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利坦色林(一种特异性5-羟色胺-S2受体拮抗剂)对正常人体胰岛素诱发低血糖期间垂体前叶激素释放的影响。

Effects of ritanserin, a specific serotonin-S2 receptor antagonist, on the release of anterior pituitary hormones during insulin-induced hypoglycemia in normal humans.

作者信息

Tepavcević D, Giljević Z, Aganović I, Korsić M, Halimi S, Suchanek E, Jelić T, Kozić B, Plavsić V

机构信息

Department of Internal Medicine, Zagreb University School of Medicine, Croatia.

出版信息

J Endocrinol Invest. 1995 Jun;18(6):427-30. doi: 10.1007/BF03349740.

DOI:10.1007/BF03349740
PMID:7594236
Abstract

The role of serotonin in the insulin hypoglycemia (IH) stimulated secretion of prolactin (PRL), growth hormone (GH), adrenocorticotropin (ACTH) and cortisol (F) was studied in a group of 12 normal subjects during the control period after placebo and a consecutive six-day treatment with 20 mg ritanserin (RIT) per day. RIT failed to affect the baseline levels of all the four hormones as well as the PRL response to IH (p > 0.5). The serum GH response to IH was moderately diminished after RIT, the reduction of integrated trapezoidal area under hormone curves (nAUC) being 50.7% +/- 6.9% (p < 0.005). Furthermore, RIT was found to slightly decrease the plasma ACTH response to IH, the reduction of nAUC being 36.3% +/- 2.6% (p < 0.005). Decrease in the corresponding plasma F response to IH was accompanied by 29.1% +/- 2.4% reduction of nAUC (p < 0.005). According to our results, serotonin-S2 receptors appeared to be moderately involved in IH-induced release of GH, but slightly in that of ACTH, leaving unaffected that of PRL.

摘要

在一组12名正常受试者中,研究了5-羟色胺在胰岛素低血糖(IH)刺激下催乳素(PRL)、生长激素(GH)、促肾上腺皮质激素(ACTH)和皮质醇(F)分泌中的作用。在服用安慰剂后的对照期以及连续6天每天服用20 mg利坦色林(RIT)的治疗期进行研究。RIT未能影响所有这四种激素的基线水平以及PRL对IH的反应(p>0.5)。RIT治疗后,血清GH对IH的反应中度减弱,激素曲线下积分梯形面积(nAUC)减少50.7%±6.9%(p<0.005)。此外,发现RIT略微降低血浆ACTH对IH的反应,nAUC减少36.3%±2.6%(p<0.005)。血浆F对IH的相应反应降低,nAUC减少29.1%±2.4%(p<0.005)。根据我们的结果,5-羟色胺-S2受体似乎中度参与IH诱导的GH释放,但略微参与ACTH的释放,而对PRL的释放没有影响。

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本文引用的文献

1
Effects of ritanserin, a novel serotonin-S2 receptor antagonist, on the secretion of pituitary hormones in normal humans.新型5-羟色胺-S2受体拮抗剂利坦色林对正常人体内垂体激素分泌的影响。
J Endocrinol Invest. 1994 Jan;17(1):1-5. doi: 10.1007/BF03344953.
2
Effects of cyproheptadine on insulin-induced hypoglycaemia secretion of PRL, GH and cortisol.赛庚啶对胰岛素诱导的催乳素、生长激素和皮质醇低血糖分泌的影响。
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3
The effect of ketanserin, a specific serotonin antagonist on the PRL, GH, ACTH and cortisol responses to hypoglycaemia in normal subjects.
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Clin Endocrinol (Oxf). 1984 Feb;20(2):137-42. doi: 10.1111/j.1365-2265.1984.tb00068.x.
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Effect of meclastine, a selective H1 receptor antagonist, upon ACTH release.
Clin Endocrinol (Oxf). 1983 Aug;19(2):239-45. doi: 10.1111/j.1365-2265.1983.tb02986.x.
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Receptor binding profile of R 41 468, a novel antagonist at 5-HT2 receptors.新型5-羟色胺2受体拮抗剂R 41 468的受体结合情况
Life Sci. 1981 Mar 2;28(9):1015-22. doi: 10.1016/0024-3205(81)90747-5.
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Psychoneuroendocrinology. 1984;9(1):13-9. doi: 10.1016/0306-4530(84)90017-9.
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Neuroendocrinology. 1984 Sep;39(3):275-80. doi: 10.1159/000123991.
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N Engl J Med. 1973 Aug 2;289(5):236-9. doi: 10.1056/NEJM197308022890503.