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长期给予超活性激动剂和拮抗剂促性腺激素释放激素类似物对垂体-性腺系统的影响。

Effects of long-term administration of a superactive agonistic and an antagonistic GnRH analog on the pituitary-gonad system.

作者信息

Kovács M, Mezö I, Seprödi J, Csernus V, Teplán I, Flerkó B

机构信息

Department of Anatomy, University Medical School, Pécs, Hungary.

出版信息

Peptides. 1989 Sep-Oct;10(5):925-31. doi: 10.1016/0196-9781(89)90170-8.

Abstract

A powerful GnRH antagonist: [Ac-D-Trp1,3,D-Cpa2,D-Lys6,D-Ala10]-GnRH (MI-1544) and a superactive GnRH agonist: [D-Phe6,desGly10]-GnRH(1-9)EA (OVURELIN) were used in long-term administration to compare their effects on the inhibition of ovulation, LH and progesterone (P) release, LH content of pituitaries as well as on the recovery period. Both analogs showed 100% inhibitory effects on ovulation in very low doses during the daily treatment for 21 days. The antagonist prevented LH release already after the first injection, decreased the serum P level to 40%, and increased the LH content of the pituitary up to 180%, inhibiting only the release but not the synthesis of LH. The agonist showed marked LH-releasing effects on the first day of the treatment, which were reduced to 12% on the 7th day. Serum P concentration was dropped to 68% by the end of the treatment. No change was found in the LH content of pituitaries in the group treated with the agonist. Ovaries showed polifollicular pictures in the antagonist-treated group, and persistent corpora lutea were seen in the ovaries from the agonist-treated group. Regular estrous cycles returned 13-15 days after ceasing the treatment with the antagonist and 3-5 days after ceasing the treatment with the agonist. No edema-inducing effect was observed after the injections of the antagonist in doses of 100 times higher than the single antiovulatory dose.

摘要

一种强效促性腺激素释放激素(GnRH)拮抗剂:[Ac-D-Trp1,3,D-Cpa2,D-Lys6,D-Ala10]-GnRH(MI-1544)和一种超活性GnRH激动剂:[D-Phe6,desGly10]-GnRH(1-9)EA(奥佛林)被用于长期给药,以比较它们对排卵抑制、促黄体生成素(LH)和孕酮(P)释放、垂体LH含量以及恢复期的影响。在为期21天的每日治疗中,两种类似物在非常低的剂量下对排卵均显示出100%的抑制作用。拮抗剂在首次注射后就阻止了LH的释放,将血清P水平降低至40%,并使垂体LH含量增加高达180%,仅抑制LH的释放而非合成。激动剂在治疗第一天显示出明显的LH释放作用,在第7天降至12%。治疗结束时血清P浓度降至68%。用激动剂治疗的组中垂体LH含量未发现变化。拮抗剂治疗组的卵巢呈现多囊图像,激动剂治疗组的卵巢中可见持续存在的黄体。停止使用拮抗剂治疗后13 - 15天以及停止使用激动剂治疗后3 - 5天恢复正常发情周期。注射剂量比单次抗排卵剂量高100倍的拮抗剂后未观察到水肿诱导作用。

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