Lamberts S W, Bons E G, Zuiderwijk-van der Roest J M
Department of Medicine, Erasmus University, Rotterdam, The Netherlands.
Mol Cell Endocrinol. 1987 Aug;52(3):243-9. doi: 10.1016/0303-7207(87)90050-5.
Long-term exposure of the adrenocortical cells in vivo or in vitro to high concentrations of ACTH results in a diminution of the responsiveness of these cells to a subsequent stimulation of corticosterone release by ACTH. Conflicting studies have been published on the mechanism of this 'desensitization' phenomenon. Dispersed adrenocortical cells prepared from the hypertrophic/hyperplastic adrenal glands of rats bearing the ACTH/PRL-secreting rat pituitary tumour 7315a showed an increased basal release of corticosterone, but had lost their ability to respond further to ACTH. However, corticosterone release in response to dibutyryl cyclic AMP (dbcAMP), cholera toxin and forskolin remained intact. Pretreatment of normal rats for 3, 9 and 21 days with 50 micrograms/rat/day of a long-acting ACTH depot preparation induced a dose-dependent increase in basal corticosterone release by the adrenocortical cells prepared from these animals and a dose-dependent decrease in the sensitivity to ACTH. However, the responsiveness of the adrenocortical cells prepared from the adrenal glands of control and ACTH pretreatment rats to dbcAMP, cholera toxin and forskolin was similar. In addition, pretreatment with ACTH in vivo did not affect the sensitivity of the adrenocortical cells in vitro to calmodulin inhibition by haloperidol and 11 beta-hydroxylase inhibition by etomidate. It is concluded that long-term exposure of the adrenal gland to high concentrations of ACTH in vitro results in an excessive activation of corticosterone release by the adrenocortical cells in vitro, which is accompanied by a loss of sensitivity to ACTH.(ABSTRACT TRUNCATED AT 250 WORDS)
体内或体外的肾上腺皮质细胞长期暴露于高浓度促肾上腺皮质激素(ACTH)会导致这些细胞对随后ACTH刺激皮质酮释放的反应性降低。关于这种“脱敏”现象的机制,已有相互矛盾的研究发表。从携带分泌ACTH/催乳素的大鼠垂体瘤7315a的大鼠肥大/增生肾上腺中制备的分散肾上腺皮质细胞,其皮质酮基础释放增加,但对ACTH进一步反应的能力丧失。然而,对二丁酰环磷腺苷(dbcAMP)、霍乱毒素和福斯高林的皮质酮释放反应仍保持完整。用50微克/大鼠/天的长效ACTH长效制剂对正常大鼠进行3、9和21天的预处理,可导致这些动物制备的肾上腺皮质细胞基础皮质酮释放呈剂量依赖性增加,对ACTH的敏感性呈剂量依赖性降低。然而,从对照和ACTH预处理大鼠肾上腺制备的肾上腺皮质细胞对dbcAMP、霍乱毒素和福斯高林的反应性相似。此外,体内用ACTH预处理不影响体外肾上腺皮质细胞对氟哌啶醇抑制钙调蛋白和依托咪酯抑制11β-羟化酶的敏感性。结论是,体外肾上腺长期暴露于高浓度ACTH会导致体外肾上腺皮质细胞过度激活皮质酮释放,同时伴有对ACTH敏感性丧失。(摘要截短于250字)