醇血浆浓度的影响。

The effects of dexamethasone on the peripheral plasma concentrations of androstenedione, testosterone and cortisol in the pregnant rhesus monkey.

作者信息

Challis J R, Davies I J, Benirschke K, Hendrickx A G, Ryan K J

出版信息

Endocrinology. 1975 Jan;96(1):185-92. doi: 10.1210/endo-96-1-185.

Abstract

The concentrations of androstenedione, testosterone and cortisol have been measured in the maternal peripheral plasma of normal pregnant rhesus monkeys (Macaca mulatta), and in rhesus monkeys treated daily with dexamethasone during late pregnancy. During the last 30 days of pregnancy, the mean plasma concentrations of androstenedione, testosterone and cortisol were about 1400-2000 pg/m1375-425pg/ml and 300-400 ng/ml, respectively. None of these steroids increased significantly before parturition. As there was no rise in maternal androgens in late pregnancy when plasma estrogens increase sharply, it suggested that his elevation of plasma estrogens is related to an increase of fetal precursors Dexamethasone treatment resulted in 90% suppression of plasma cortisol and 40%-60% suppression of androstendione and testosterone. As the suppression of maternal androgens was of lesser magnitude than the decline of plasma estrogens, and as the androgens did not continue to fall with continuing dexamethasone treatment as did the estrogens, these findings also suggest that the decline in plasma estrogens is related in large part to suppression and atrophy of the fetal adrenals.

摘要

已测定正常怀孕恒河猴(猕猴)母体外周血浆中雄烯二酮、睾酮和皮质醇的浓度,以及在妊娠晚期每天接受地塞米松治疗的恒河猴的这些激素浓度。在妊娠的最后30天,雄烯二酮、睾酮和皮质醇的平均血浆浓度分别约为1400 - 2000 pg/ml、375 - 425 pg/ml和300 - 400 ng/ml。这些类固醇在分娩前均未显著增加。由于在妊娠晚期血浆雌激素急剧增加时母体雄激素没有升高,这表明血浆雌激素的升高与胎儿前体物质的增加有关。地塞米松治疗导致血浆皮质醇受到90%的抑制,雄烯二酮和睾酮受到40% - 60% 的抑制。由于母体雄激素的抑制程度小于血浆雌激素的下降程度,并且随着地塞米松持续治疗,雄激素不像雌激素那样继续下降,这些发现还表明血浆雌激素的下降在很大程度上与胎儿肾上腺的抑制和萎缩有关。

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