Paccotti P, Terzolo M, Torta M, Vignani A, Schena M, Piovesan A, Angeli A
Dipartimento di Biomedicina, Ospedale S. Vito, Torino, Italy.
J Endocrinol Invest. 1987 Oct;10(5):471-7. doi: 10.1007/BF03348172.
We evaluated the effect of a single oral administration of 100 mg melatonin (MT) vs placebo (PL) on the pituitary release of LH, FSH, TSH and prolactin (PRL) after GnRH + TRH and on the adrenocortical release of cortisol, aldosterone and progesterone after ACTH in healthy adult males. We carried out a double blind study in 6 volunteers in winter, at two opposite stages of the circadian cycle: 08:00 and 20:00 h. Injection of GnRH (100 micrograms), TRH (200 micrograms) and ACTH (10 micrograms of the synthetic ACTH 1-17 analogue, Alsactide) was performed one h after MT or PL ingestion. Plasma MT levels were 200-4,000-fold higher after MT than PL thus confirming the effective gastrointestinal absorption of the pineal hormone. The hormonal patterns were superimposable after MT and PL. A higher response of PRL, FSH and cortisol was observed in the evening vs morning protocols independently of previous MT or PL. Our data demonstrate that the acute oral administration of a pharmacological dose of MT at two opposite circadian stages is ineffective to change a variety of pituitary and adrenocortical responses in human male subjects. The circadian chronosusceptibility of pituitary and adrenocortical cells to specific stimuli deserves interest to future investigation.
我们评估了健康成年男性单次口服100毫克褪黑素(MT)与安慰剂(PL),对促性腺激素释放激素(GnRH)+促甲状腺激素释放激素(TRH)刺激后垂体释放促黄体生成素(LH)、促卵泡生成素(FSH)、促甲状腺激素(TSH)和催乳素(PRL)的影响,以及促肾上腺皮质激素(ACTH)刺激后肾上腺皮质释放皮质醇、醛固酮和孕酮的影响。我们在冬季对6名志愿者进行了双盲研究,时间为昼夜节律周期的两个相反阶段:08:00和20:00。在摄入MT或PL后1小时注射GnRH(100微克)、TRH(200微克)和ACTH(10微克合成的ACTH 1-17类似物,阿沙瑞林)。MT组血浆MT水平比PL组高200 - 4000倍,从而证实了松果体激素有效的胃肠道吸收。MT和PL给药后的激素模式是可叠加的。与早晨方案相比,晚上方案中观察到PRL、FSH和皮质醇的反应更高,与之前服用MT或PL无关。我们的数据表明,在昼夜节律的两个相反阶段急性口服药理剂量的MT,对改变男性受试者多种垂体和肾上腺皮质反应无效。垂体和肾上腺皮质细胞对特定刺激的昼夜时间敏感性值得未来研究关注。