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纳洛酮给药对未受干扰马匹促肾上腺皮质激素释放激素、精氨酸加压素和促肾上腺皮质激素分泌的影响。

The effect of naloxone administration on the secretion of corticotropin-releasing hormone, arginine vasopressin, and adrenocorticotropin in unperturbed horses.

作者信息

Alexander S L, Irvine C H

机构信息

Department of Endocrinology, Christchurch Public Hospital, New Zealand.

出版信息

Endocrinology. 1995 Nov;136(11):5139-47. doi: 10.1210/endo.136.11.7588252.

Abstract

We used our nonsurgical method for collecting equine pituitary venous blood to study the role of endogenous opioids in the basal regulation of the hypothalamo-pituitary-adrenal axis. We gave mares the opioid antagonist, naloxone (NAL), at either a high (0.5 mg/kg i.v. bolus, followed by infusion of 0.25 mg/kg.h; n = 4) or low (0.2 mg/kg i.v. bolus; n = 6) dose rate. Pituitary venous blood was collected continuously, divided into 0.5- or 1-min segments for 15-30 min before and 1 h after the NAL bolus, and assayed for CRH, arginine vasopressin (AVP), and ACTH. The mares tolerated NAL administration well, with little difference between dose rates in the mild transient side-effects. Both NAL doses increased jugular cortisol concentrations (high, P = 0.0022; low, P = 0.0001) and the ACTH secretion rate (high, P = 0.0056; low, P = 0.0103). High dose NAL raised the secretion rates of AVP (P = 0.0252) and CRH (P = 0.0106); however, the magnitude of ACTH responses exceeded those in AVP and CRH, as shown by increased ratios between ACTH and AVP (P = 0.0246) or CRH (P = 0.0122) secretion rates. After low dose NAL, neither CRH nor AVP secretion was altered. Indeed, CRH declined as ACTH rose in 4 mares and was unchanged in a fifth mare. When data from the 10 mares were pooled, mean secretion rates of ACTH and CRH were correlated after (P < 0.05), but not before, NAL treatment. Overall, mean ACTH and AVP secretion rates were not correlated during any 30-min period, but in individual mares, minute to minute AVP and ACTH secretion patterns were always correlated. We conclude that endogenous opioids inhibit the equine hypothalamo-pituitary-adrenal axis under basal conditions; however, their sites of action do not appear to lie solely on CRH and/or AVP neurons. It seems likely that endogenous opioids also inhibit the release of a third ACTH secretagogue or promote the secretion of an ACTH release inhibitory factor.

摘要

我们采用非手术方法采集马垂体静脉血,以研究内源性阿片类物质在下丘脑 - 垂体 - 肾上腺轴基础调节中的作用。我们给母马注射阿片类拮抗剂纳洛酮(NAL),高剂量组(静脉推注0.5mg/kg,随后以0.25mg/kg·h的速度输注;n = 4)或低剂量组(静脉推注0.2mg/kg;n = 6)。连续采集垂体静脉血,在NAL推注前15 - 30分钟和推注后1小时,将血样分成0.5分钟或1分钟的片段,检测促肾上腺皮质激素释放激素(CRH)、精氨酸加压素(AVP)和促肾上腺皮质激素(ACTH)。母马对NAL给药耐受性良好,不同剂量率的轻微短暂副作用差异不大。两种NAL剂量均增加了颈静脉皮质醇浓度(高剂量组,P = 0.0022;低剂量组,P = 0.0001)和ACTH分泌率(高剂量组,P = 0.0056;低剂量组,P = 0.0103)。高剂量NAL提高了AVP(P = 0.0252)和CRH(P = 0.0106)的分泌率;然而,ACTH反应的幅度超过了AVP和CRH,表现为ACTH与AVP(P = 0.0246)或CRH(P = 0.0122)分泌率之间的比值增加。低剂量NAL后,CRH和AVP分泌均未改变。实际上,在4匹母马中,ACTH升高时CRH下降,在第5匹母马中CRH无变化。当将10匹母马的数据汇总时,NAL治疗后ACTH和CRH的平均分泌率相关(P < 0.05),但治疗前不相关。总体而言,在任何30分钟时间段内,ACTH和AVP的平均分泌率均不相关,但在个体母马中,AVP和ACTH的逐分钟分泌模式始终相关。我们得出结论,在基础条件下,内源性阿片类物质抑制马的下丘脑 - 垂体 - 肾上腺轴;然而,它们的作用位点似乎并不完全位于CRH和/或AVP神经元上。内源性阿片类物质似乎还抑制第三种ACTH促分泌素的释放或促进ACTH释放抑制因子的分泌。

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