Selvage Daniel J, Hales D Buchanan, Rivier Catherine L
Clayton Foundation Laboratories for Peptide Biology, The Salk Institute, La Jolla, California 92037, USA.
Alcohol Clin Exp Res. 2004 Mar;28(3):480-8. doi: 10.1097/01.alc.0000117839.69352.b3.
Systemic alcohol exposure lowers plasma testosterone (T) levels in adult males, but the relative role of impaired luteinizing hormone (LH)-releasing hormone synthesis and decreased pituitary LH release versus that of a direct ability of circulating alcohol to inhibit testicular steroidogenesis remains poorly understood. We had reported preliminary evidence that alcohol might stimulate a pituitary-independent, neural pathway between the hypothalamus and the testes whose activation blunts T secretion in response to human chorionic gonadotropin (hCG). The present work was done to further investigate the influence of alcohol on this pathway by comparing the effect of the intragastric (i.g.) and intracerebroventricular (i.c.v.) injection of alcohol on the T response to hCG, to probe the role of LH and corticotropin-releasing factor (CRF) in both models, and to examine potential changes in levels of the cholesterol transfer protein steroidogenic acute regulatory (StAR) protein.
Male Sprague Dawley rats were implanted with chronic i.c.v., i.g., and/or intravenous cannulae that allowed drug delivery and blood sampling in nonanesthetized, undisturbed animals. T blood levels were measured by radioimmunoassay. The role of LH and of hormones of the hypothalamic-pituitary-adrenal axis such as adrenocorticotropic hormone and corticosterone was investigated in rats pretreated with an LH-releasing hormone antagonist or CRF antibodies. The potential presence of neuronal damage was assessed by Fluoro-Jade methodology. StAR protein levels were measured by Western blot in Leydig cells isolated from rats injected with the vehicle or alcohol.
Although it was not accompanied by measurable blood alcohol levels, i.c.v. administered alcohol, at a dose (5 microl of 200 proof, 86 microM) that did not cause neuronal damage and did not lead to detectable levels of the drug in the cerebrospinal fluid of the fourth ventricle of the brain, significantly blunted hCG-induced T release. The ig injection of alcohol, which in contrast induced significant increases in blood alcohol levels, also significantly interfered with the ability of hCG to induce T release. This effect was comparable in 40- and 65-day-old rats. Neither prior blockade of LH-releasing hormone receptors with a potent LH-releasing hormone antagonist nor immunoneutralization of endogenous CRF altered the inhibitory effect of alcohol injected i.c.v. or i.g. on T secretion. Preliminary results suggested that testicular levels of StAR protein may be slightly decreased by both alcohol regimens.
Collectively, our results indicate that alcohol can act within the brain to influence testicular activity independently of LH, independently of hormones of the hypothalamic-pituitary-adrenal axis, and/or independently of the presence of the drug in the circulation. Our present working hypothesis is that the i.c.v. injection of alcohol stimulates an inhibitory neural pathway that connects the hypothalamus to the testes.
成年男性全身性酒精暴露会降低血浆睾酮(T)水平,但促黄体生成素(LH)释放激素合成受损及垂体LH释放减少相对于循环酒精直接抑制睾丸类固醇生成能力的相对作用仍知之甚少。我们曾报道过初步证据,表明酒精可能刺激下丘脑与睾丸之间一条不依赖垂体的神经通路,该通路的激活会抑制T对人绒毛膜促性腺激素(hCG)的分泌。本研究旨在通过比较胃内(i.g.)和脑室内(i.c.v.)注射酒精对hCG诱导的T反应的影响,进一步探究酒精对该通路的影响,探讨LH和促肾上腺皮质激素释放因子(CRF)在两种模型中的作用,并检测胆固醇转运蛋白类固醇生成急性调节(StAR)蛋白水平的潜在变化。
雄性Sprague Dawley大鼠植入慢性i.c.v.、i.g.和/或静脉插管,以便在未麻醉、不受干扰的动物身上给药和采血。通过放射免疫测定法测量T的血药浓度。在用LH释放激素拮抗剂或CRF抗体预处理的大鼠中,研究LH以及下丘脑 - 垂体 - 肾上腺轴激素如促肾上腺皮质激素和皮质酮的作用。通过Fluoro - Jade方法评估神经元损伤的潜在存在情况。通过蛋白质免疫印迹法测量从注射赋形剂或酒精的大鼠中分离出的睾丸间质细胞中StAR蛋白的水平。
尽管脑室内注射酒精后血中酒精浓度未达可测水平,且剂量(5微升200标准酒精度,86微摩尔)不会导致神经元损伤,也不会在脑第四脑室脑脊液中检测到药物,但仍显著抑制hCG诱导的T释放。相比之下,胃内注射酒精会导致血中酒精浓度显著升高,也显著干扰hCG诱导T释放的能力。在40日龄和65日龄大鼠中,这种作用相当。用强效LH释放激素拮抗剂预先阻断LH释放激素受体或对内源性CRF进行免疫中和,均未改变脑室内或胃内注射酒精对T分泌的抑制作用。初步结果表明,两种酒精给药方案均可使睾丸中StAR蛋白水平略有下降。
总体而言,我们的结果表明,酒精可在脑内发挥作用,独立于LH、下丘脑 - 垂体 - 肾上腺轴激素和/或循环中药物的存在来影响睾丸活动。我们目前的工作假设是,脑室内注射酒精会刺激一条连接下丘脑与睾丸的抑制性神经通路。