Terry L C, Crowley W R, Johnson M D
J Clin Invest. 1982 Jan;69(1):104-12. doi: 10.1172/jci110420.
Catecholamines are postulated to regulate growth hormone (GH) secretion by their influence on the release of two hypothalamic substances, somatostatin, which inhibits GH release, and GH-releasing factor, as yet unidentified. Extensive pharmacologic studies in man and animals indicate a stimulatory effect of central norepinephrine and dopamine on GH, but the function of epiphephrine (EPI) is uncertain. Furthermore, many of the agents used to study the role of catecholamines in GH regulation are not selective in that they affect adrenergic as well as nor-adrenergic and/or dopaminergic neurotransmission. In the present investigation, central nervous system (CNS) EPI biosynthesis was selectively interrupted with the specific norepinephrine N-methyltransferase inhibitors, SK & F 64139 (Smith, Kline & French Laboratories) and LY 78335, (Eli Lilly & Co. Research Laboratories) and the effects of central EPI depletion on episodic GH secretion in the chronically cannulated rat model were determined. Inhibition of CNS EPI synthesis with SK & F 64139 caused complete suppression of episodic GH secretion and concomitantly reduced the EPI level in the hypothalamus without affecting dopamine or norepinephrine. Administration of LY 78335 produced similar effects on pulsatile GH. Morphine-induced, but not clonidine-induced, GH release also was blocked by SK & F 64139. These results indicate that (a) the central EPI system has a major stimulatory function in episodic GH release, (b) morphine-induced GH release is mediated by the central EPI system, and (c) clonidine stimulates GH release by activation of postsynaptic alpha-adrenergic receptors. Drugs that affect CNS adrenergic systems have a potential role in the diagnosis and treatment of disorders of GH secretion.
儿茶酚胺被认为通过影响两种下丘脑物质的释放来调节生长激素(GH)的分泌,这两种物质分别是抑制GH释放的生长抑素和尚未明确的生长激素释放因子。在人和动物身上进行的大量药理学研究表明,中枢去甲肾上腺素和多巴胺对GH有刺激作用,但肾上腺素(EPI)的作用尚不确定。此外,许多用于研究儿茶酚胺在GH调节中作用的药物并不具有选择性,因为它们会影响肾上腺素能以及去甲肾上腺素能和/或多巴胺能神经传递。在本研究中,使用特异性去甲肾上腺素N-甲基转移酶抑制剂SK & F 64139(史克必成公司)和LY 78335(礼来公司研究实验室)选择性地阻断中枢神经系统(CNS)EPI的生物合成,并确定中枢EPI耗竭对慢性插管大鼠模型中GH脉冲式分泌的影响。用SK & F 64139抑制CNS EPI合成可导致GH脉冲式分泌完全受到抑制,并同时降低下丘脑中的EPI水平,而不影响多巴胺或去甲肾上腺素。给予LY 78335对GH脉冲式分泌产生类似的影响。SK & F 64139也阻断了吗啡诱导而非可乐定诱导的GH释放。这些结果表明:(a)中枢EPI系统在GH脉冲式释放中具有主要的刺激作用;(b)吗啡诱导的GH释放由中枢EPI系统介导;(c)可乐定通过激活突触后α-肾上腺素能受体刺激GH释放。影响CNS肾上腺素能系统的药物在GH分泌紊乱的诊断和治疗中具有潜在作用。