Soaje M, de Di Nasso E G, Deis R P
Laboratorio de Reproducción y Lactancia, Cosejo Nacional de Investigaciones Cientificas y Técnicas, Casilla de Correo 855, 5500 Mendoza, Argentina.
J Endocrinol. 2002 Feb;172(2):255-61. doi: 10.1677/joe.0.1720255.
Evidence suggests that endogenous opioid peptides are implicated in the suckling-induced prolactin rise. We explored the role of the opioid system and the participation of ovarian hormones in the regulation of prolactin induced by the suckling stimulus at the end of pregnancy in rats with developed maternal behavior, and during lactation. Suckling for 24 h induced a significant increase in serum prolactin on day 19 of pregnancy, which was increased more than three times when naloxone (2 mg/kg s.c.) or mifepristone (2 mg/kg) was administered. The combination of naloxone and mifepristone did not increase serum prolactin more than either compound alone. Administration of tamoxifen (500 microg/kg orally) on days 14 and 15 of pregnancy completely abolished the effect of naloxone, indicating a role for estrogens in establishing this inhibitory role of opioids. To examine the participation of the opioid system during lactation, we used groups of rats on days 1, 3, 5, 12 and 19 postpartum either (i) isolated from the pups for 4 h, or (ii) isolated from the pups for 3.5 h and reunited with them and suckled for 30 min. Naloxone, given just before replacing the pups, prevented the increase in serum prolactin levels observed in the suckled group of rats but had no effect on the basal levels of the isolated rats. To examine whether the participation of the opioid system in the release of prolactin is dependent on the variation of progesterone levels, rats on day 20 of pregnancy were implanted with two cannulae containing progesterone (that blocked postpartum ovulation) or cholesterol, and cesarean surgery was performed on day 21. To maintain lactation, pups (1-3 days old) were replaced every 24 h, and 4 days after the cesarean eight pups were placed in the cage at 1800 h to maintain a strong suckling stimulus during the following 24 h. Naloxone administration significantly reduced serum prolactin levels in control (cholesterol) rats but progesterone implants prevented the inhibitory effect of naloxone and this effect was not modified by treatment with estrogen. These results indicate that the opioid system modulates suckling-induced prolactin secretion, passing from an inhibitory action before delivery to a stimulatory action during lactation. This regulatory shift seems to be dependent on the fall in progesterone concentration at the end of pregnancy and the subsequent increase after the postpartum ovulation and luteal phase.
有证据表明内源性阿片肽与哺乳诱导的催乳素升高有关。我们探讨了阿片系统的作用以及卵巢激素在有成熟母性行为的大鼠妊娠末期和哺乳期由哺乳刺激诱导的催乳素调节中的参与情况。在妊娠第19天,哺乳24小时可诱导血清催乳素显著升高,当给予纳洛酮(2毫克/千克皮下注射)或米非司酮(2毫克/千克)时,血清催乳素升高超过三倍。纳洛酮和米非司酮联合使用时,血清催乳素升高幅度并不比单独使用任何一种化合物时更大。在妊娠第14天和15天口服他莫昔芬(500微克/千克)完全消除了纳洛酮的作用,表明雌激素在确立阿片类药物的这种抑制作用中起作用。为了研究阿片系统在哺乳期的参与情况,我们将产后第1、3、5、12和19天的大鼠分为两组,一组(i)与幼崽隔离4小时,另一组(ii)与幼崽隔离3.5小时后再与它们团聚并哺乳30分钟。在放回幼崽前给予纳洛酮可阻止哺乳组大鼠血清催乳素水平的升高,但对隔离组大鼠的基础水平无影响。为了研究阿片系统在催乳素释放中的参与是否依赖于孕酮水平的变化,在妊娠第20天给大鼠植入两个含有孕酮(可阻断产后排卵)或胆固醇的套管,并在第21天进行剖宫产手术。为维持泌乳,每24小时更换幼崽(1 - 3日龄),剖宫产术后4天,在18:00将8只幼崽放入笼中,以在接下来的24小时内维持强烈哺乳刺激。给予纳洛酮可显著降低对照(胆固醇)组大鼠的血清催乳素水平,但孕酮植入可阻止纳洛酮的抑制作用,且雌激素处理对此作用无影响。这些结果表明,阿片系统调节哺乳诱导的催乳素分泌,从分娩前的抑制作用转变为哺乳期的刺激作用。这种调节转变似乎依赖于妊娠末期孕酮浓度的下降以及产后排卵和黄体期后的随后升高。