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晚期妊娠中催产素在催乳素分泌中的作用。

Role of Oxytocin in Prolactin Secretion during Late Pregnancy.

出版信息

Neuroendocrinology. 2018;106(4):324-334. doi: 10.1159/000480669. Epub 2017 Aug 27.

DOI:10.1159/000480669
PMID:28848175
Abstract

BACKGROUND/AIMS: During late pregnancy, the blockade of progesterone action by mifepristone (Mp) treatment induces a dopaminergic tone fall that enables naloxone (NAL) administration to release pituitary prolactin (PRL). We determined whether oxytocin (OT), which stimulates PRL secretion acting directly on anterior pituitary lactotrophs, mediates the stimulatory action of Mp and NAL on PRL secretion during late pregnancy.

METHODS

On day 19 of pregnancy, circulating and pituitary OT and PRL levels were measured by radioimmunoassay, 10, 20, and 30 min after NAL (given at 17:30 h) in rats pretreated with Mp (at 08:00 h). Pituitary OT receptor (OTR) expression in Mp-treated rats was evaluated by RT-PCR. Activation of OT neurons in Mp-NAL-treated rats was measured counting double immunoreactive neurons for Fos and OT (Fos-OT-ir) in supraoptic nuclei (SON), and medial (PaMM) and lateral magnocellular divisions of paraventricular nuclei.

RESULTS

Elevated serum OT and decreased pituitary OT were observed 10 min after NAL administration in both vehicle- and Mp-treated rats. This PRL increase was prevented by previous i.p. administration of an OTR antagonist, but intracerebroventricular OT administration was ineffective. Mp increased pituitary OTR expression at 18:00 h. Only Mp-NAL increased Fos-OT-ir neurons in the PaMM and SON.

CONCLUSIONS

These findings suggest that PRL secretion induced by Mp-NAL treatment is preceded by OT release. These results, together with the activation of hypothalamic OT neurons and the higher expression of pituitary OTR, support the hypothesis that, during late pregnancy, OT may act at the pituitary level to facilitate PRL secretion if the inhibitory action of progesterone is blocked.

摘要

背景/目的:米非司酮(Mp)治疗在妊娠晚期阻断孕激素作用会导致多巴胺能张力下降,从而使纳洛酮(NAL)给药能够释放垂体催乳素(PRL)。我们确定了催产素(OT)是否在妊娠晚期通过刺激直接作用于垂体前叶催乳素细胞的 PRL 分泌来介导 Mp 和 NAL 对 PRL 分泌的刺激作用。

方法

在妊娠第 19 天,通过放射免疫测定法测量循环和垂体 OT 和 PRL 水平,在给予 NAL(17:30 h)后 10、20 和 30 min 在预先用 Mp(08:00 h)处理的大鼠中。通过 RT-PCR 评估 Mp 处理大鼠的垂体 OT 受体(OTR)表达。通过计数 Fos 和 OT(Fos-OT-ir)双重免疫反应性神经元来测量 Mp-NAL 处理大鼠中 OT 神经元的激活,在视上核(SON)中,以及在室旁核的内侧(PaMM)和外侧大细胞部分。

结果

在给予 NAL 后 10 min,在载体和 Mp 处理的大鼠中均观察到血清 OT 升高和垂体 OT 降低。这种 PRL 增加被先前的腹腔注射 OTR 拮抗剂所预防,但脑室 OT 给药无效。Mp 在 18:00 h 增加了垂体 OTR 的表达。只有 Mp-NAL 增加了 PaMM 和 SON 中的 Fos-OT-ir 神经元。

结论

这些发现表明,Mp-NAL 治疗引起的 PRL 分泌是由 OT 释放引起的。这些结果,以及下丘脑 OT 神经元的激活和垂体 OTR 的更高表达,支持了这样的假设,即在妊娠晚期,如果孕激素的抑制作用被阻断,OT 可能在垂体水平起作用以促进 PRL 的分泌。

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