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垂体柄切断后血浆催乳素随时间的增加:垂体后叶多巴胺的作用

Time-dependent increase in plasma prolactin after pituitary stalk section: role of posterior pituitary dopamine.

作者信息

Murai I, Garris P A, Ben-Jonathan N

机构信息

Department of Physiology and Biophysics, Indiana University School of Medicine, Indianapolis 46223.

出版信息

Endocrinology. 1989 May;124(5):2343-9. doi: 10.1210/endo-124-5-2343.

Abstract

PRL secretion is inhibited by dopamine (DA) input from two systems: the tuberoinfundibular (TIDA) with terminals in the median eminence, and the tuberohypophyseal (THDA) with terminals in the posterior pituitary. The aims of this study were 1) to determine the effects of pituitary stalk section (SS), which prevents DA input from the TIDA neurons, on PRL release, and 2) to assess if the anterior pituitary receives any DA input after SS. Ovariectomized rats were subjected to SS or sham surgery. Jugular blood was collected on the day of surgery (day 0) and for 6 days thereafter and was analyzed for PRL by RIA. DA concentration in the posterior pituitary was determined by HPLC. Unexpectedly, SS caused only a 2- to 3-fold initial rise in plasma PRL on day 0. This was followed by a gradual rise to 4-, 6-, and 8-fold above control levels on days 2, 4, and 6, respectively, without a further increase by 2 weeks. During this time, DA concentrations in the posterior pituitary progressively declined to 66%, 28%, and 6% of control values on days 1, 2, and 6 after SS, respectively. In the second experiment, intact and SS rats were treated with the DA receptor antagonist haloperidol. Haloperidol induced a dramatic 30- to 40-fold increase in plasma PRL in intact rats. Haloperidol induced a 3-fold rise in plasma PRL on day 1 after SS and a transient 2.5-fold rise on day 2. On day 6 after SS, when DA in the posterior pituitary was barely detectable, haloperidol failed to increase PRL secretion. The DA agonist apomorphine caused similar inhibitions of PRL release on days 1 and 6 after SS. Injections of TRH stimulated PRL secretion equally well in intact and SS rats. We conclude that SS does not induce refractoriness to PRL secretagogues or a dysfunction of the anterior pituitary DA receptors. The immediate rise in PRL after SS is modest because the anterior pituitary still receives DA input from the posterior pituitary. A gradual exhaustion of posterior pituitary DA, caused by the disconnection of the THDA terminals from their perikarya, leads to the progressive rise in plasma PRL levels. The DA input affecting PRL release is derived exclusively from the TIDA and THDA neurons, but their relative contributions are yet unknown.

摘要

催乳素(PRL)的分泌受到来自两个系统的多巴胺(DA)输入的抑制:一个是结节漏斗(TIDA)系统,其终末位于正中隆起;另一个是结节垂体(THDA)系统,其终末位于垂体后叶。本研究的目的是:1)确定垂体柄切断术(SS)对PRL释放的影响,该手术可阻止TIDA神经元的DA输入;2)评估SS后腺垂体是否还能接收任何DA输入。对去卵巢大鼠进行SS或假手术。在手术当天(第0天)及之后6天采集颈静脉血,用放射免疫分析法(RIA)分析PRL。用高效液相色谱法(HPLC)测定垂体后叶中的DA浓度。出乎意料的是,SS仅在第0天导致血浆PRL最初升高2至3倍。随后在第2天、第4天和第6天分别逐渐升高至对照水平的4倍、6倍和8倍,到2周时不再进一步升高。在此期间,垂体后叶中的DA浓度在SS后的第1天、第2天和第6天分别逐渐降至对照值的66%、28%和6%。在第二个实验中,对完整大鼠和SS大鼠用DA受体拮抗剂氟哌啶醇进行处理。氟哌啶醇使完整大鼠的血浆PRL急剧升高30至40倍。氟哌啶醇在SS后第1天使血浆PRL升高3倍,在第2天短暂升高2.5倍。在SS后第6天,当垂体后叶中的DA几乎检测不到时,氟哌啶醇未能增加PRL分泌。DA激动剂阿扑吗啡在SS后第1天和第6天对PRL释放产生类似的抑制作用。注射促甲状腺激素释放激素(TRH)在完整大鼠和SS大鼠中同样能很好地刺激PRL分泌。我们得出结论,SS不会诱导对PRL促分泌剂产生不应性或腺垂体DA受体功能障碍。SS后PRL的立即升高幅度不大,因为腺垂体仍能从垂体后叶接收DA输入。THDA终末与其核周体断开连接导致垂体后叶DA逐渐耗竭,从而导致血浆PRL水平逐渐升高。影响PRL释放的DA输入仅来自TIDA和THDA神经元,但其相对贡献尚不清楚。

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