Lin K C, Okamura H, Mori T
Department of Gynecology and Obstetrics, Kyoto University Faculty of Medicine, Japan.
Endocrinol Jpn. 1987 Oct;34(5):675-83. doi: 10.1507/endocrj1954.34.675.
To clarify the possible direct effects of hyperprolactinemia on the ovulatory process, we experimentally established hyperprolactinemia in female rabbits with 4 daily injections of sulpiride (SLP) at different doses and induced ovulation with human chorionic gonadotropin (hCG). Plasma levels of prolactin (PRL) were increased significantly before hCG injection in each SLP-treated group compared with the corresponding values for the controls. The ovulation rates at 14 h after hCG were significantly reduced in the 16 and 24 mg/kg/day SLP-treated groups. An inverse correlation (r = -0.74, P less than 0.001) was found between the ovulation rate and the increasing in plasma PRL measured just prior to hCG injection. The increase in peripheral as well as ovarian venous progesterone and 20 alpha-hydroxypregn-4-en-3-one(20 alpha-OHP) at 4 and 14 h after hCG injection in inhibited ovulation groups was much less than in the control group. However, the estradiol, androstenedione and testosterone concentrations were comparable with the control values. These results indicate that hypersecretion of PRL induced by SLP has a direct effect on ovary by inhibiting follicular rupture induced by hCG and this inhibitory effect was partly due to the suppression of progesterone secretion during the course of ovulation. This may be one of the causes leading to hypogonadism during hyperprolactinemia.
为阐明高催乳素血症对排卵过程可能产生的直接影响,我们通过每天给雌性兔子注射不同剂量的舒必利(SLP),连续4天,实验性地建立了高催乳素血症模型,并用人类绒毛膜促性腺激素(hCG)诱导排卵。与对照组的相应值相比,在每个SLP治疗组中,hCG注射前血浆催乳素(PRL)水平显著升高。在16和24mg/kg/天SLP治疗组中,hCG注射后14小时的排卵率显著降低。在hCG注射前测得的排卵率与血浆PRL升高之间发现呈负相关(r = -0.74,P<0.001)。在抑制排卵组中,hCG注射后4小时和14小时外周以及卵巢静脉孕酮和20α-羟基孕-4-烯-3-酮(20α-OHP)的增加远低于对照组。然而,雌二醇、雄烯二酮和睾酮浓度与对照值相当。这些结果表明,SLP诱导的PRL分泌过多对卵巢有直接影响,通过抑制hCG诱导的卵泡破裂,这种抑制作用部分归因于排卵过程中孕酮分泌的抑制。这可能是高催乳素血症期间性腺功能减退的原因之一。