Koretskaia L R, Zalevskiĭ V S
Ter Arkh. 1989;61(12):62-7.
The content of beta-endorphins was studied in 64 children aged 6 to 14 years with atopic bronchial asthma (BA). The phasic relationship was established in the time course of changes in the content of beta-endorphins. In the paroxysmal period of BA, the concentration of beta-endorphins in blood was lowered, whereas after attacks and in the stage of remission, the level of beta-endorphins was increased and differed significantly from the indicators in the control group. The reduction of the content of beta-endorphins during exacerbation correlated with the disease gravity. The content of endorphins was found to be affected by the age and sex: the greater reduction of the level of beta-endorphins was recorded in children aged 6 to 11 years and in boys. The reduction of the level of beta-endorphins was followed by the impairment of interhormonal relations between ACTH and beta-endorphins, ACTH and hydrocortisone in all the disease phases. A correlation was discovered between the level of beta-endorphins and ACTH, cAMP as well as the level of IgE in blood plasma. It is suggested that derangements in the endorphin system may influence the mechanisms by which bronchial hyperreactivity is formed.
对64名6至14岁的特应性支气管哮喘(BA)患儿的β-内啡肽含量进行了研究。确立了β-内啡肽含量变化时间过程中的阶段性关系。在BA的发作期,血液中β-内啡肽的浓度降低,而在发作后和缓解期,β-内啡肽水平升高,且与对照组指标有显著差异。病情加重时β-内啡肽含量的降低与疾病严重程度相关。发现内啡肽含量受年龄和性别的影响:6至11岁儿童及男孩的β-内啡肽水平降低幅度更大。在所有疾病阶段,β-内啡肽水平降低后,促肾上腺皮质激素(ACTH)与β-内啡肽、ACTH与氢化可的松之间的激素间关系受损。发现β-内啡肽水平与ACTH、环磷酸腺苷(cAMP)以及血浆中免疫球蛋白E(IgE)水平之间存在相关性。提示内啡肽系统紊乱可能影响支气管高反应性形成的机制。