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正常女性月经周期中期前后血清总肾素、抑制素及相关激素的周期性波动。

Circhoral fluctuations of serum total renin, inhibin and related hormones around the mid-cycle in normal human females.

作者信息

De Hertogh R, Vankrieken L, Thomas K, de Gasparo M

机构信息

Physiology of Human Reproduction Research Unit, Faculty of Medicine, Brussels, Belgium.

出版信息

Hum Reprod. 1992 Mar;7(3):337-43. doi: 10.1093/oxfordjournals.humrep.a137645.

DOI:10.1093/oxfordjournals.humrep.a137645
PMID:1587938
Abstract

Total renin and inhibin are secreted by the ovary. Although luteinizing hormone (LH) and/or follicle stimulating hormone (FSH) may stimulate their secretion, the close relationship between fluctuations of gonadotrophins, oestradiol, progesterone, renin and inhibin during the cycle is still conjectural. To investigate the temporal relationship between the short-term fluctuations in the circulating concentrations of LH and FSH and the ovarian hormones (oestradiol, progesterone, renin and inhibin), blood samples were collected at 15-min intervals for 6 h from 15 normal women in the late follicular (n = 4), early luteal (n = 5) or luteal (n = 6) phases of the menstrual cycle. LH levels showed the well-known pulsatile secretion with decreasing frequency and increasing relative amplitude from the late follicular to the luteal phase. Progesterone and oestradiol serum levels were pulsatile, 25% and 35-50% of which were linked to LH pulses, with time lags of 30 and 12-15 min respectively. Renin levels presented significant pulses, 26% of which were related to LH pulses with a time lag of less than 10 min; no coincidence was found between renin and oestradiol pulses. Inhibin levels presented only scattered pulses of small amplitude, which were unrelated to LH or FSH. These results show that, besides the LH-related pulses, pulsatile secretion of some ovarian hormones (oestradiol, progesterone and renin) may also occur independently of LH pulses and may be unrelated to one another. Moreover, contrary to the other ovarian hormones, inhibin seems to follow a tonic, not a pulsatile type of secretion around the mid-cycle.

摘要

总肾素和抑制素由卵巢分泌。虽然促黄体生成素(LH)和/或促卵泡激素(FSH)可能刺激它们的分泌,但在月经周期中促性腺激素、雌二醇、孕酮、肾素和抑制素波动之间的密切关系仍属推测。为了研究循环中LH和FSH浓度的短期波动与卵巢激素(雌二醇、孕酮、肾素和抑制素)之间的时间关系,从15名处于月经周期卵泡晚期(n = 4)、黄体早期(n = 5)或黄体期(n = 6)的正常女性中,每隔15分钟采集一次血样,共采集6小时。LH水平呈现出众所周知的脉冲式分泌,从卵泡晚期到黄体期,频率降低而相对幅度增加。孕酮和雌二醇血清水平呈脉冲式,其中25%和35 - 50%与LH脉冲相关,时间滞后分别为30分钟和12 - 15分钟。肾素水平呈现出明显的脉冲,其中26%与LH脉冲相关,时间滞后小于10分钟;肾素脉冲和雌二醇脉冲之间未发现同步现象。抑制素水平仅呈现出小幅度的散在脉冲,与LH或FSH无关。这些结果表明,除了与LH相关的脉冲外,一些卵巢激素(雌二醇、孕酮和肾素)的脉冲式分泌也可能独立于LH脉冲发生,且可能彼此无关。此外,与其他卵巢激素相反,抑制素在月经周期中期左右似乎遵循一种持续性的而非脉冲式的分泌模式。

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