Vanakara P, Dafopoulos K, Papastergiopoulou L, Kallitsaris A, Papageorgiou I, Messinis I E
Department of Obstetrics and Gynaecology, University of Thessalia, Larissa, Greece.
Clin Endocrinol (Oxf). 2007 Jun;66(6):816-21. doi: 10.1111/j.1365-2265.2007.02818.x. Epub 2007 Apr 4.
To study the role of oxytocin in basal and GnRH-induced gonadotrophin secretion in normal women.
Normal women were studied in three cycles. When the diameter of the leading follicle was 15-16 mm, the women were infused intravenously (i.v.) for 3 h with normal saline (cycle 1), atosiban (cycle 2) or oxytocin (cycle 3).
The study included 12 normally cycling women aged 23-38 years.
After cessation of treatment, two injections of GnRH, 10 microg each, were administered i.v. 2 h apart and blood samples were collected every 30 min for a total of 240 min. The 30-min pituitary response (sensitivity) to a single GnRH injection (10 microg i.v.) was investigated thereafter every 12 h from the end of the 3-h infusion until the day of LH surge onset.
No significant differences in LH and FSH response to GnRH (sensitivity and reserve) during the 240-min experiment were found between the three cycles. The time of LH surge onset from the initiation of the infusion was similar in the three cycles. Also similar in the three cycles were oestradiol (E2) and gonadotrophin levels as well as the 30-min response to GnRH for 48 h following the 3-h infusion.
The present study demonstrates that neither exogenous oxytocin administration nor blockage of endogenous oxytocin action influences pituitary sensitivity to GnRH in cycling women.
研究催产素在正常女性基础状态及促性腺激素释放激素(GnRH)诱导的促性腺激素分泌中的作用。
对正常女性进行三个周期的研究。当优势卵泡直径达到15 - 16毫米时,在第1个周期静脉输注生理盐水3小时,第2个周期输注阿托西班3小时,第3个周期输注催产素3小时。
该研究纳入了12名年龄在23 - 38岁之间、月经周期正常的女性。
治疗结束后,静脉注射两次GnRH,每次10微克,间隔2小时,每30分钟采集一次血样,共采集240分钟。在3小时输注结束至促黄体生成素(LH)峰出现当天,此后每12小时研究一次垂体对单次GnRH注射(静脉注射10微克)的30分钟反应(敏感性)。
在240分钟的实验中,三个周期之间在LH和FSH对GnRH的反应(敏感性和储备)方面未发现显著差异。三个周期中从输注开始到LH峰出现的时间相似。三个周期中,在3小时输注后的48小时内,雌二醇(E2)、促性腺激素水平以及垂体对GnRH的30分钟反应也相似。
本研究表明,外源性给予催产素或阻断内源性催产素的作用均不影响月经周期正常女性垂体对GnRH的敏感性。