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地塞米松对成年雄性清醒豚鼠皮质醇外周代谢参数的影响。

Influence of dexamethasone on peripheral metabolic parameters of cortisol in the adult male conscious guinea-pig.

作者信息

Manin M, Delost P

出版信息

J Physiol (Paris). 1980;76(8):871-6.

PMID:7241397
Abstract

The influence of dexamethasone on distribution, metabolism and protein binding of cortisol was studied in conscious adult male guinea-pigs, under chronic cannulation, by a single injection technique for cortisol metabolic parameters and Sephadex equilibrium dialysis procedure for protein binding. The results showed that biological half-life of cortisol (51-55 min) was identical in control and in dexamethasone-treated guinea-pigs (low plasma cortisol level). The apparent volume of distribution of cortisol, which was higher in control (550 +/- 20 ml) than in dexamethasone-treated animals (380 +/- 30 ml), was related to the higher plasma cortisol level in controls (0.96 +/- 0.07 mumole/l) as compared to dexamethasone-treated animals (0.12 +/- 0.02 mole/l). When a high cortisol concentration was infused in dexamethasone-treated guinea-pigs in order to produce hig plasma cortisol level, plasma cortisol MCR increased by 80% (P less than 0.001) reflecting increases of 50% (P less than 0.001) in the apparent volume of distribution and decreases of 19% (0.01 less than P less 0.02) in the half-life cortisol compared to dexamethasone-treated animals (low plasma cortisol level). Although the plasma cortisol level was higher (P less than 0.001) in dexamethasone-treated animals infused with non-labelled cortisol (2.9 +/- 0.02 mumol/l) than in controls (0.96 +/- 0.07 mumol/l), the identical values of the apparent volume of distribution in dexamethasone-treated animals infused with non-labelled cortisol and in controls suggested that dexamethasone could alter the distribution of cortisol, and therefore its metabolism. Dexamethasone did not modify the transcortin-binding capacity and did not complete with cortisol on transcortin sites in guinea-pig plasma.

摘要

采用单次注射技术测定皮质醇代谢参数,并运用葡聚糖凝胶平衡透析法测定蛋白质结合情况,对成年雄性豚鼠在慢性插管状态下进行清醒实验,研究地塞米松对皮质醇分布、代谢及蛋白质结合的影响。结果显示,对照组和地塞米松处理组(血浆皮质醇水平较低)的豚鼠,皮质醇的生物半衰期(51 - 55分钟)相同。皮质醇的表观分布容积在对照组(550±20毫升)高于地塞米松处理组动物(380±30毫升),这与对照组较高的血浆皮质醇水平(0.96±0.07微摩尔/升)有关,而地塞米松处理组动物的血浆皮质醇水平为(0.12±0.02微摩尔/升)。当地塞米松处理的豚鼠输注高浓度皮质醇以产生高血浆皮质醇水平时,血浆皮质醇代谢清除率增加80%(P<0.001),这反映出与地塞米松处理组动物(低血浆皮质醇水平)相比,表观分布容积增加了50%(P<0.001),皮质醇半衰期缩短了19%(0.01<P<0.02)。尽管输注未标记皮质醇的地塞米松处理组动物的血浆皮质醇水平高于对照组(2.9±0.02微摩尔/升对0.96±0.07微摩尔/升,P<0.001),但输注未标记皮质醇的地塞米松处理组动物与对照组的表观分布容积相同,这表明地塞米松可能改变皮质醇的分布,进而影响其代谢。地塞米松并未改变皮质素结合球蛋白的结合能力,且在豚鼠血浆中不与皮质醇竞争皮质素结合位点。

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