Keller-Wood M, Leeman E, Shinsako J, Dallman M F
Department of Physiology, University of California, San Francisco 94143.
Am J Physiol. 1988 Sep;255(3 Pt 1):E241-6. doi: 10.1152/ajpendo.1988.255.3.E241.
We infused submaximal feedback doses of either dexamethasone (DEX; 0.1 microgram.kg-1.min-1) or corticosterone and cortisol (B+F; 1.5 micrograms.kg-1.min-1) intravenously for 40 min into conscious dogs and measured the adrenocorticotropic hormone (ACTH) responses to hypoglycemia induced by insulin (0.1 U/kg) or to ovine corticotropin-releasing factor (oCRF; 1 microgram/kg); both agents were injected at 120 min. The dose of DEX was chosen to produce suppression of the ACTH response to oCRF equivalent to that produced by B+F. The purpose of the study was to determine 1) whether CRF- and hypoglycemia-induced ACTH secretion are equally inhibited by glucocorticoid treatment and 2) whether DEX and B+F have differential effects in the inhibition of stress-induced ACTH secretion. We found that peak ACTH responses to hypoglycemia and CRF were equally inhibited by DEX (36 +/- 6 and 52 +/- 9%, respectively). The peak ACTH responses to hypoglycemia and CRF were also equally inhibited after B+F infusion (45 +/- 13 and 65 +/- 5%, respectively). There was no significant interaction between the steroid administered and the stimulus given in controlling the ACTH response (by 2-way analysis of variance). The results suggest that pituitary feedback is of primary importance in suppression of canine ACTH secretion by delayed feedback and that the natural and synthetic steroids both act at this site.
我们向清醒的犬静脉内输注亚最大反馈剂量的地塞米松(DEX;0.1微克·千克⁻¹·分钟⁻¹)或皮质酮和皮质醇(B + F;1.5微克·千克⁻¹·分钟⁻¹),持续40分钟,然后测量对胰岛素(0.1 U/kg)诱导的低血糖或对绵羊促肾上腺皮质激素释放因子(oCRF;1微克/kg)的促肾上腺皮质激素(ACTH)反应;两种药物均在120分钟时注射。选择DEX的剂量以产生与B + F相同的对oCRF的ACTH反应抑制作用。本研究的目的是确定:1)糖皮质激素治疗是否同样抑制CRF和低血糖诱导的ACTH分泌;2)DEX和B + F在抑制应激诱导的ACTH分泌方面是否有不同作用。我们发现DEX同样抑制了对低血糖和CRF的ACTH峰值反应(分别为36±6%和52±9%)。输注B + F后,对低血糖和CRF的ACTH峰值反应也同样受到抑制(分别为45±13%和65±5%)。在控制ACTH反应方面,所给予的类固醇与刺激之间不存在显著的相互作用(通过双向方差分析)。结果表明,垂体反馈在通过延迟反馈抑制犬ACTH分泌中起主要作用,并且天然和合成类固醇均作用于该部位。