Division of Pediatric Endocrinology, Department of Pediatrics, University of Virginia, P.O. Box 800386, Charlottesville, VA 22908, USA.
J Gastroenterol. 2010 Mar;45(3):277-84. doi: 10.1007/s00535-009-0192-x.
Inflammatory bowel disease that begins prior to puberty frequently causes a delay in puberty resulting in losses of growth, bone mineralization, and self esteem. A major cause of this pubertal delay is likely due in part to the effect of decreased levels of leptin on the function of the hypothalamic-pituitary-gonadal axis, though systemic inflammation is also thought to play a role.
To investigate further whether low leptin levels alone were responsible for delayed puberty in colitis, we induced colitis in 23-day-old female mice using 3% dextran sodium sulfate (DSS), resulting in 10 days of worsening colitis. These mice were compared to controls that were free-feeding and food-restricted (FR) mice that were given only enough food to keep them the same weight as the DSS group. All groups were followed for the timing of vaginal opening until 33 days old, when they were euthanized and their serum collected.
DSS-treated mice exhibited later timing of vaginal opening relative to both of the other groups, as well as increased colonic inflammation by cytology and increased serum levels of interleukin (IL)-6 and tumor necrosis factor(TNF)-alpha. The difference in the timing of vaginal opening between the DSS and FR groups occurred despite equivalent serum levels of leptin between the groups and despite an increase in corticosterone in the FR group relative to both of the other groups.
We conclude that DSS colitis causes delay in puberty in sexually immature mice beyond what would be expected from decreases in weight and leptin levels.
青春期前发病的炎症性肠病常导致青春期延迟,从而导致生长、骨矿化和自尊心受损。这种青春期延迟的一个主要原因可能部分归因于瘦素水平降低对下丘脑-垂体-性腺轴功能的影响,但也认为全身炎症起作用。
为了进一步研究瘦素水平降低是否单独导致结肠炎的青春期延迟,我们使用 3%葡聚糖硫酸钠(DSS)在 23 天大的雌性小鼠中诱导结肠炎,导致 10 天的结肠炎恶化。将这些小鼠与自由喂养的对照小鼠和给予足够食物以使体重与 DSS 组相同的限食(FR)小鼠进行比较。所有组均跟踪阴道开口的时间,直到 33 天大时处死并采集血清。
与其他两组相比,DSS 处理的小鼠阴道开口时间较晚,细胞学检查显示结肠炎症增加,血清白细胞介素(IL)-6 和肿瘤坏死因子(TNF)-α水平升高。尽管 DSS 组和 FR 组之间的血清瘦素水平相当,并且 FR 组相对于其他两组的皮质酮水平升高,但 DSS 组和 FR 组之间阴道开口时间的差异仍存在。
我们得出结论,DSS 结肠炎导致未成熟小鼠的青春期延迟超过体重和瘦素水平下降所预期的程度。