Ulloa E R, Zaninovich A A
J Endocrinol. 1986 Oct;111(1):175-80. doi: 10.1677/joe.0.1110175.
The effects of histamine H1- and H2-receptor antagonists on the pituitary-thyroid axis were studied in normal and thyroxine (T4)-treated rats. Acute administration (120 min before the test) of the H2 antagonist cimetidine induced a significant (P less than 0.01) increase in the TSH response to TRH, whereas treatment with histamine (30 min before the test) or with the H1-receptor blocker diphenhydramine (120 min before the test) was without effect. Treatment with cimetidine or ranitidine (another H2-receptor antagonist) for 5 days induced a marked decrease in basal plasma TSH concentrations (P less than 0.01), with no changes in pituitary concentrations of TSH. Plasma prolactin concentrations were similarly decreased by cimetidine (P less than 0.01), though not by ranitidine. Neither antihistaminic altered pituitary prolactin concentrations. Despite decreasing basal concentrations of plasma TSH, cimetidine augmented the response to TRH above baseline values (P less than 0.01) in control rats as well as in animals with T4-induced suppression of plasma TSH. Administration of cimetidine or ranitidine for 5 days was followed by a reduced concentration of plasma T4 and triiodothyronine (T3) (P less than 0.05 and P less than 0.01 respectively), perhaps as a result of the declining plasma TSH levels. These results provide the first evidence for the reduction of plasma TSH concentrations by H2-receptor blockers, and may indicate that histamine can physiologically regulate TSH and prolactin secretion through H2 receptors in the anterior pituitary.(ABSTRACT TRUNCATED AT 250 WORDS)
在正常大鼠和接受甲状腺素(T4)治疗的大鼠中,研究了组胺H1和H2受体拮抗剂对垂体 - 甲状腺轴的影响。H2拮抗剂西咪替丁急性给药(测试前120分钟)可使TSH对TRH的反应显著增加(P<0.01),而组胺给药(测试前30分钟)或H1受体阻滞剂苯海拉明给药(测试前120分钟)则无此作用。西咪替丁或雷尼替丁(另一种H2受体拮抗剂)连续5天给药可使基础血浆TSH浓度显著降低(P<0.01),而垂体中TSH浓度无变化。西咪替丁可使血浆催乳素浓度同样降低(P<0.01),但雷尼替丁无此作用。两种抗组胺药均未改变垂体催乳素浓度。尽管西咪替丁降低了血浆TSH的基础浓度,但在对照大鼠以及T4诱导血浆TSH受抑制的动物中,它仍使TSH对TRH的反应高于基线值(P<0.01)。连续5天给予西咪替丁或雷尼替丁后,血浆T4和三碘甲状腺原氨酸(T3)浓度降低(分别为P<0.05和P<0.01),这可能是血浆TSH水平下降的结果。这些结果首次证明了H2受体阻滞剂可降低血浆TSH浓度,并可能表明组胺可通过垂体前叶的H2受体对TSH和催乳素分泌进行生理调节。(摘要截选至250字)