Leal J A, Gordon K, Williams R F, Danforth D R, Roh S I, Hodgen G D
Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk 23510.
Contraception. 1989 Nov;40(5):623-33. doi: 10.1016/0010-7824(89)90134-0.
This study was designed to extend evaluation of the long-acting effects of a "third generation" Antide (Nal-Lys) GnRH antagonist on gonadotropin secretion in ovariectomized (OVX) monkeys, with special attention to recrudescence of pituitary gonadotropin secretion after multiple dose treatments, as well as pituitary secretory responsiveness to GnRH. The duration of FSH/LH inhibition by Antide was dose-dependent, as well as being much longer than for Nal-Glu GnRHant; however, full recrudescence of gonadotropin secretion, albeit gradual, did occur. The acute LH secretory response to serial iv boluses of GnRH, in the face of GnRHant-induced suppression of gonadotropin secretion, was transiently accelerated and biologically active. Thereafter, the state of FSH/LH inhibition was resumed chronically. Thus, treatment with Antide produced profound long-term inhibition of tonic gonadotropin levels, yet hyper-responsiveness to exogenous GnRH administration was maintained throughout.
本研究旨在进一步评估“第三代”抗生育肽(Nal-Lys)GnRH拮抗剂对去卵巢(OVX)猴子促性腺激素分泌的长效作用,特别关注多次给药治疗后垂体促性腺激素分泌的复发情况,以及垂体对GnRH的分泌反应性。抗生育肽对FSH/LH的抑制持续时间呈剂量依赖性,且比Nal-Glu GnRH拮抗剂长得多;然而,促性腺激素分泌确实出现了完全复发,尽管过程较为缓慢。在GnRH拮抗剂诱导的促性腺激素分泌受抑制的情况下,对连续静脉注射GnRH的急性LH分泌反应会暂时加速且具有生物活性。此后,FSH/LH抑制状态会长期恢复。因此,抗生育肽治疗可产生对促性腺激素基础水平的深度长期抑制,但对外源性GnRH给药的高反应性在整个过程中得以维持。