Raff H, Jacobson L, Cullinan W E
Endocrine Research Laboratory, Aurora St Luke's Medical Center, Medical College of Wisconsin, Milwaukee, WI, USA.
J Neuroendocrinol. 2007 Nov;19(11):907-12. doi: 10.1111/j.1365-2826.2007.01595.x.
Stressful events before or just after parturition alter the subsequent phenotypical response to stress in a general process termed programming. Hypoxia during the period before and during parturition, and in the postnatal period, is one of the most common causes of perinatal distress, morbidity, and mortality. We have found that perinatal hypoxia (prenatal day 19 to postnatal day 14) augmented the corticosterone response to stress and increased basal corticotrophin-releasing hormone (CRH) mRNA levels in the parvocellular portion of the paraventricular nucleus (PVN) in 6-month-old rats. There was no effect on the levels of hypothalamic parvocellular PVN vasopressin mRNA, anterior pituitary pro-opiomelanocortin or CRH receptor-1 mRNA, or hippocampus glucocorticoid receptor mRNA. We conclude that hypoxia spanning the period just before and for several weeks after parturition programmes the hypothalamic-pituitary-adrenal axis to hyper-respond to acute stress in adulthood, probably as a result of drive from the parvocellular CRH neurones.
分娩前或刚分娩后发生的应激事件会在一个称为编程的一般过程中改变随后对应激的表型反应。分娩前、分娩期间以及产后的缺氧是围产期窘迫、发病和死亡的最常见原因之一。我们发现,围产期缺氧(产前第19天至产后第14天)增强了6月龄大鼠对压力的皮质酮反应,并增加了室旁核(PVN)小细胞部分中促肾上腺皮质激素释放激素(CRH)的基础mRNA水平。对下丘脑小细胞PVN血管加压素mRNA、垂体前叶阿片促黑素皮质素或CRH受体-1 mRNA以及海马糖皮质激素受体mRNA水平没有影响。我们得出结论,分娩前及分娩后几周内的缺氧使下丘脑-垂体-肾上腺轴在成年后对急性应激产生过度反应,这可能是小细胞CRH神经元驱动的结果。