Lujan Marla E, Krzemien Alicja A, Van Vugt Dean A
Department of Physiology, Queen's University, Kingston, Ontario, Canada.
Endocrine. 2003 Jul;21(2):109-14. doi: 10.1385/ENDO:21:2:109.
Hypoglycemia inhibits gonadotropin secretion in primates by an undefined mechanism. Some evidence suggests that hypoglycemia inhibits gonadotropin secretion independent of gonadotropin-releasing hormone (GnRH) inhibition. To this end, the effect of insulininduced hypoglycemia on the luteinizing hormone (LH) and follicle-stimulating hormone (FSH) response to graded doses of GnRH (25, 75, and 250 ng/kg) administered at 120-min intervals was determined in rhesus monkeys. A crossover design was employed such that each animal received GnRH under both hypoglycemic and euglycemic conditions. Experiments were performed in the follicular phase. Gonadotroph responsiveness to GnRH was quantified by determining the change in area under the LH (DeltaAULHC) and FSH (DeltaAUFSHC) curves that occurred in the first 60 min following each GnRH pulse. There was no statistical difference in DeltaAULHC between euglycemic and hypoglycemic animals at any GnRH dose (25 ng/kg: p = 0.19; 75 ng/kg: p = 0.41; 250 ng/kg: p = 0.46). Similarly, changes in AUFSHC following GnRH administration were comparable in euglycemic and hypoglycemic animals (25 ng/kg: p = 0.59; 75 ng/kg: p = 0.90; 250 ng/kg: p = 0.33). We conclude that hypoglycemia had no effect on gonadotroph responsiveness to GnRH. These results are consistent with the conclusion that hypoglycemia inhibits gonadotropin secretion by acting primarily at the level of the hypothalamus to reduce GnRH secretion rather than affecting pituitary responsiveness to GnRH.
低血糖通过一种尚不明确的机制抑制灵长类动物的促性腺激素分泌。一些证据表明,低血糖抑制促性腺激素分泌独立于促性腺激素释放激素(GnRH)的抑制作用。为此,在恒河猴中测定了胰岛素诱导的低血糖对促黄体生成素(LH)和促卵泡生成素(FSH)对以120分钟间隔给予的不同剂量GnRH(25、75和250 ng/kg)反应的影响。采用交叉设计,使每只动物在低血糖和血糖正常的条件下都接受GnRH。实验在卵泡期进行。通过测定每次GnRH脉冲后最初60分钟内LH曲线下面积变化(ΔAULHC)和FSH曲线下面积变化(ΔAUFSHC)来量化促性腺激素细胞对GnRH的反应性。在任何GnRH剂量下,血糖正常和低血糖动物的ΔAULHC均无统计学差异(25 ng/kg:p = 0.19;75 ng/kg:p = 0.41;250 ng/kg:p = 0.46)。同样,血糖正常和低血糖动物在给予GnRH后AUFSHC的变化相当(25 ng/kg:p = 0.59;75 ng/kg:p = 0.90;250 ng/kg:p = 0.33)。我们得出结论,低血糖对促性腺激素细胞对GnRH的反应性没有影响。这些结果与以下结论一致,即低血糖主要通过作用于下丘脑水平以减少GnRH分泌来抑制促性腺激素分泌,而不是影响垂体对GnRH的反应性。