Division of Medical Pharmacology, Leiden/Amsterdam Centre for Drug Research/Leiden University Medical Centre, University of Leiden, Einsteinweg 55, P.O. Box 9502, 2300 RA Leiden, The Netherlands.
Endocrinology. 2010 Mar;151(3):1177-86. doi: 10.1210/en.2009-1119. Epub 2010 Jan 15.
Chronically elevated circulating glucocorticoid levels are although to enhance vulnerability to psychopathology. Here we hypothesized that such sustained glucocorticoid levels, disturbing corticosterone pulsatility, attenuate glucocorticoid receptor signaling and target gene responsiveness to an acute challenge in the rat brain. Rats were implanted with vehicle or 40 or 100% corticosterone pellets known to flatten ultradian and circadian rhythmicity while maintaining daily average levels or mimic pathological conditions. Additionally, recovery from constant exposure was studied in groups that had the pellet removed 24 h prior to the challenge. Molecular markers for receptor responsiveness (receptor levels, nuclear translocation, promoter occupancy, and target gene expression) to an acute challenge mimicking the stress response (3 mg/kg ip) were studied in the hippocampal area. Implantation of 40 and 100% corticosterone pellets dose-dependently down-regulated glucocorticoid receptor and attenuated mineralocorticoid receptor and glucocorticoid receptor translocation to the acute challenge. Interestingly, whereas target gene Gilz expression to the challenge was already attenuated by tonic daily average levels (40%), Sgk-1 was affected only after constant high corticosterone exposure (100%), indicating altered receptor responsiveness due to treatment. Washout of 100% corticosterone recovered all molecular markers (partial), whereas removal of the 40% corticosterone pellet still attenuated responsiveness to the challenge. We propose that corticosteroid pulsatility is crucial in maintaining normal responsiveness to glucocorticoids. Whereas the results with 100% corticosterone are likely attributed to receptor saturation, subtle changes in the pattern of exposure (40%) induces changes at least as severe for glucocorticoid signaling as overt hypercorticism, suggesting an underlying mechanism sensitive to the pattern of hormone exposure.
慢性升高的循环糖皮质激素水平被认为会增加患精神病理学的易感性。在这里,我们假设这种持续的糖皮质激素水平,扰乱皮质酮的脉冲性,会减弱糖皮质激素受体信号转导,并使大鼠大脑对急性挑战的糖皮质激素受体信号转导和靶基因反应性降低。大鼠被植入载体或 40%或 100%的皮质酮丸,已知这些丸剂会使超昼夜节律和昼夜节律变得平坦,同时保持每日平均水平或模拟病理条件。此外,在挑战前 24 小时去除丸剂的组中研究了从持续暴露中恢复的情况。在模拟应激反应(3mg/kg ip)的急性挑战下,研究了受体反应性的分子标记物(受体水平、核易位、启动子占据和靶基因表达)。在海马区中研究了植入 40%和 100%皮质酮丸剂对糖皮质激素受体的剂量依赖性下调,以及对急性挑战的矿物质皮质激素受体和糖皮质激素受体易位的减弱。有趣的是,尽管靶基因 Gilz 对挑战的表达已经被慢性每日平均水平(40%)减弱,但 Sgk-1 仅在持续高皮质酮暴露(100%)后受到影响,表明由于治疗导致受体反应性改变。100%皮质酮的洗脱恢复了所有的分子标记物(部分),而去除 40%的皮质酮丸仍会减弱对挑战的反应性。我们提出,皮质酮脉冲性对于维持对糖皮质激素的正常反应性至关重要。虽然 100%皮质酮的结果可能归因于受体饱和,但暴露模式(40%)的微妙变化至少会引起糖皮质激素信号传导的变化,其严重程度与明显的高皮质醇症相当,这表明存在一种对激素暴露模式敏感的潜在机制。