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大鼠中胰岛素诱导的低血糖刺激促肾上腺皮质激素分泌的个体发生:儿茶酚胺的作用

Ontogeny of insulin-induced hypoglycemia stimulation of adrenocorticotropin secretion in the rat: role of catecholamines.

作者信息

Grino M, Oliver C

机构信息

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

出版信息

Endocrinology. 1992 Dec;131(6):2763-8. doi: 10.1210/endo.131.6.1359963.

Abstract

We previously reported that insulin-induced hypoglycemia (IIH) induces a large increase in plasma ACTH and corticosterone levels in the developing rat during the stress hyporesponsive period and that this effect is mediated, at least partially, by arginine vasopressin (AVP), but not corticotropin-releasing factor. Nevertheless, ACTH secretion in response to IIH in rats immunoneutralized against AVP was still stimulated, suggesting that other regulatory factors participate in the stimulation of ACTH secretion during IIH. It has been suggested that, in the adult rat, during profound hypoglycemia, epinephrine may act at the pituitary level through beta 2-adrenergic receptors to stimulate ACTH secretion. In this report, we studied the effect of the blockade of beta-adrenergic receptors on the pituitary-adrenal axis response to IIH. Rats (20 or 8 day old) were pretreated with saline or 2.5 mg/kg propranolol (a beta-adrenergic receptors antagonist) and subsequently injected with 3 IU/kg insulin. In 20-day-old rats, insulin injection induced a large increase of plasma ACTH concentrations that were unaffected by propranolol pretreatment. In 8-day-old rats, the IIH-induced increase of plasma ACTH levels was significantly reduced by propranolol pretreatment. Pretreatment of 8-day-old rats with 5 mg/kg CGP 20712A (a selective beta 1-adrenergic receptor antagonist) did not change the plasma ACTH response to insulin injection, while pretreatment with 2.5 mg/kg ICI 118551 (a selective beta 2-adrenergic receptor antagonist) resulted in a significant decrease of the IIH-induced stimulation of ACTH secretion. We next studied the effect of the blockade of circulating AVP and/or beta-adrenergic receptors on the pituitary response to IIH. Pretreatment of 8-day-old rats with antiserum anti-AVP or propranolol was followed by a significant reduction of IIH-induced increase of plasma ACTH concentrations. No additive effect was found after pretreatment with both antiserum anti-AVP and propranolol, suggesting that the stimulatory effect of catecholamines during IIH in 8-day-old rats is mediated through a modulation of hypothalamic AVP secretion.

摘要

我们之前报道过,胰岛素诱导的低血糖(IIH)在应激低反应期可使发育中的大鼠血浆促肾上腺皮质激素(ACTH)和皮质酮水平大幅升高,且这种效应至少部分是由精氨酸加压素(AVP)介导的,而非促肾上腺皮质激素释放因子。然而,用抗AVP免疫中和的大鼠对IIH的ACTH分泌仍受到刺激,这表明在IIH期间其他调节因子参与了ACTH分泌的刺激过程。有人提出,在成年大鼠深度低血糖期间,肾上腺素可能通过β2 - 肾上腺素能受体作用于垂体水平以刺激ACTH分泌。在本报告中,我们研究了β - 肾上腺素能受体阻断对垂体 - 肾上腺轴对IIH反应的影响。用生理盐水或2.5mg/kg普萘洛尔(一种β - 肾上腺素能受体拮抗剂)对大鼠(20日龄或8日龄)进行预处理,随后注射3IU/kg胰岛素。在20日龄大鼠中,胰岛素注射导致血浆ACTH浓度大幅升高,普萘洛尔预处理对此无影响。在8日龄大鼠中,普萘洛尔预处理显著降低了IIH诱导的血浆ACTH水平升高。用5mg/kg CGP 20712A(一种选择性β1 - 肾上腺素能受体拮抗剂)对8日龄大鼠进行预处理,并未改变血浆ACTH对胰岛素注射的反应,而用2.5mg/kg ICI 118551(一种选择性β2 - 肾上腺素能受体拮抗剂)进行预处理则导致IIH诱导的ACTH分泌刺激显著降低。接下来,我们研究了循环AVP和/或β - 肾上腺素能受体阻断对垂体对IIH反应的影响。用抗AVP抗血清或普萘洛尔对8日龄大鼠进行预处理后,IIH诱导的血浆ACTH浓度升高显著降低。用抗AVP抗血清和普萘洛尔同时进行预处理未发现叠加效应,这表明8日龄大鼠在IIH期间儿茶酚胺的刺激作用是通过调节下丘脑AVP分泌介导的。

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