King B M, Dallman M F, Esquerré K R, Frohman L A
Department of Psychology, University of New Orleans, Louisiana 70148.
Am J Physiol. 1988 Jun;254(6 Pt 2):R917-24. doi: 10.1152/ajpregu.1988.254.6.R917.
Electrolytic lesions of the ventromedial hypothalamus (VMH) result in marked hyperphagia and obesity, but several studies have found the excess food intake and weight gain to be greatly reduced when lesions are produced by electrocauterization with radio-frequency current. Unlike electrolytic lesions, radio-frequency lesions leave few or no deposits of metallic ions that can potentially stimulate adjacent tissue. In the present experiment, weight gain and several endocrine responses previously associated with the VMH syndrome were compared in female rats given either electrolytic, radio-frequency, or sham VMH lesions. Both groups with VMH lesions became obese, but rats with radio-frequency lesions displayed only 63.2% of the weight gain of animals with irritative lesions (120.0 vs. 189.8 g in 20 days). Only rats with electrolytic lesions displayed elevated plasma insulin levels during an initial period of food restriction, but both groups with lesions were hyperinsulinemic when allowed to overeat. Plasma growth hormone levels were decreased by electrolytic lesions but unaffected by radio-frequency lesions. Morning corticosterone levels were elevated in both VMH groups, but only the rats with electrolytic lesions were found to have elevations in plasma adrenocorticotropin. It is concluded that some of the endocrine dysfunctions resulting from electrolytic VMH lesions are due to irritative stimulation rather than to tissue ablation.
下丘脑腹内侧核(VMH)的电解损伤会导致显著的食欲亢进和肥胖,但多项研究发现,当采用射频电流进行电灼产生损伤时,过量的食物摄入和体重增加会大幅减少。与电解损伤不同,射频损伤几乎不会留下可能刺激邻近组织的金属离子沉积物。在本实验中,对接受电解、射频或假VMH损伤的雌性大鼠的体重增加情况以及先前与VMH综合征相关的几种内分泌反应进行了比较。两组有VMH损伤的大鼠都变得肥胖,但有射频损伤的大鼠体重增加量仅为有刺激性损伤动物的63.2%(20天内分别为120.0克和189.8克)。只有接受电解损伤的大鼠在最初的食物限制期血浆胰岛素水平升高,但两组有损伤的大鼠在允许过量进食时均出现高胰岛素血症。电解损伤会使血浆生长激素水平降低,但射频损伤对其无影响。两组VMH损伤大鼠的早晨皮质酮水平均升高,但只有接受电解损伤的大鼠血浆促肾上腺皮质激素水平升高。研究得出结论,电解VMH损伤导致的一些内分泌功能障碍是由于刺激性刺激而非组织切除所致。