Seggie J
Prog Neuropsychopharmacol Biol Psychiatry. 1987;11(2-3):315-24. doi: 10.1016/0278-5846(87)90076-5.
Attempts to use neuroendocrine challenge tests to reflect suspected CNS dysfunction are popular, but frought with problems of interpretation. The dexamethasone suppression test of cortisol is thought to reflect limbic system function. Hormone responses to the triple bolus challenge test have also been reported to reflect limbic system dysfunction, but interpretation is dependent upon the hormone chosen for study. Challenge tests using prolactin have fallen out of favour because the final common pathway for its regulation lies outside the blood brain barrier. Thus, the ability of prolactin to reflect CNS and, specifically limbic system activity has been questioned. The present study undertook to determine corticosterone and prolactin responses in response to a variety of stimuli in rats that had selected limbic system damage following stereotoxically placed electrolic lesions. Surgical groups included: normal, sham-operated, septal lesion, cortico-medial amygdala lesion or baso-lateral amygdala lesion. All CNS damage was verified histologically. The stimuli chosen for neuroendocrine challenge were 3 minutes of exposure to, a novel environment, noise, ether vapour or cold water. These stimuli were chosen for their presumed level of neural input to the hypothalamic-pituitary axis. In the normal group, prolactin, but not corticosterone evidenced a differential response to the four stimuli. Following surgery, corticosterone responses to all stimuli were significantly influenced only in the septal lesion group. There was no interaction between the location of lesion with the type of stimuli used to elicit the corticosterone response. Prolactin, in contrast, evidenced significantly different responses depending on the location of the lesion, the type of stimulus and an interaction of these two variables. This level of differential responsiveness suggests that prolactin may have potential for diagnosis of limbic system dysfunction if appropriate test stimuli are employed to elicit its response.
尝试使用神经内分泌激发试验来反映疑似中枢神经系统功能障碍很常见,但充满了解释方面的问题。皮质醇的地塞米松抑制试验被认为可反映边缘系统功能。据报道,激素对三联推注激发试验的反应也可反映边缘系统功能障碍,但解释取决于所选用于研究的激素。使用催乳素的激发试验已不受青睐,因为其调节的最终共同途径位于血脑屏障之外。因此,催乳素反映中枢神经系统,特别是边缘系统活动的能力受到了质疑。本研究旨在确定在立体定向放置电损伤后出现边缘系统损伤的大鼠中,对各种刺激的皮质酮和催乳素反应。手术组包括:正常组、假手术组、隔区损伤组、皮质内侧杏仁核损伤组或基底外侧杏仁核损伤组。所有中枢神经系统损伤均经组织学证实。选择用于神经内分泌激发的刺激包括暴露于新环境、噪音、乙醚蒸汽或冷水3分钟。选择这些刺激是因为它们对下丘脑 - 垂体轴的假定神经输入水平。在正常组中,催乳素对四种刺激有不同反应,而皮质酮没有。手术后,仅隔区损伤组中皮质酮对所有刺激的反应受到显著影响。损伤位置与用于引发皮质酮反应的刺激类型之间没有相互作用。相比之下,催乳素根据损伤位置、刺激类型以及这两个变量的相互作用表现出显著不同的反应。这种不同反应水平表明,如果采用适当的测试刺激来引发其反应,催乳素可能具有诊断边缘系统功能障碍的潜力。