Pan J T, Chen C W
Institute of Physiology, National Yang-Ming Medical College, Taipei, Taiwan, Republic of China.
Endocrinology. 1990 Jun;126(6):3146-52. doi: 10.1210/endo-126-6-3146.
It is well established that TRH exerts a stimulatory effect on the secretion of both TSH and PRL. Clinically, hyperprolactinemia is usually present in hypothyroid women, but not men. In experimental studies, results vary because of the sexes, and treatments of animals differ. The purpose of this study was to further investigate the physiological control of PRL secretion in hypothyroid female rats. Adult female Sprague-Dawley rats that were surgically ovariectomized (OVX) and/or thyroidectomized (Tx) for 2 weeks were used. Serial blood samples were collected through indwelling intraatrial catheters, and plasma PRL and TSH levels were measured by RIA. We found that OVX + Tx and polyestradiol phosphate (PEP; 0.1 mg/rat, sc)-treated rats exhibited significantly higher basal PRL and TSH levels and afternoon surge PRL levels than sham Tx rats with the same treatments. On the other hand, if OVX + Tx rats were not treated with estrogen, their plasma PRL levels were not significantly different from those in sham Tx controls. If challenged with TRH (1 microgram/rat, iv), significantly higher PRL responses were found in OVX + Tx + PEP rats than in sham Tx rats. The contents of TRH in the median eminence of Tx rats, however, were not different from those in sham Tx rats. When challenged with domperidone (10 micrograms/rat, iv), a dopamine antagonist, no difference in PRL increments was found in the two groups of animals. Treatment with CB154, a potent dopamine agonist, did not eliminate the difference in basal PRL levels between the two groups. Pretreatment with a smaller dose of domperidone (1 microgram/rat), however, enhanced the PRL-releasing effect of TRH more in Tx than in sham Tx rats. When T4 (2 or 10 micrograms/100 g BW.day for 21 days) was replaced in Tx rats starting the second day after Tx, both basal and TRH-stimulated PRL secretion were significantly decreased in a dose-dependent manner. In conclusion, the increased PRL levels in OVX + Tx + PEP rats may be due to increased responsiveness of the anterior pituitary gland to TRH, and not to a decreased responsiveness to dopamine. In addition, the elevation of plasma PRL in OVX + Tx + PEP rats is negatively correlated with plasma levels of thyroid hormone.
促甲状腺激素释放激素(TRH)对促甲状腺激素(TSH)和催乳素(PRL)的分泌具有刺激作用,这一点已得到充分证实。临床上,甲状腺功能减退的女性通常会出现高催乳素血症,但男性不会。在实验研究中,由于性别不同以及动物处理方式不同,结果存在差异。本研究的目的是进一步探究甲状腺功能减退雌性大鼠催乳素分泌的生理调控机制。使用成年雌性斯普拉格-道利大鼠,通过手术切除卵巢(OVX)和/或甲状腺(Tx)2周。通过留置心房内导管采集系列血样,采用放射免疫分析法(RIA)测定血浆PRL和TSH水平。我们发现,与接受相同处理的假手术Tx大鼠相比,OVX + Tx大鼠以及接受磷酸聚雌二醇(PEP;0.1 mg/只,皮下注射)处理的大鼠,其基础PRL和TSH水平以及下午PRL分泌高峰水平显著更高。另一方面,如果OVX + Tx大鼠不接受雌激素处理,其血浆PRL水平与假手术Tx对照组相比无显著差异。用TRH(1微克/只,静脉注射)刺激后,OVX + Tx + PEP大鼠的PRL反应显著高于假手术Tx大鼠。然而,Tx大鼠正中隆起处的TRH含量与假手术Tx大鼠并无差异。用多巴胺拮抗剂多潘立酮(10微克/只,静脉注射)刺激后,两组动物的PRL增加值无差异。用强效多巴胺激动剂CB154处理,并未消除两组动物基础PRL水平的差异。然而,用较小剂量的多潘立酮(1微克/只)预处理后,Tx大鼠中TRH释放PRL的作用比假手术Tx大鼠增强得更多。在Tx大鼠术后第二天开始用T4(2或10微克/100克体重·天,持续21天)替代治疗,基础和TRH刺激的PRL分泌均以剂量依赖方式显著降低。总之,OVX + Tx + PEP大鼠PRL水平升高可能是由于垂体前叶对TRH的反应性增加,而非对多巴胺的反应性降低。此外,OVX + Tx + PEP大鼠血浆PRL升高与甲状腺激素血浆水平呈负相关。