Su Yixin, Carey Luke C, Valego Nancy K, Rose James C
Department of Obstetrics and Gynecology, Wake Forest University School of Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1066, USA.
J Soc Gynecol Investig. 2005 Sep;12(6):416-20. doi: 10.1016/j.jsgi.2005.05.001.
Adrenocorticotrophin (ACTH) plays an important role in mediating the increase in cortisol output in the late gestation sheep fetus. At the adrenal itself, heightened expression of ACTH receptor (ACTH-R) and steroid acute regulatory protein (StAR) appear to be important parallel changes. This study examined how ACTH affects ACTH-R and StAR mRNA expression, and cortisol production in adrenocortical cells isolated from fetuses of varying gestational age (dGA). We hypothesized that the ability of ACTH to stimulate its receptor and StAR mRNA expression would be greater close to term than earlier in development.
Adrenals were obtained from fetuses (100-105, 120, or 135-139 dGA), and the cortical cells were dispersed. After 3 days of culture, cells were stimulated with ACTH(1-24), and the cells and medium were collected at different time points (0, 3, 6, 9, 12, and 24 hours) for measurement of cortisol and ACTH-R and StAR mRNA.
Cortisol secretion was increased after ACTH treatment in all three age cohorts. Cells from the 135-139 dGA group secreted the most cortisol, followed by the 100-105 and then the 120 dGA groups (P <.05). ACTH-R mRNA levels before and after ACTH were higher in the late compared to both earlier groups. StAR mRNA levels before and after ACTH were higher in the 100-105 and 135 than in the 120 dGA group. The time to peak ACTH-R mRNA response was age-dependent, with the 100-105 dGA cells taking longer to attain maximum levels. Maximal StAR mRNA levels were not age-related.
The data suggest that ACTH-R and StAR are indeed key mediators of fetal adrenocortical responsiveness, and that ACTH is able to up-regulate responsiveness, and hence cortisol production, by increasing their expression.
促肾上腺皮质激素(ACTH)在介导妊娠晚期绵羊胎儿皮质醇分泌增加中起重要作用。在肾上腺本身,ACTH受体(ACTH-R)和类固醇急性调节蛋白(StAR)表达的升高似乎是重要的平行变化。本研究探讨了ACTH如何影响不同胎龄(dGA)胎儿分离的肾上腺皮质细胞中ACTH-R和StAR mRNA的表达以及皮质醇的产生。我们假设ACTH刺激其受体和StAR mRNA表达的能力在接近足月时比发育早期更强。
从胎儿(100 - 105、120或135 - 139 dGA)获取肾上腺,并分散皮质细胞。培养3天后,用ACTH(1 - 24)刺激细胞,并在不同时间点(0、3、6、9、12和24小时)收集细胞和培养基,用于测量皮质醇以及ACTH-R和StAR mRNA。
在所有三个年龄组中,ACTH处理后皮质醇分泌均增加。135 - 139 dGA组的细胞分泌的皮质醇最多,其次是100 - 105 dGA组,然后是120 dGA组(P <.05)。与两个早期组相比,晚期ACTH处理前后ACTH-R mRNA水平更高。ACTH处理前后,100 - 105 dGA和135 dGA组的StAR mRNA水平高于120 dGA组。ACTH-R mRNA反应达到峰值的时间与年龄有关,100 - 105 dGA的细胞达到最大水平所需时间更长。最大StAR mRNA水平与年龄无关。
数据表明ACTH-R和StAR确实是胎儿肾上腺皮质反应性的关键介质,并且ACTH能够通过增加它们的表达来上调反应性,从而增加皮质醇的产生。