Makino Shinya, Smith Mark A, Gold Philip W
Clinical Neuroendocrinology Branch, National Institute of Mental Health, Bethesda, MD 20892, USA.
Brain Res. 2002 Jul 12;943(2):216-23. doi: 10.1016/s0006-8993(02)02647-1.
Sustained responsiveness of the hypothalamic-pituitary-adrenal (HPA) axis during chronic or repeated stress is associated with continuous activation of ascending noradrenergic neurons from the brainstem to the hypothalamic paraventricular nucleus (PVN). The fact that glucocorticoid receptor (GR) exists in the brainstem noradrenergic neurons including locus coeruleus (LC) suggests that glucocorticoids play a modulatory role in maintaining the activity of these neurons during chronic stress. To determine whether alterations in the sensitivity of noradrenergic neuronal activity to endogenous CORT occur during chronic or repeated stress, tyrosine hydroxylase (TH) and GR mRNA expressions in the LC were examined in acute (2 h) and repeated (2 h daily, 14 days) immobilization stress, using sham-operated rats and adrenalectomized rats with a moderate dose of CORT replacement (ADX+CORT group). In acute stress, TH mRNA in the LC increased in the ADX+CORT rats, but not in sham operated rats. In repeated stress, however, elevated endogenous CORT failed to inhibit TH mRNA responses in sham rats; LC TH mRNA in sham rats responded to the same extent as in ADX+CORT rats. A reduction of GR mRNA in the LC was observed in the acutely stressed and repeatedly stressed sham group, but not in the ADX+CORT groups. The decrease in LC GR mRNA levels in sham rats tended to be greater after repeated than after acute stress. LC GR mRNA levels decreased in response to systemic CORT treatment (200 mg pellet sc, for 14 days) and increased in response to adrenalectomy; neither CORT treatment nor adrenalectomy influenced TH mRNA levels in the LC. These results suggest that glucocorticoid responses to acute immobilization prevent LC TH mRNA levels from rising significantly, while glucocorticoids appear to decrease their capacity to restrain LC TH mRNA during repeated immobilization. Although the results clearly show glucocorticoid-dependent alterations in LC GR mRNA expression, the association between increased TH mRNA and decreased GR mRNA in the LC remains to be elucidated.
在慢性或反复应激期间,下丘脑 - 垂体 - 肾上腺(HPA)轴的持续反应性与从脑干到下丘脑室旁核(PVN)的上行去甲肾上腺素能神经元的持续激活有关。糖皮质激素受体(GR)存在于包括蓝斑(LC)在内的脑干去甲肾上腺素能神经元中,这一事实表明糖皮质激素在慢性应激期间对维持这些神经元的活性起调节作用。为了确定在慢性或反复应激期间去甲肾上腺素能神经元活动对内源性皮质酮(CORT)的敏感性是否发生改变,我们在急性(2小时)和反复(每天2小时,共14天)固定应激实验中,使用假手术大鼠和接受中等剂量CORT替代的肾上腺切除大鼠(ADX + CORT组),检测了LC中酪氨酸羟化酶(TH)和GR mRNA的表达。在急性应激中,ADX + CORT大鼠的LC中TH mRNA增加,而假手术大鼠未增加。然而,在反复应激中,内源性CORT升高未能抑制假手术大鼠的TH mRNA反应;假手术大鼠的LC TH mRNA反应程度与ADX + CORT大鼠相同。在急性应激和反复应激的假手术组中观察到LC中GR mRNA减少,而在ADX + CORT组中未观察到。假手术大鼠中LC GR mRNA水平在反复应激后比急性应激后下降趋势更明显。LC GR mRNA水平在全身CORT治疗(皮下植入200 mg药丸,共14天)后下降,在肾上腺切除后升高;CORT治疗和肾上腺切除均未影响LC中TH mRNA水平。这些结果表明,糖皮质激素对急性固定应激的反应可防止LC中TH mRNA水平显著升高,而在反复固定应激期间,糖皮质激素似乎降低了其抑制LC TH mRNA的能力。虽然结果清楚地表明LC中GR mRNA表达存在糖皮质激素依赖性改变,但LC中TH mRNA增加与GR mRNA减少之间的关联仍有待阐明。