Björkhem I, Kallner A, Karlmar K E
J Lipid Res. 1978 Aug;19(6):695-704.
The effect of ascorbic acid deficiency on adrenal hydroxylation of cholesterol and deoxycorticosterone in guinea pigs was studied by using mitochondria and isolated cytochrome P-450 fractions. The effects obtained were compared with the effects of long-term treatment with ACTH. Advanced scurvy as well as treatment with ACTH resulted in an increase in the weight of the adrenals, the total amount of cytochrome P-450, the cholesterol side-chain cleavage activity, the cortisol level in plasma, and the excretion of unconjugated cortisol in urine. Total 11beta- and 18-hydroxylation of deoxycorticosterone were not stimulated or were stimulated only to a small extent. It is suggested that the major effects observed in advanced scurvy are due to ACTH, the level of which was significantly increased, most probably as a consequence of the stress. In animals kept on a scorbutogenic diet for 2-4 weeks or, with a small dose of ascorbate added, for several weeks, changes were observed that could not be fully explained as effects of ACTH on normal adrenals. Although the plasma levels of ACTH and cortisol were increased only to a small extent and excretion of unconjugated cortisol in urine was unaffected, there was a significant increase in the total capacity of adrenal mitochondria to hydroxylate exogenous cholesterol. It is concluded that the level of ascorbate in the adrenals might be of some importance for the capacity to convert cholesterol into pregnenolone. The normal feed-back regulation is, however, intact in moderate ascorbate deficiency and the plasma level of cortisol is kept within normal limits.
通过使用线粒体和分离的细胞色素P - 450组分,研究了抗坏血酸缺乏对豚鼠肾上腺胆固醇和脱氧皮质酮羟基化的影响。将所获得的结果与促肾上腺皮质激素(ACTH)长期治疗的效果进行了比较。严重坏血病以及ACTH治疗均导致肾上腺重量增加、细胞色素P - 450总量增加、胆固醇侧链裂解活性增加、血浆皮质醇水平升高以及尿中未结合皮质醇排泄增加。脱氧皮质酮的总11β - 和18 - 羟基化未受到刺激或仅受到轻微刺激。提示在严重坏血病中观察到的主要影响是由于ACTH,其水平显著升高,很可能是应激的结果。在食用致坏血病饮食2 - 4周的动物中,或者在添加少量抗坏血酸盐的情况下饲养数周的动物中,观察到的变化不能完全解释为ACTH对正常肾上腺的影响。尽管血浆中ACTH和皮质醇水平仅略有升高,尿中未结合皮质醇的排泄未受影响,但肾上腺线粒体对外源胆固醇进行羟基化的总能力却显著增加。结论是肾上腺中抗坏血酸盐的水平对于将胆固醇转化为孕烯醇酮的能力可能具有一定重要性。然而,在中度抗坏血酸缺乏时,正常的反馈调节是完整的,血浆皮质醇水平保持在正常范围内。