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地塞米松治疗可预防促肾上腺皮质激素释放激素对灵长类动物促性腺激素释放的抑制作用。

Dexamethasone treatment prevents the inhibitory effect of corticotropin-releasing hormone on gonadotropin release in the primate.

作者信息

Gindoff P R, Xiao E N, Luckhaus J, Ferin M

机构信息

Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, New York, N.Y.

出版信息

Neuroendocrinology. 1989 Feb;49(2):202-6. doi: 10.1159/000125115.

Abstract

Corticotropin-releasing hormone (CRH) has been shown to inhibit gonadotropin secretion and this effect is mediated by endogenous opioid peptides, presumably stimulated by CRH. Since glucocorticoids are known to block the CRH-induced ACTH response, it can be hypothesized that by concurrently preventing endogenous opioid peptide release, they would also prevent the inhibitory action of CRH on gonadotropin secretion. We tested this hypothesis in 4 ovariectomized rhesus monkeys, pretreated with dexamethasone (DEX; 1.5 mg b.i.d. for 5 days). In experiment 1, the effects of a 5 h i.v. hCRH infusion with or without DEX pretreatment and of physiological saline were compared. Blood samples were taken at 15-min intervals during a 3 hour preinfusion control and throughout the infusion. Sera were assayed for luteinizing hormone (LH), follicle-stimulating hormone (FSH) and cortisol by RIA. In the absence of DEX pretreatment, LH and FSH levels were progressively decreased during the CRH infusion: by hour 5, LH and FSH areas under the curve were 34.1 ( +/- 7.6) and 65.3% ( +/- 2.5) (mean % of preinfusion control values; + SE), respectively (p less than 0.01 vs. saline). In contrast, DEX pretreatment prevented the CRH-induced gonadotropin decrease: by hour 5, LH and FSH areas under the curve were 91.9 ( +/- 9.0) and 99.0% ( +/- 5.7) (n.s. vs. saline). In experiment 2, we tested whether DEX-treated monkeys would remain responsive to the gonadotropin inhibitory action of an opiate agonist. After a 3 hour preinfusion control baseline, morphine (9 mg i.v.) was given as a bolus injection to the same 4 animals.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

促肾上腺皮质激素释放激素(CRH)已被证明可抑制促性腺激素分泌,且这种作用是由内源性阿片肽介导的,推测是由CRH刺激所致。由于已知糖皮质激素可阻断CRH诱导的促肾上腺皮质激素(ACTH)反应,因此可以假设,通过同时阻止内源性阿片肽释放,它们也会阻止CRH对促性腺激素分泌的抑制作用。我们在4只接受地塞米松(DEX;1.5毫克,每日两次,共5天)预处理的去卵巢恒河猴中验证了这一假设。在实验1中,比较了在有或没有DEX预处理的情况下,静脉输注人CRH 5小时以及输注生理盐水的效果。在3小时的输注前对照期间及整个输注过程中,每隔15分钟采集一次血样。通过放射免疫分析法(RIA)测定血清中的促黄体生成素(LH)、促卵泡生成素(FSH)和皮质醇。在没有DEX预处理的情况下,CRH输注期间LH和FSH水平逐渐降低:到第5小时,曲线下面积LH和FSH分别为34.1(±7.6)和65.3%(±2.5)(输注前对照值的平均百分比;+标准误)(与生理盐水相比,p<0.01)。相比之下,DEX预处理可防止CRH诱导的促性腺激素减少:到第5小时,曲线下面积LH和FSH分别为91.9(±9.0)和99.0%(±5.7)(与生理盐水相比,无显著性差异)。在实验2中,我们测试了经DEX处理的猴子是否仍对阿片类激动剂的促性腺激素抑制作用有反应。在3小时的输注前对照基线后,对相同的4只动物静脉推注吗啡(9毫克)。(摘要截断于250字)

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