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关于糖皮质激素、应激与促性腺激素抑制的新见解。

New insights regarding glucocorticoids, stress and gonadotropin suppression.

作者信息

Breen Kellie M, Karsch Fred J

机构信息

Reproductive Sciences Program, Department of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, 48109, USA.

出版信息

Front Neuroendocrinol. 2006 Jul;27(2):233-45. doi: 10.1016/j.yfrne.2006.03.335. Epub 2006 May 19.

Abstract

This review highlights our recent work investigating the inhibitory effects of acute, physiologic stress-like increases in cortisol on reproductive neuroendocrine activity in sheep, the mechanisms responsible for this suppression, and the relevance of enhanced glucocorticoid secretion to stress-induced inhibition of gonadotropin secretion in this species. Initial studies established that cortisol rapidly suppresses pulsatile luteinizing hormone secretion. In ovariectomized ewes, this inhibition reflects the reduction of pituitary responsiveness to gonadotropin-releasing hormone mediated by the type II glucocorticoid receptor, rather than the suppression in hypothalamic gonadotropin-releasing hormone release. Studies in ovary-intact ewes, however, uncovered an alternative mode of cortisol action. During the follicular phase of the estrous cycle, cortisol reduces luteinizing hormone pulse frequency, most likely via the inhibition of gonadotropin-releasing hormone pulsatility. Recent preliminary evidence in ovariectomized ewes demonstrates increased cortisol secretion is essential for disruption of pulsatile luteinizing hormone secretion in response to a psychosocial stress. Taken together, our observations reveal diverse inhibitory actions of cortisol on gonadotropin secretion and that this glucocorticoid is not only sufficient, but necessary for suppression of reproductive neuroendocrine activity in response to certain types of stress.

摘要

本综述重点介绍了我们最近的研究工作,该研究调查了急性、生理性应激样皮质醇增加对绵羊生殖神经内分泌活动的抑制作用、这种抑制作用的机制,以及糖皮质激素分泌增强与该物种应激诱导的促性腺激素分泌抑制之间的相关性。初步研究表明,皮质醇能迅速抑制促黄体生成素的脉冲式分泌。在去卵巢母羊中,这种抑制反映了垂体对促性腺激素释放激素的反应性降低,这是由II型糖皮质激素受体介导的,而不是下丘脑促性腺激素释放激素释放的抑制。然而,对有完整卵巢的母羊的研究发现了皮质醇作用的另一种模式。在发情周期的卵泡期,皮质醇降低促黄体生成素的脉冲频率,最有可能是通过抑制促性腺激素释放激素的脉冲性来实现的。最近在去卵巢母羊中的初步证据表明,皮质醇分泌增加对于响应心理社会应激而破坏促黄体生成素的脉冲式分泌至关重要。综上所述,我们的观察结果揭示了皮质醇对促性腺激素分泌的多种抑制作用,并且这种糖皮质激素不仅足以抑制,而且对于响应某些类型的应激抑制生殖神经内分泌活动是必要的。

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