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吲哚美辛抑制前列腺素合成后皮质酮的分泌

Corticosterone secretion after inhibition of prostaglandin synthesis by indomethacin.

作者信息

Thompson M E, Hedge G A

出版信息

Am J Physiol. 1981 Feb;240(2):E131-5. doi: 10.1152/ajpendo.1981.240.2.E131.

Abstract

Systemic indomethacin (Ind) administration decreased prostaglandin F (PGF) content of the rat adrenal to less than 1.4 pg/mg. This was less than 5% of the adrenal PGF content in the gelatin-treated (Gel) control group (34 pg/mg). Basal plasma corticosterone levels were increased by the Ind treatment. Since the calculated metabolic clearance rate for corticosterone was unchanged, this increase was attributed to an enhanced adrenal secretion rate that was secondary to elevated plasma ACTH concentration. Ether exposure in the presence of Ind did not stimulate a normal rise in plasma corticosterone or adrenal corticosteroidogenesis. Adrenal responsiveness to exogenous ACTH was reduced after Ind treatment. There was a normal rise in plasma ACTH levels following ether exposure confirming the adrenal as the site of inhibition. Systemic Ind treatment thus appears to have two sites of action in altering plasma corticosterone levels: 1) a direct effect on the adrenal, inhibiting normal secretion in response to acute elevations of plasma ACTH, and 2) an action at the pituitary or hypothalamic level, eliciting an increase in basal ACTH secretion.

摘要

全身给予吲哚美辛(Ind)可使大鼠肾上腺中前列腺素F(PGF)含量降至1.4 pg/mg以下。这不到明胶处理(Gel)对照组肾上腺PGF含量(34 pg/mg)的5%。吲哚美辛治疗使基础血浆皮质酮水平升高。由于计算得出的皮质酮代谢清除率未改变,这种升高归因于肾上腺分泌率增强,这是血浆促肾上腺皮质激素(ACTH)浓度升高继发的结果。在吲哚美辛存在的情况下暴露于乙醚,并未刺激血浆皮质酮正常升高或肾上腺皮质类固醇生成。吲哚美辛治疗后肾上腺对外源性ACTH的反应性降低。暴露于乙醚后血浆ACTH水平正常升高,证实肾上腺是抑制部位。因此,全身吲哚美辛治疗似乎在改变血浆皮质酮水平方面有两个作用位点:1)对肾上腺的直接作用,抑制对血浆ACTH急性升高的正常分泌,2)在垂体或下丘脑水平的作用,引起基础ACTH分泌增加。

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