Fischer D, Patchev V K, Hellbach S, Hassan A H, Almeida O F
Department of Neuroendocrinology, Max Planck Institute of Psychiatry (Clinical Institute), Munich, Germany.
J Clin Invest. 1995 Sep;96(3):1208-15. doi: 10.1172/JCI118153.
Steady state levels of hypothalamic expression of the genes encoding corticotropin-releasing hormone (CRH), proopiomelanocortin (POMC), arginine vasopressin (AVP), and oxytocin (OT) were studied in rats to investigate the mechanisms underlying the transitions between hypercorticalism during lactation and normocorticalism upon weaning. During lactation, CRH mRNA levels and blood titers of adrenocorticotropin (ACTH) were found to be significantly reduced, although POMC mRNA levels in the anterior pituitary were not significantly different from those found in cycling virgin (control) rats; during all phases of lactation, an inverse relationship was observed between the blood levels of ACTH and corticosterone (CORT). Plasma prolactin (PRL) concentrations were elevated approximately 30-fold during lactation. Whereas steady state levels of OT mRNA were markedly increased throughout lactation, those of AVP mRNA were only transiently (initially) elevated, and the blood levels of these hormones were not significantly altered in lactating as compared with cycling virgin and postlactating rats. CRH and POMC gene expression and blood levels of ACTH, CORT, and PRL were normalized within 1-3 d of removal of suckling pups. The temporal relationships between the biosynthetic profiles of the various peptide hormones and the patterns of ACTH and CORT secretion during the two physiological states suggest that lactation-associated hypercorticalism does not merely result from increased ACTH secretion; although still not well substantiated at this time, the evidence points to contributory roles of PRL, OT, and AVP in the hypercorticalismic state found during lactation.
研究了大鼠下丘脑促肾上腺皮质激素释放激素(CRH)、阿黑皮素原(POMC)、精氨酸加压素(AVP)和催产素(OT)编码基因的稳态表达水平,以探讨哺乳期高皮质醇血症与断奶后正常皮质醇血症转变的潜在机制。哺乳期,CRH mRNA水平和促肾上腺皮质激素(ACTH)血浓度显著降低,尽管垂体前叶POMC mRNA水平与处于发情期的未孕(对照)大鼠无显著差异;在哺乳期的各个阶段,均观察到ACTH血浓度与皮质酮(CORT)呈负相关。哺乳期血浆催乳素(PRL)浓度升高约30倍。整个哺乳期OT mRNA稳态水平显著升高,而AVP mRNA仅短暂(最初)升高,与处于发情期的未孕大鼠和哺乳后大鼠相比,哺乳期这些激素的血浓度无显著变化。去除哺乳幼崽后1 - 3天内,CRH和POMC基因表达以及ACTH、CORT和PRL的血浓度恢复正常。两种生理状态下各种肽类激素的生物合成谱与ACTH和CORT分泌模式之间的时间关系表明,哺乳期相关的高皮质醇血症不仅仅是ACTH分泌增加所致;尽管目前仍缺乏充分证据,但现有证据表明PRL、OT和AVP在哺乳期发现的高皮质醇血症状态中起作用。