Keller-Wood M E, Shinsako J, Dallman M F
J Clin Invest. 1983 Apr;71(4):859-66. doi: 10.1172/jci110840.
We have tested the effect of physiological increases in plasma corticosteroids in conscious dogs on the levels of basal and hypoglycemia-stimulated adrenocorticotropic hormone (ACTH) 2 h later. Increases in plasma corticosteroids, produced by infusion of alpha-1-24 ACTH or corticosteroids for 40 min, suppressed basal and stimulated ACTH levels. The magnitude of inhibition produced by an increase in plasma corticosteroids induced by the infusion of ACTH was equivalent to the inhibition produced by the same increase in plasma corticosteroids induced by corticosteroid infusion. The infusions did not affect basal plasma glucose concentrations or the decrease in plasma glucose concentrations after administration of 0.1 U insulin/kg. Basal ACTH concentration was less sensitive than hypoglycemia-stimulated ACTH concentration to corticosteroid-induced suppression. Basal and stimulated secretion were significantly inhibited in all dogs after approximately half-maximal increases in plasma corticosteroids; maximum inhibition occurred after maximal increases in plasma corticosteroids. Therefore, physiological increments in plasma corticosteroids, similar to those produced by acute stress, are effective suppressors of subsequent stress-induced ACTH secretion.
我们检测了清醒犬体内血浆皮质类固醇生理性增加对2小时后基础及低血糖刺激的促肾上腺皮质激素(ACTH)水平的影响。通过输注α-1-24促肾上腺皮质激素或皮质类固醇40分钟使血浆皮质类固醇增加,可抑制基础及刺激状态下的促肾上腺皮质激素水平。由促肾上腺皮质激素输注诱导的血浆皮质类固醇增加所产生的抑制程度,与由皮质类固醇输注诱导的相同血浆皮质类固醇增加所产生的抑制程度相当。这些输注对基础血浆葡萄糖浓度或给予0.1 U胰岛素/kg后血浆葡萄糖浓度的降低没有影响。基础促肾上腺皮质激素浓度对皮质类固醇诱导的抑制作用不如低血糖刺激的促肾上腺皮质激素浓度敏感。在血浆皮质类固醇增加约半数最大量后,所有犬的基础及刺激分泌均受到显著抑制;在血浆皮质类固醇最大量增加后出现最大抑制。因此,与急性应激产生的血浆皮质类固醇生理性增加相似,是随后应激诱导的促肾上腺皮质激素分泌的有效抑制剂。