Alexander G, Bell A W
J Dev Physiol. 1982 Feb;4(1):53-73.
Adrenalectomy and various replacement regimens with corticosteroids and catecholamines were used to assess the role of the adrenal secretions in cold thermogenesis in young lambs. A dose of cortisol of 0.25 mg kg-1 d-1 was sufficient to increase summit metabolism significantly in lambs that had been adrenalectomized for at least 1 week, but even the massive dose of 16 mg kg-1 d-1 restored the response to only 85--90% of that in intact lambs. However, the remaining 10-15% deficit was largely restored by additional infusion of catecholamines, principally adrenaline, and there was no significant interaction between the responses to cortisol dose and to catecholamine infusion. Heart rate, arterial blood pressure and cardiac output during summit metabolism all increased with increasing dose of cortisol. Hyperglycaemic responses to cold exposure were low in adrenalectomized lambs receiving less than 0.25 mg kg-1 d-1 of cortisol, and the normal hyperlactacidaemia in intact lambs during summit metabolism was apparent only in lambs receiving more than 1 mg kg-1 d-1, unless adrenaline was also given. The increase in summit metabolism due to adrenaline was accompanied by increased shivering. There was no effect on heart rate and blood pressure, but adrenaline increased cardiac output through an apparent increase in cardiac stroke volume and a decrease in total peripheral resistance. Strong correlations of the increase in summit metabolism with the increase in cardiac output and with adrenaline-mediated increases in plasma glucose and lactate, indicate that a role of the medullary catecholamines is to maintain maximal thermogenesis by their effects on the supplies of oxygen and energy substrates to the thermogenic tissues.
采用肾上腺切除术以及使用皮质类固醇和儿茶酚胺的各种替代方案,来评估肾上腺分泌在幼龄羔羊冷产热中的作用。对于至少已切除肾上腺1周的羔羊,剂量为0.25 mg kg⁻¹ d⁻¹的皮质醇足以显著提高其最高代谢率,但即使是16 mg kg⁻¹ d⁻¹的大剂量皮质醇也只能将反应恢复到完整羔羊的85% - 90%。然而,通过额外输注儿茶酚胺(主要是肾上腺素),可在很大程度上恢复剩余的10% - 15%的不足,并且皮质醇剂量反应与儿茶酚胺输注反应之间没有显著的相互作用。最高代谢率期间的心率、动脉血压和心输出量均随皮质醇剂量的增加而增加。接受低于0.25 mg kg⁻¹ d⁻¹皮质醇的去肾上腺羔羊对冷暴露的高血糖反应较低,并且完整羔羊在最高代谢率期间正常的高乳酸血症仅在接受超过1 mg kg⁻¹ d⁻¹皮质醇的羔羊中明显,除非同时给予肾上腺素。肾上腺素引起的最高代谢率增加伴随着寒战增加。对心率和血压没有影响,但肾上腺素通过明显增加心搏量和降低总外周阻力来增加心输出量。最高代谢率增加与心输出量增加以及肾上腺素介导的血浆葡萄糖和乳酸增加之间存在强相关性,这表明髓质儿茶酚胺通过对产热组织的氧气和能量底物供应的影响来维持最大产热。