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药物性肾上腺切除术后促肾上腺皮质激素释放因子、精氨酸加压素和催产素的垂体门脉血浆水平、正中隆起含量及免疫组化染色

Hypophysial-portal plasma levels, median eminence content, and immunohistochemical staining of corticotropin-releasing factor, arginine vasopressin, and oxytocin after pharmacological adrenalectomy.

作者信息

Plotsky P M, Sawchenko P E

出版信息

Endocrinology. 1987 Apr;120(4):1361-9. doi: 10.1210/endo-120-4-1361.

Abstract

Changes in immunostaining, median eminence content, and secretion into the hypophysial-portal circulation of immunoreactive CRF (irCRF), arginine vasopressin (irAVP), and oxytocin (irOT) were directly evaluated after pharmacological adrenalectomy (PHADX). Mean circulating levels of ACTH rose from 270 +/- 57 (+/- SE) to 1560 +/- 283 pg/ml after 72 h of treatment with metyrapone and aminoglutethimide. Initially, hypophysial-portal plasma irCRF levels decreased to 52.6% (12 h) and 21.7% (24 h) of control levels (230 +/- 41 pg/ml). Accompanying changes in the patterns of CRF immunostaining in the paraventricular nuclei (PVN) or in median eminence irCRF content at 24 h did not parallel alterations in portal plasma irCRF levels at this time. By 72 h posttreatment, portal irCRF levels were elevated 2.2-fold, while the number of detectable CRF-positive perikarya in the PVN increased 3.0-fold. The mean hypophysial-portal plasma irAVP concentration was unchanged from the control value (1312 +/- 287 pg/ml) at 12 h, but was only 34.9% of the control value at 24 h. Inverse changes in median eminence irAVP content were noted at these times, whereas the number of AVP-immunostained cells exhibited a tendency toward an increase at 24 h, in parallel with significantly increased content. By 72 h post-PHADX, portal irAVP, median eminence irAVP content, irAVP immunostaining intensity, and AVP-immunopositive cell number were elevated. Approximately 64% of CRF-positive perikarya in the parvocellular PVN costained for AVP at this time, whereas no colocalization was evident in untreated rats. These changes were prevented by corticosterone replacement. irOT staining intensity, irOT-positive cell number, median eminence irOT content, and portal plasma irOT concentration remained stable at all times examined. We conclude that: removal of adrenal steroids by PHADX results in a sequence of changes in CRF and AVP within the PVN (as determined by immunocytochemistry) and the median eminence (as determined by peptide content) similar to those observed after surgical adrenalectomy; after steroid removal the secretion of both irCRF and irAVP changes in a biphasic manner characterized by reduced secretion at 24 h and greatly enhanced secretion at 72 h; neither immunostaining nor median eminence content alone proved to be a reliable index or secretory activity during the initial phases of steroid blockade; and the hypophysiotropic OT system of normal male rats appears to be insensitive to adrenal steroid influences.

摘要

在药物性肾上腺切除(PHADX)后,直接评估了免疫染色、正中隆起含量以及免疫反应性促肾上腺皮质激素释放因子(irCRF)、精氨酸加压素(irAVP)和催产素(irOT)向垂体门脉循环的分泌变化。用甲吡酮和氨鲁米特治疗72小时后,促肾上腺皮质激素(ACTH)的平均循环水平从270±57(±标准误)pg/ml升至1560±283 pg/ml。最初,垂体门脉血浆irCRF水平在12小时降至对照水平(230±41 pg/ml)的52.6%,在24小时降至21.7%。此时,室旁核(PVN)中CRF免疫染色模式或正中隆起irCRF含量的伴随变化与此时门脉血浆irCRF水平的变化并不平行。治疗后72小时,门脉irCRF水平升高2.2倍,而PVN中可检测到的CRF阳性核周体数量增加3.0倍。垂体门脉血浆irAVP的平均浓度在12小时时与对照值(1312±287 pg/ml)无变化,但在24小时时仅为对照值的34.9%。此时正中隆起irAVP含量出现相反变化,而AVP免疫染色细胞数量在24小时时有增加趋势,与含量显著增加平行。PHADX后72小时,门脉irAVP、正中隆起irAVP含量、irAVP免疫染色强度和AVP免疫阳性细胞数量均升高。此时,小细胞PVN中约64%的CRF阳性核周体同时被AVP染色,而在未治疗的大鼠中未发现共定位现象。这些变化可通过皮质酮替代来预防。在所有检测时间,irOT染色强度、irOT阳性细胞数量、正中隆起irOT含量和门脉血浆irOT浓度均保持稳定。我们得出以下结论:PHADX去除肾上腺类固醇会导致PVN内(通过免疫细胞化学测定)和正中隆起内(通过肽含量测定)CRF和AVP发生一系列变化,类似于手术切除肾上腺后观察到的变化;类固醇去除后,irCRF和irAVP的分泌均呈双相变化,其特征是24小时时分泌减少,72小时时分泌大幅增加;在类固醇阻断的初始阶段,单独的免疫染色或正中隆起含量都不是分泌活性的可靠指标;正常雄性大鼠的促垂体OT系统似乎对肾上腺类固醇影响不敏感。

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