Nolan L A, Levy A
University Research Center for Neuroendocrinology, University of Bristol, Bristol Royal Infirmary, Bristol BS2 8HW, United Kingdom.
Endocrinology. 2003 Jan;144(1):212-9. doi: 10.1210/en.2002-220241.
Depending on timing and dose, exogenous glucocorticoids induce a wave of apoptosis in the adult rat anterior pituitary, a response that is enhanced by adrenalectomy. In this study, we show that the size of the glucocorticoid-sensitive apoptotic population progressively increases during the week following surgical adrenalectomy, plateaus for a further week, then spontaneously declines to levels seen in intact animals by 4 wk. Mitotic activity, in contrast, rises rapidly post adrenalectomy but returns to baseline within 2 wk. Increased mitotic activity precedes the increase in the population of cells that undergo glucocorticoid-induced apoptosis and the subsequent decline in mitotic activity precedes the decline in apoptotic sensitivity despite persistent elevation of hypothalamic CRH and pituitary proopiomelanocortin transcripts. If glucocorticoid exposure is delayed until 4 wk post adrenalectomy when the apoptotic response has returned to baseline, glucocorticoid withdrawal, by transiently increasing mitotic activity, again primes the formation of an expanded glucocorticoid-sensitive apoptotic cell population. These data suggest that apoptotic sensitivity is largely confined to cells that have recently entered the cell cycle. This observation is further corroborated by demonstrating an abrupt glucocorticoid-induced step-down in the bromodeoxyuridine-labeling index to basal levels in rats given daily injections of bromodeoxyuridine during the week following adrenalectomy.
根据给药时间和剂量的不同,外源性糖皮质激素可诱导成年大鼠垂体前叶出现一波细胞凋亡,肾上腺切除术可增强这一反应。在本研究中,我们发现,在手术切除肾上腺后的一周内,对糖皮质激素敏感的凋亡细胞群体的规模逐渐增加,再持续一周保持稳定,然后在4周时自发下降至完整动物的水平。相比之下,有丝分裂活性在肾上腺切除术后迅速上升,但在2周内恢复到基线水平。有丝分裂活性的增加先于糖皮质激素诱导的凋亡细胞群体的增加,随后有丝分裂活性的下降先于凋亡敏感性的下降,尽管下丘脑促肾上腺皮质激素释放激素(CRH)和垂体阿黑皮素原转录本持续升高。如果将糖皮质激素暴露推迟到肾上腺切除术后4周,此时凋亡反应已恢复到基线水平,那么糖皮质激素的撤药通过短暂增加有丝分裂活性,再次引发了一个扩大的对糖皮质激素敏感的凋亡细胞群体的形成。这些数据表明,凋亡敏感性在很大程度上局限于最近进入细胞周期的细胞。在肾上腺切除术后一周内每天注射溴脱氧尿苷的大鼠中,通过证明糖皮质激素诱导溴脱氧尿苷标记指数突然降至基础水平,这一观察结果得到了进一步证实。