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长期高催乳素血症期间的促性腺激素分泌:基础分泌及雌激素的刺激反馈作用。

Gonadotropin secretion during prolonged hyperprolactinemia: basal secretion and the stimulatory feedback effect of estrogen.

作者信息

Nass T E, Lapolt P S, Judd H L, Lu J K

出版信息

Biol Reprod. 1983 Jun;28(5):1140-7. doi: 10.1095/biolreprod28.5.1140.

Abstract

Inoculation of cyclic female rats with the prolactin (Prl)/growth hormone-secreting pituitary tumor, MtT.W15, resulted in a cessation of estrous cyclicity within 5--10 days. Associated with this acyclicity was a persistently low serum concentration of estradiol and marked increases in both circulating Prl and progesterone. At Day 26 of acyclicity, basal serum luteinizing hormone (LH) values measured in samples taken every 20 min from 0900--1100 h were significantly reduced when compared to cyclic, nontumor animals on diestrus Day 2. There was no difference in basal follicle-stimulating hormone (FSH) concentrations. In a separate group of acyclic, tumor-bearing females 42--56 days after transplantation, a single s.c. injection of 20 micrograms estradiol benzoate (EB) at 1030 h elicited significant increases in both serum LH and FSH values between 1700 and 1830 h on the next day. The magnitude of the LH surge was reduced and that of FSH was increased in tumor-bearing animals when compared to cyclic, nontumor females given a similar EB injection on diestrus Day 1. These results demonstrate that chronic hyperprolactinemia is associated with inhibition of basal LH secretion and ovarian estrogen production and an increase in circulating progesterone concentrations. Nevertheless, the stimulatory feedback effects of estrogen on LH and FSH release are still present and functioning in acyclic female rats under chronically hyperprolactinemic conditions. These data suggest that the cessation of regular ovulatory cycles associated with hyperprolactinemia may be due to a deficiency of LH and/or estrogen secretion, but not to a lack of central nervous system response to the stimulatory feedback action of estrogen.

摘要

给处于发情周期的雌性大鼠接种分泌催乳素(Prl)/生长激素的垂体肿瘤MtT.W15,会导致在5 - 10天内发情周期停止。与这种无周期性相关的是,雌二醇血清浓度持续偏低,循环中的Prl和孕酮均显著升高。在无周期性的第26天,与处于动情后期第2天的有周期性、无肿瘤的动物相比,从09:00至11:00每20分钟采集一次样本测得的基础血清促黄体生成素(LH)值显著降低。基础促卵泡生成素(FSH)浓度没有差异。在另一组移植后42 - 56天的无周期性、荷瘤雌性大鼠中,于10:30皮下注射一次20微克苯甲酸雌二醇(EB),在第二天17:00至18:30之间血清LH和FSH值均显著升高。与在动情后期第1天接受类似EB注射的有周期性、无肿瘤的雌性大鼠相比,荷瘤动物的LH峰值降低,FSH峰值升高。这些结果表明,慢性高催乳素血症与基础LH分泌抑制、卵巢雌激素生成减少以及循环孕酮浓度升高有关。然而,在慢性高催乳素血症条件下,雌激素对LH和FSH释放的刺激反馈作用在无周期性的雌性大鼠中仍然存在且发挥作用。这些数据表明,与高催乳素血症相关的正常排卵周期停止可能是由于LH和/或雌激素分泌不足,而非中枢神经系统对雌激素刺激反馈作用缺乏反应。

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