Mileikowsky G N, Farmer R M, De Quattro V, Kletzky O A
University of Southern California School of Medicine, Department of Obstetrics and Gynecology, Los Angeles.
J Endocrinol Invest. 1988 Oct;11(9):641-5. doi: 10.1007/BF03350203.
This study has investigated the effects of 6.2, 12.5, 25, 50 and 100 ng/kg/min/60 min of NE infused to normal men. Blood samples were obtained every 10 min, before, during and after drug administration for 3 consecutive h. Plasma levels on NE, LH, FSH, PRL, and GH were measured in all samples. The administration of 12.5 ng/kg/min over 60 min of NE induced a significant increase (p less than 0.001) in plasma NE levels (n = 5) from a mean (+/- SE) baseline of 239 +/- 14 ng/L to 706 +/- 54 ng/L which peaked and plateaued at 40 min. The calculated area under the curve was 18562 +/- 3537 ng/L/h of NE and significantly higher (p less than 0.001) than during the h before the infusion (2358 +/- 780 ng/L/h). This increase in plasma NE correlated well with the rise in plasma LH which showed a steady increase from baseline of 7.4 +/- 1.3 mIU/ml to a significant (p less than 0.05) peak of 11 +/- 1.9 mIU/ml at the end of the infusion. Furthermore, analysis of the area under the curve revealed a greater (p less than 0.05) LH release during the NE infusion (180 +/- 18 mIU/ml/h) than before the infusion (92 +/- 17 mIU/ml/h). With the exception of the studies utilizing 12.5 ng/kg/min/60 min, all other doses of NE resulted in no significant and/or consistent changes in plasma concentration of LH, FSH, GH and PRL. Thus, the direct participation of NE in the control of LH secretion in humans seems to occur in a very narrow window.
本研究调查了以6.2、12.5、25、50和100 ng/kg/分钟/60分钟的剂量向正常男性输注去甲肾上腺素(NE)的效果。在连续3小时的给药前、给药期间和给药后,每隔10分钟采集血样。检测所有样本中NE、促黄体生成素(LH)、促卵泡生成素(FSH)、催乳素(PRL)和生长激素(GH)的血浆水平。以12.5 ng/kg/分钟的剂量输注NE 60分钟后,血浆NE水平(n = 5)从平均(±标准误)基线水平239 ± 14 ng/L显著升高(p < 0.001)至706 ± 54 ng/L,并在40分钟时达到峰值并保持平稳。计算得出的曲线下面积为18562 ± 3537 ng/L/小时的NE,显著高于输注前1小时(2358 ± 780 ng/L/小时)(p < 0.001)。血浆NE的这种升高与血浆LH的升高密切相关,血浆LH从基线水平7.4 ± 1.3 mIU/ml稳步升高至输注结束时显著(p < 0.05)的峰值11 ± 1.9 mIU/ml。此外,曲线下面积分析显示,NE输注期间(180 ± 18 mIU/ml/小时)的LH释放量比输注前(92 ± 17 mIU/ml/小时)更大(p < 0.05)。除了使用12.5 ng/kg/分钟/60分钟剂量的研究外,所有其他剂量的NE均未导致LH、FSH、GH和PRL的血浆浓度出现显著和/或一致的变化。因此,NE似乎仅在非常狭窄的范围内直接参与人类LH分泌的调控。