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胰岛素诱导的低血糖对发育中大鼠促肾上腺皮质激素分泌的刺激作用涉及精氨酸加压素,而非促肾上腺皮质激素释放因子。

Stimulation of adrenocorticotropin secretion by insulin-induced hypoglycemia in the developing rat involves arginine vasopressin but not corticotropin-releasing factor.

作者信息

Muret L, Priou A, Oliver C, Grino M

机构信息

Laboratoire de Neuroendocrinologie Expérimentale, INSERM U. 297, Marseille, France.

出版信息

Endocrinology. 1992 May;130(5):2725-32. doi: 10.1210/endo.130.5.1315256.

Abstract

In the neonatal rat, the response of the hypothalamo-pituitary-adrenal axis to stressful stimuli is markedly decreased during the first 2 weeks of life. This peculiar period was named "stress hyporesponsive period." In this report, we studied the effect of insulin-induced hypoglycemia, known as a strong stimulator of the corticotroph function in the adult rat. Rats (8- or 20-day-old) were injected ip with 3 IU/kg synthetic insulin and were killed at various times. In 20-day-old rats, hypoglycemia induced a rapid drop in blood glucose concentrations accompanied by a stimulation of ACTH and corticosterone secretion which reached maximal values within 30 min. On the opposite, in 8-day-old rats, despite a rapid decrease in blood glucose levels, insulin injection induced a gradual rise of plasma ACTH and corticosterone concentrations which peaked at 90 min. This delayed response of the hypothalamo-pituitary-adrenal axis to hypoglycemia in the youngest rats does not seem to be due to a difference of sensitivity to insulin-induced hypoglycemia since injection of increasing doses of insulin (0.3, 0.75, or 3 IU/kg body wt) induced a dose-related decrease of blood glucose concentrations and a rise in plasma ACTH and corticosterone levels, comparable in the two age group studied. Basal or hypoglycemia-stimulated absolute corticosterone values were much lower in 8-day-old rats than in 20-day-old animals, suggesting an immaturity of the adrenal glands in the youngest animals. Daily ACTH injection, starting 3 days before the experiment, had a trophic effect on the adrenal glands leading to a more important increase of corticosterone levels after hypoglycemia in 8-day-old rats. Our results confirm that there is an immaturity of the adrenal glands in young rats, probably due to the low plasma ACTH levels during the neonatal period. To determine the respective role of the two major hypothalamic ACTH secretagogues, we studied the effect of passive immunization against CRF or arginine vasopressin (AVP) on plasma ACTH response after hypoglycemia. Passive immunization against AVP decreased significantly hypoglycemia-stimulated ACTH secretion in both 8- and 20-day-old rats, while no change of plasma ACTH response to insulin injection was observed after passive immunization against CRF. This results suggest that CRF does not seem to be involved in the regulation of ACTH secretion after hypoglycemia in the young rat while AVP seems to be the main hypothalamic stimulatory factor for anterior pituitary corticotrophs response to hypoglycemia during the postnatal period.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

在新生大鼠中,下丘脑 - 垂体 - 肾上腺轴在出生后的前两周对压力刺激的反应明显降低。这个特殊时期被称为“应激低反应期”。在本报告中,我们研究了胰岛素诱导的低血糖的作用,已知其在成年大鼠中是促肾上腺皮质激素功能的强烈刺激物。给大鼠(8日龄或20日龄)腹腔注射3 IU/kg合成胰岛素,并在不同时间处死。在20日龄的大鼠中,低血糖导致血糖浓度迅速下降,同时促肾上腺皮质激素(ACTH)和皮质酮分泌受到刺激,并在30分钟内达到最大值。相反,在8日龄的大鼠中,尽管血糖水平迅速下降,但胰岛素注射导致血浆ACTH和皮质酮浓度逐渐升高,并在90分钟时达到峰值。最年幼大鼠下丘脑 - 垂体 - 肾上腺轴对低血糖的这种延迟反应似乎不是由于对胰岛素诱导的低血糖的敏感性差异,因为注射递增剂量的胰岛素(0.3、0.75或3 IU/kg体重)会导致血糖浓度呈剂量相关下降以及血浆ACTH和皮质酮水平升高,在两个研究的年龄组中情况相当。8日龄大鼠的基础或低血糖刺激后的绝对皮质酮值远低于20日龄动物,这表明最年幼动物的肾上腺不成熟。在实验前3天开始每天注射ACTH,对肾上腺有营养作用,导致8日龄大鼠低血糖后皮质酮水平有更显著的升高。我们的结果证实幼鼠的肾上腺不成熟,这可能是由于新生儿期血浆ACTH水平较低所致。为了确定下丘脑两种主要促肾上腺皮质激素释放因子各自的作用,我们研究了针对促肾上腺皮质激素释放激素(CRF)或精氨酸加压素(AVP)的被动免疫对低血糖后血浆ACTH反应的影响。针对AVP的被动免疫显著降低了8日龄和20日龄大鼠低血糖刺激的ACTH分泌,而针对CRF的被动免疫后未观察到血浆ACTH对胰岛素注射的反应有变化。这一结果表明,CRF似乎不参与幼鼠低血糖后ACTH分泌的调节,而AVP似乎是出生后时期垂体前叶促肾上腺皮质激素细胞对低血糖反应的主要下丘脑刺激因子。(摘要截选至400字)

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