Fraser H M, Lunn S F, Cowen G M, Smith K B, Conn P M
MRC Reproductive Biology Unit, Centre for Reproductive Biology, Edinburgh, UK.
Contraception. 1991 Dec;44(6):667-76. doi: 10.1016/0010-7824(91)90086-u.
In previous studies, the LHRH antagonist detirelix, administered to stumptailed macaques during the menstrual cycle, was only partially effective in blocking pituitary-ovarian function when given during the late follicular phase. Since the antagonist was suppressive when administered during the early luteal phase, we investigated the ability of antide, a putative long-acting LHRH antagonist, to cause inhibition of the LH surge or luteal function when administered during the late follicular phase. Six animals with regular ovulatory cycles were treated on day 10 of the follicular phase with 1mg/kg antide s.c. All animals demonstrated a continued rise in serum concentrations of estradiol which were followed by an LH surge beginning 2-5 days after antide injection and serum progesterone and inhibin secretion which indicated normal luteal function. In a second experiment, six animals were treated on day 10 of the follicular phase with 3mg/kg antide s.c. In three animals, this caused a fall in serum concentrations of estradiol and the expected LH surge and rises in progesterone and inhibin secretion indicating ovulation failed to occur. In 2 animals, the LH surge was not prevented but the consequential rise in progesterone and inhibin was attenuated. In the remaining animal the cycle appeared unaffected. Pharmacokinetics of antide revealed an initial high release rate during the first 4 days (1mg/kg) or 6 days (3mg/kg) followed by a period of sustained release at a relatively low level. These results show that antide is partially effective in blocking ovulation at a high dose in the macaque and may result in an inadequate luteal phase, presumably as a result of its extended action.
在先前的研究中,在月经周期给断尾猕猴施用促性腺激素释放激素(LHRH)拮抗剂地来瑞林时,在卵泡晚期给药仅部分有效地阻断垂体 - 卵巢功能。由于该拮抗剂在黄体早期给药时有抑制作用,我们研究了一种假定的长效LHRH拮抗剂安替肽在卵泡晚期给药时抑制促黄体生成素(LH)峰或黄体功能的能力。六只排卵周期规律的动物在卵泡期第10天皮下注射1mg/kg安替肽进行治疗。所有动物血清雌二醇浓度持续升高,随后在安替肽注射后2 - 5天开始出现LH峰,以及血清孕酮和抑制素分泌,表明黄体功能正常。在第二个实验中,六只动物在卵泡期第10天皮下注射3mg/kg安替肽进行治疗。在三只动物中,这导致血清雌二醇浓度下降,预期的LH峰以及孕酮和抑制素分泌增加未出现,表明排卵未发生。在两只动物中,LH峰未被阻止,但随后的孕酮和抑制素升高减弱。在其余一只动物中,周期似乎未受影响。安替肽的药代动力学显示在最初4天(1mg/kg)或6天(3mg/kg)期间有一个初始高释放率,随后是在相对较低水平的持续释放期。这些结果表明,安替肽在高剂量时对猕猴排卵有部分阻断作用,并且可能导致黄体期不足,推测是其作用持续时间延长的结果。