School of Women's and Infants' Health, The University of Western Australia, Western Australia, Australia.
Reprod Sci. 2012 Mar;19(3):260-70. doi: 10.1177/1933719111418374. Epub 2011 Nov 18.
We determined the effects of prenatal dexamethasone administration in early gestation on development of the hypothalamic-pituitary-adrenal (HPA) axis up to 7 months of postnatal age with measurements of hormone levels and gene expression. Plasma adrenocorticotropic hormone and cortisol levels after corticotropin-releasing hormone (CRH)/arginine vasopressin challenge were lower in treatment females than in control females and treatment males. Calculation of cortisol to adrenocorticotropic hormone ratios indicated however that the adrenals of treatment females were more responsive to adrenocorticotropic hormone than control females or treatment males. Effects of treatment and sex dependence at 7 months of age were observed in levels of hypothalamic CRH messenger RNA (mRNA), hypothalamic arginine vasopressin mRNA, pituitary proopiomelanocortin mRNA, pituitary prohormone convertase 1 and prohormone convertase 2, glucocorticoid receptor and mineralocorticoid receptor in the hypothalamus and hippocampus, adrenal adrenocorticotropic hormone receptor, steroidogenic acute regulatory, 3β hydroxysteroid dehydrogenase, and 11β hydroxysteroid dehydrogenase type 2 mRNA. The results indicate that exposure to glucocorticoids in early pregnancy produces persisting and sex-dependent effects on the hypothalamic-pituitary-adrenal axis at 7 months of age.
我们通过测量激素水平和基因表达,确定了早孕时给予地塞米松对下丘脑-垂体-肾上腺(HPA)轴发育的影响,直至出生后 7 个月。在促肾上腺皮质激素释放激素(CRH)/精氨酸加压素刺激后,治疗组雌性的血浆促肾上腺皮质激素和皮质醇水平低于对照组雌性和治疗组雄性。然而,皮质醇与促肾上腺皮质激素比值的计算表明,治疗组雌性的肾上腺对促肾上腺皮质激素的反应性高于对照组雌性或治疗组雄性。在 7 个月大时,观察到治疗和性别依赖性的影响,表现在下丘脑 CRH 信使 RNA(mRNA)、下丘脑精氨酸加压素 mRNA、垂体前阿黑皮素原 mRNA、垂体前激素转化酶 1 和前激素转化酶 2、下丘脑和海马中的糖皮质激素受体和盐皮质激素受体、肾上腺促肾上腺皮质激素受体、类固醇急性调节蛋白、3β 羟甾脱氢酶和 11β 羟甾脱氢酶 2 mRNA 水平。结果表明,妊娠早期暴露于糖皮质激素会对出生后 7 个月的下丘脑-垂体-肾上腺轴产生持续的、性别依赖性的影响。