Mizoguchi K, Yuzurihara M, Ishige A, Sasaki H, Chui D H, Tabira T
Pharmacology Department, Central Research Laboratories, Tsumura and Co., 3586 Yoshiwara, Ami-machi, Inashiki-gun, 300-1192, Ibaraki, Japan.
Psychoneuroendocrinology. 2001 Jul;26(5):443-59. doi: 10.1016/s0306-4530(01)00004-x.
Exposure to chronic stress is thought to play an important role in the etiology of depression. In this disorder, a disrupted negative feedback response to exogenous glucocorticoids on cortisol secretion has been indicated. However, the regulation of glucocorticoid negative feedback by chronic stress is not fully understood. In the present study, we investigated the effects of chronic stress administered by water immersion and restraint (2 h/day) for four weeks on the glucocorticoid feedback in rats. In the acutely (one-time) stressed rats, the basal plasma corticosterone (CORT) level was markedly elevated, remained at high levels for 5 h after the termination of stress, and then decreased. In the chronically stressed rats, the CORT level was initially elevated similarly, but rapidly decreased at 2 h. In the dexamethasone (DEX) suppression test, the peak CORT level in response to stress was not suppressed by DEX in the acutely stressed rats, but was significantly suppressed in the chronically stressed rats. In contrast, the suppressive effects of DEX on the basal CORT secretion in naive rats were attenuated in the chronically stressed rats. In the chronically stressed hippocampus, which plays an important role in the regulation of the glucocorticoid feedback response, the binding of [3H]DEX was decreased and the increased response of activator protein-1 induced by acute stress was abolished. These results suggest that chronic stress induces a hypersuppressive state for induced CORT secretion in response to acute stress, which is caused by partial habituation, coping, and adaptation to the stressor, whereas it induces a hyposuppressive state for the basal CORT secretion, which is caused by glucocorticoid receptor downregulation. These mechanisms may be involved in the stress-induced neural abnormalities observed in depression.
长期暴露于应激被认为在抑郁症的病因学中起重要作用。在这种疾病中,已表明对外源性糖皮质激素对皮质醇分泌的负反馈反应受到破坏。然而,慢性应激对糖皮质激素负反馈的调节尚未完全了解。在本研究中,我们调查了通过水浸和束缚(每天2小时)持续四周给予的慢性应激对大鼠糖皮质激素反馈的影响。在急性(一次性)应激的大鼠中,基础血浆皮质酮(CORT)水平显著升高,应激终止后5小时保持在高水平,然后下降。在慢性应激的大鼠中,CORT水平最初同样升高,但在2小时时迅速下降。在地塞米松(DEX)抑制试验中,急性应激大鼠中应激诱导的CORT峰值水平未被DEX抑制,但在慢性应激大鼠中被显著抑制。相反,在慢性应激大鼠中,DEX对未处理大鼠基础CORT分泌的抑制作用减弱。在对糖皮质激素反馈反应调节起重要作用的慢性应激海马中,[3H]DEX的结合减少,急性应激诱导的激活蛋白-1的增加反应被消除。这些结果表明,慢性应激诱导对急性应激诱导的CORT分泌的超抑制状态,这是由对应激源的部分习惯化、应对和适应引起的,而它诱导基础CORT分泌的低抑制状态,这是由糖皮质激素受体下调引起的。这些机制可能参与了抑郁症中观察到的应激诱导的神经异常。