Leppäluoto J, Rapeli M, Varis R, Ranta T
Acta Physiol Scand. 1975 Dec;95(4):400-6. doi: 10.1111/j.1748-1716.1975.tb10067.x.
The possibility that previously described effects of ethyl alcohol on peripheral endocrine glands might be mediated via pituitary prompted this investigation on the effects of ethanol on anterior pituitary secretion. Nine healthy male subjects were given beverage containing ethanol (1.5 g/kg) or beverage alone per os in a randomized cross-over study and plasma ACTH, FSH, GH, LH and TSH were measured by specific radioimmunoassays up to 15 h and the urinary levels of adrenaline and noradrenaline by fluorometry. A combined LRF and TRF test was also carried out in similar series of experiments. During the whole experiment there were no significant differences in the plasma levels of ACTH, FSH and TSH or in the urinary levels of adrenaline and noradrenaline between ethanol treated and control subjects. Plasma FSH, LH and TSH responses to LRF and TRF stimulation were also similar in alcohol treated and control subjects. Plasma ACTH values were high (113-270 pg/ml) both in control and ethanol experiment suggesting that the subjects experienced apprehension toward the experiment. Plasma GH level exhibited a non-sleep related burst in the late evening (from 0.4 ng/ml at 6 p.m. to 3.1 ng/ml at 10 p.m., p less than 0.01). This increase was not seen after alcohol ingestion (p less than 0.01). Plasma LH levels were significantly lower after 6 and 13 h in alcohol treated subjects than in controls (65 vs. 106 ng/ml, p less than 0.01 and 74 vs. 121 ng/ml, p less than 0.05 respectively). Because ethanol had no effect on the resting level of plasma GH or on the LH response to LRF, WE SUggest that ethanol exerts these effects on a suprapituitary site.
先前所述乙醇对周围内分泌腺的作用可能是通过垂体介导的,这一可能性促使了本次关于乙醇对垂体前叶分泌作用的研究。在一项随机交叉研究中,9名健康男性受试者经口给予含乙醇饮料(1.5克/千克)或单纯饮料,通过特异性放射免疫分析法测定长达15小时的血浆促肾上腺皮质激素(ACTH)、促卵泡激素(FSH)、生长激素(GH)、促黄体生成素(LH)和促甲状腺激素(TSH),并通过荧光法测定尿中肾上腺素和去甲肾上腺素水平。在类似系列实验中还进行了促性腺激素释放激素(LRF)和促甲状腺激素释放激素(TRF)联合试验。在整个实验过程中,乙醇处理组和对照组受试者的血浆ACTH、FSH和TSH水平或尿中肾上腺素和去甲肾上腺素水平均无显著差异。乙醇处理组和对照组受试者对LRF和TRF刺激的血浆FSH、LH和TSH反应也相似。对照组和乙醇实验中血浆ACTH值均较高(113 - 270皮克/毫升),表明受试者对实验感到担忧。血浆GH水平在傍晚后期出现与睡眠无关的峰值(从下午6点的0.4纳克/毫升升至晚上10点的3.1纳克/毫升,p小于0.01)。饮酒后未出现这种升高(p小于0.01)。乙醇处理组受试者在6小时和13小时后的血浆LH水平显著低于对照组(分别为65对106纳克/毫升,p小于0.01;74对121纳克/毫升,p小于0.05)。由于乙醇对血浆GH的静息水平或LH对LRF的反应均无影响,我们认为乙醇在垂体以上部位发挥这些作用。