Iqbal U, Brien J F, Kapoor A, Matthews S G, Reynolds J N
Department of Pharmacology and Toxicology, Queen's University, Kingston, Ontario, Canada.
J Neuroendocrinol. 2006 Nov;18(11):826-34. doi: 10.1111/j.1365-2826.2006.01479.x.
Exposure to high cortisol concentration can injure the developing brain, possibly via an excitotoxic mechanism involving glutamate (Glu). The present study tested the hypothesis that chronic prenatal ethanol exposure (CPEE) activates the foetal hypothalamic-pituitary-adrenal axis to produce high cortisol exposure in the foetal compartment and alters sensitivity to glucocorticoid-induced Glu release in the foetal hippocampus. Pregnant guinea pigs received daily oral administration of ethanol (4 g/kg maternal body weight/day) or isocaloric-sucrose/pair-feeding from gestational day (GD) 2 until GD 63 (term, approximately GD 68) at which time they were euthanised, 1 h after their final treatment. Adrenocorticotrophic hormone (ACTH) and cortisol concentrations were determined in foetal plasma. Basal and electrically stimulated Glu and gamma-aminobutyric acid (GABA) efflux in the presence or absence of dexamethasone (DEX), a selective glucocorticoid-receptor agonist, were determined ex vivo in foetal hippocampal slices. Glucocorticoid receptor (GR), mineralocorticoid receptor (MR) and N-methyl-D-aspartate (NMDA) receptor NR1 subunit mRNA expression were determined in situ in the hippocampus and dentate gyrus. In the near-term foetus, CPEE increased foetal plasma ACTH and cortisol concentrations. Electrically stimulated glutamate, but not GABA, release was increased in CPEE foetal hippocampal slices. Low DEX concentration (0.3 microM) decreased stimulated glutamate, but not GABA, release in both CPEE and control foetal hippocampal slices. High DEX concentration (3.0 microM) increased basal release of Glu, but not GABA, in CPEE foetal hippocampal slices. GR, but not MR, mRNA expression was elevated in the hippocampus and dentate gyrus, whereas NR1 mRNA expression was increased in the CA1 and CA3 fields of the foetal hippocampus. These data demonstrate that CPEE increases high glucocorticoid concentration-induced Glu release in the foetal hippocampus, presumably as a consequence of increased GR expression. These effects of CPEE, coupled with increased glutamate release and increased NMDA receptor expression, may predispose the near-term foetal hippocampus to GR and Glu-NMDA receptor-mediated neurodevelopmental toxicity.
暴露于高皮质醇浓度可能会损害发育中的大脑,可能是通过涉及谷氨酸(Glu)的兴奋性毒性机制。本研究检验了以下假设:慢性产前乙醇暴露(CPEE)会激活胎儿下丘脑-垂体-肾上腺轴,导致胎儿体内皮质醇浓度升高,并改变胎儿海马体对糖皮质激素诱导的Glu释放的敏感性。怀孕的豚鼠从妊娠第2天至第63天(足月约为妊娠第68天)每天口服乙醇(4克/千克母体体重/天)或等热量蔗糖/配对喂养,在最后一次治疗1小时后对其实施安乐死。测定胎儿血浆中的促肾上腺皮质激素(ACTH)和皮质醇浓度。在有或没有选择性糖皮质激素受体激动剂地塞米松(DEX)存在的情况下,离体测定胎儿海马体切片中基础和电刺激后的Glu和γ-氨基丁酸(GABA)流出量。在海马体和齿状回中进行原位测定糖皮质激素受体(GR)、盐皮质激素受体(MR)和N-甲基-D-天冬氨酸(NMDA)受体NR1亚基的mRNA表达。在接近足月的胎儿中,CPEE会增加胎儿血浆中ACTH和皮质醇的浓度。CPEE胎儿海马体切片中电刺激诱导的谷氨酸释放增加,但GABA释放未增加。低浓度DEX(0.3微摩尔)可降低CPEE和对照胎儿海马体切片中刺激诱导的谷氨酸释放,但不影响GABA释放。高浓度DEX(3.0微摩尔)可增加CPEE胎儿海马体切片中Glu的基础释放,但不影响GABA释放。GR的mRNA表达在海马体和齿状回中升高,而MR的mRNA表达未升高,而NR1的mRNA表达在胎儿海马体的CA1和CA3区域增加。这些数据表明,CPEE会增加高糖皮质激素浓度诱导的胎儿海马体中Glu的释放,这可能是GR表达增加的结果。CPEE的这些作用,再加上谷氨酸释放增加和NMDA受体表达增加,可能使接近足月的胎儿海马体易受GR和Glu-NMDA受体介导的神经发育毒性影响。