Makara G B
Institute of Experimental Medicine, Hungarian Academy of Sciences, Budapest.
Ciba Found Symp. 1992;168:43-51; discussion 51-3. doi: 10.1002/9780470514283.ch4.
Corticotropin-releasing factor (CRF-41) and arginine vasopressin (AVP) are the two major factors that regulate adrenocorticotropic hormone (ACTH) secretion. The two neurohormones are co-localized in the parvocellular neurons of the paraventricular nuclei (PVN) of the hypothalamus and are capable of potentiating each others' action on freshly excised anterior pituitary fragments or cells in vitro. Transection of all axons entering the medial basal hypothalamus from anterior and lateral directions blocks ACTH release induced by either adrenalectomy or ether-surgery stress. Adrenalectomy-induced ACTH release is almost completely suppressed by a long-term lesion of the PVN. Stress-induced ACTH release is blocked for only a few days after PVN lesion and the pituitary-adrenal response to ether-surgery stress returns to a large extent by a few weeks after PVN lesioning. This remarkable plasticity can be observed also in the homozygous Brattleboro rat, therefore it is not dependent on mediation by AVP. When parvocellular CRF-41- and AVP-containing cells are present, and the anterior lobe ACTH cells are desensitized to the stimulating effects of AVP, the ACTH response to haemorrhage and immobilization is markedly decreased. This indicates that AVP may partially mediate ACTH release under normal conditions. The hypothalamic control of the pituitary-adrenocortical system has a remarkable degree of redundancy which may compensate, at least under stressful conditions, for disruption of the function of CRF-41-containing cells of the paraventricular nucleus, the major source of CRF-41 in the stalk-median eminence.
促肾上腺皮质激素释放因子(CRF - 41)和精氨酸加压素(AVP)是调节促肾上腺皮质激素(ACTH)分泌的两个主要因素。这两种神经激素共同定位于下丘脑室旁核(PVN)的小细胞神经元中,并且在体外能够增强彼此对新鲜分离的垂体前叶碎片或细胞的作用。切断从前部和外侧进入内侧基底下丘脑的所有轴突,可阻断由肾上腺切除术或乙醚手术应激诱导的ACTH释放。肾上腺切除术诱导的ACTH释放几乎被PVN的长期损伤完全抑制。PVN损伤后,应激诱导的ACTH释放仅在几天内被阻断,并且垂体 - 肾上腺对乙醚手术应激的反应在PVN损伤后几周在很大程度上恢复。这种显著的可塑性在纯合布拉特洛维大鼠中也可以观察到,因此它不依赖于AVP的介导。当存在含有CRF - 41和AVP的小细胞时,并且垂体前叶ACTH细胞对AVP的刺激作用脱敏,ACTH对出血和固定的反应明显降低。这表明在正常情况下AVP可能部分介导ACTH释放。下丘脑对垂体 - 肾上腺皮质系统的控制具有显著程度的冗余性,这至少在应激条件下可能补偿室旁核中含CRF - 41细胞功能的破坏,而室旁核是柄 - 正中隆起中CRF - 41的主要来源。