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绵羊下丘脑直接影响切断后垂体的功能。

Pituitary gland function after disconnection from direct hypothalamic influences in the sheep.

作者信息

Clarke I J, Cummins J T, de Kretser D M

出版信息

Neuroendocrinology. 1983 May;36(5):376-84. doi: 10.1159/000123484.

Abstract

A surgical procedure is described for isolating the pituitary gland from hypothalamic influences in sheep. The procedure results in total deafferentation of the stalk and median eminence but maintains the blood supply to the pituitary gland. The median eminence, pituitary stalk and anterior face of the pituitary gland were exposed by a transnasal, transphenoidal approach. In early studies section of the pituitary stalk as close as possible to the pituitary gland caused almost total infarction of the gland. Attempts were made to disconnect the pituitary gland from the hypothalamus by section immediately above the lateral inputs of the superior hypophyseal arteries but variable results were obtained, always with infarction of part of the pars distalis. When the pituitary gland was disconnected from the hypothalamus by entering the median eminence above the portal circulation and evacuating the nervous tissue of the tuber cinereum, (hypothalamo-pituitary disconnection; HPD), a small area of infarction was found in the pars distalis of only 1/10 cases. HPD effectively disconnected the pituitary gland from hypothalamic control whilst the pars distalis was not deprived of its blood supply. Complete severance of hypothalamo-pituitary connections also caused atrophy of the pars nervosa and enlargement of the cells of the pars intermedia. Following HPD, plasma LH and FSH concentrations diminished and plasma prolactin concentrations rose. On the day after surgery there were no LH, FSH or prolactin responses to 50 micrograms (i.m.) of oestradiol benzoate indicating the functional isolation of the pituitary gland from the hypothalamus. The isolated pituitaries were capable of responding to gonadotropin releasing hormone by LH release. Disconnection of the pituitary gland from the hypothalamus by subpial deafferentation provides a good in vivo isolated pituitary model in the sheep.

摘要

本文描述了一种用于在绵羊中分离垂体使其免受下丘脑影响的外科手术方法。该手术导致垂体柄和正中隆起完全去传入神经,但维持垂体的血液供应。通过经鼻、经蝶窦入路暴露正中隆起、垂体柄和垂体前表面。在早期研究中,尽可能靠近垂体切断垂体柄几乎导致腺体完全梗死。曾尝试在垂体上动脉外侧输入上方立即切断以将垂体与下丘脑分离,但结果不一,总是伴有部分远侧部梗死。当通过进入门脉循环上方的正中隆起并清除灰结节的神经组织(下丘脑 - 垂体切断术;HPD)将垂体与下丘脑分离时,仅1/10的病例在远侧部发现小面积梗死。HPD有效地将垂体与下丘脑控制分离,同时远侧部未被剥夺血液供应。下丘脑 - 垂体连接的完全切断也导致神经垂体萎缩和中间部细胞增大。HPD后,血浆促黄体生成素(LH)和促卵泡生成素(FSH)浓度降低,血浆催乳素浓度升高。手术后当天,对50微克(肌肉注射)苯甲酸雌二醇无LH、FSH或催乳素反应,表明垂体与下丘脑功能分离。分离的垂体能够通过释放LH对促性腺激素释放激素作出反应。通过软膜下脱传入神经将垂体与下丘脑分离,为绵羊提供了一种良好的体内分离垂体模型。

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