Slotkin T A, Barnes G, Lau C, Seidler F J, Trepanier P, Weigel S J, Whitmore W L
J Pharmacol Exp Ther. 1982 Jun;221(3):686-93.
Excessive levels of glucocorticoids are thought to interfere with synaptic development in the central nervous system. In the present study, dexamethasone given to newborn rats produced deficits in brain growth associated with shifts in the developmental pattern of the ornithine decarboxylase/polyamine system consistent with delays in cellular maturation. The effects on the brain were of smaller magnitude and shorter duration than those on the heart or on general growth and were indicative of "brain sparing." Although some biochemical indices of synaptic development of central noradrenergic systems ([3H]norepinephrine uptake into synaptosomes) were quantitatively deficient on a whole-brain basis, the reductions never exceeded the magnitude of effect on brain weight; for other indices (transmitter levels, [3H]norepinephrine into synaptic vesicles), there were little or no apparent developmental deficits. Thus, the effects of dexamethasone on synaptic development in the brain may not reflect a specific action of glucocorticoids over and above their more general effects on cellular maturation. In contrast to the lack of specific action on biochemical indices of synaptic outgrowth, neonatal dexamethasone did cause alterations in norepinephrine synthesis and turnover in both central and peripheral sympathetic neurons which could contribute to the physiological and behavioral abnormalities associated with glucocorticoid treatment during development.
糖皮质激素水平过高被认为会干扰中枢神经系统的突触发育。在本研究中,给新生大鼠注射地塞米松会导致脑生长缺陷,这与鸟氨酸脱羧酶/多胺系统发育模式的改变有关,表明细胞成熟延迟。对大脑的影响在程度和持续时间上均小于对心脏或整体生长的影响,这表明存在“脑保护”现象。虽然中枢去甲肾上腺素能系统突触发育的一些生化指标([3H]去甲肾上腺素摄取到突触体中)在全脑基础上存在定量缺陷,但降低幅度从未超过对脑重量的影响程度;对于其他指标(递质水平、[3H]去甲肾上腺素进入突触小泡),几乎没有明显的发育缺陷。因此,地塞米松对大脑突触发育的影响可能并不反映糖皮质激素除了对细胞成熟的更普遍影响之外的特定作用。与对突触生长生化指标缺乏特定作用相反,新生大鼠注射地塞米松确实会导致中枢和外周交感神经元中去甲肾上腺素合成和周转的改变,这可能导致与发育过程中糖皮质激素治疗相关的生理和行为异常。