Goebel S, Dietrich M, Jarry H, Wuttke W
Department of Obstetrics and Gynecology, University of Göttingen, Germany.
Endocrinology. 1992 Feb;130(2):914-9. doi: 10.1210/endo.130.2.1310283.
The effect of dopamine-antagonists on steroid secretion has revealed conflicting results regarding the confirmation of in vivo findings in vitro. In order to discriminate in vivo systemic and local action of the dopamine-antagonist haloperidol (HAL) on aldosterone and corticosterone secretion, microdialysis of the adrenal cortex in conscious, freely moving rats was employed. The effects of 2.5 mg HAL ip or intraadrenal dialysis of 20 micrograms/ml HAL in rats with an intact pituitary gland on PRL, aldosterone, and corticosterone secretion were examined. Systemic HAL application resulted in a 40-fold increase in PRL secretion and stimulated aldosterone and corticosterone production significantly. In contrast, intraadrenal dialysis of HAL had no effect on the secretory pattern of PRL or either steroid hormone, indicating no direct drug action on cells of the rat adrenal cortex. Similarly, ip injection of 2.5 mg HAL in hypophysectomized rats did not alter PRL or steroid hormone levels. We conclude that the dopamine-antagonist HAL stimulates aldosterone and corticosterone secretion in rats through a pituitary factor, probably PRL, but not through direct effects at the adrenal cortex.
多巴胺拮抗剂对类固醇分泌的影响在体外验证体内研究结果方面显示出相互矛盾的结果。为了区分多巴胺拮抗剂氟哌啶醇(HAL)对醛固酮和皮质酮分泌的体内全身作用和局部作用,采用了对清醒、自由活动大鼠肾上腺皮质进行微透析的方法。研究了2.5毫克HAL腹腔注射或对垂体完整的大鼠肾上腺内透析20微克/毫升HAL对催乳素、醛固酮和皮质酮分泌的影响。全身应用HAL导致催乳素分泌增加40倍,并显著刺激醛固酮和皮质酮的产生。相比之下,肾上腺内透析HAL对催乳素或任何一种类固醇激素的分泌模式均无影响,表明对大鼠肾上腺皮质细胞无直接药物作用。同样,对垂体切除的大鼠腹腔注射2.5毫克HAL也未改变催乳素或类固醇激素水平。我们得出结论,多巴胺拮抗剂HAL通过垂体因子(可能是催乳素)刺激大鼠醛固酮和皮质酮分泌,而非通过对肾上腺皮质的直接作用。