Sarnyai Z, Mello N K, Mendelson J H, Nguyen P H, Erös-Sarnyai M
Alcohol and Drug Abuse Research Center, Harvard Medical School-McLean Hospital, Belmont, Massachusetts 02178, USA.
J Clin Endocrinol Metab. 1995 Sep;80(9):2745-51. doi: 10.1210/jcem.80.9.7673418.
Cocaine stimulates ACTH secretion by a corticotropin-releasing factor (CRF)-dependent mechanism in male rats, rhesus monkeys, and humans. To determine the generality of this effect, we examined the effects of acute cocaine administration on the pulsatile release of ACTH and cortisol in three ovariectomized (OVX) rhesus monkeys and compared its effects to stimulation with CRF. Venous blood samples were collected at 2-min intervals for 60 min before and after iv administration of cocaine (0.4 and 0.8 mg/kg) and CRF (1.0 and 10 micrograms/kg). Cluster analysis procedures were used to evaluate the pulsatile characteristics of ACTH and cortisol release. After placebo administration, an ACTH pulse frequency of 3 peaks/h was detected. After cocaine administration, plasma cocaine levels peaked at 92 +/- 3.0 and 201 +/- 60 ng/mL within 2 min. However, in contrast to normal intact males, cocaine did not stimulate the pulsatile release of ACTH in OVX females. Cocaine (0.4 mg/kg) decreased ACTH incremental peak height and valley levels compared with pre-cocaine values, and a higher dose of cocaine produced no changes in ACTH release. Bolus injection of a low dose of CRF (1.0 micrograms/kg, iv) significantly increased ACTH incremental peak height (P < 0.05), and a higher dose of CRF (10 micrograms/kg) increased ACTH peak amplitude, percentage increase in peak amplitude, area under the peaks, and incremental peak heights as well as ACTH valley level and nadir (10 micrograms/kg, iv) (P < 0.05). ACTH pulse frequency did not change after CRF or cocaine administration. Pulsatile release of cortisol was 2.7 peaks/h under placebo conditions and did not change after cocaine or CRF administration. Cortisol pulse amplitude was increased after low and high doses of CRF. High doses of CRF (10 micrograms/kg) also increased the mean level of cortisol valleys. In summary, we found that CRF but not cocaine stimulated pulsatile ACTH and cortisol release in OVX rhesus monkeys. The profound ACTH response to CRF challenge suggests that the CRF sensitivity and the ACTH release capacity of the anterior pituitary corticotroph cells were intact. The lack of stimulatory effects of cocaine on the hypothalamic-pituitary-adrenal axis in OVX monkeys, in contrast to normal male monkeys, may reflect the absence of gonadal steroids.
可卡因通过一种依赖促肾上腺皮质激素释放因子(CRF)的机制刺激雄性大鼠、恒河猴和人类的促肾上腺皮质激素(ACTH)分泌。为了确定这种作用的普遍性,我们研究了急性给予可卡因对三只去卵巢(OVX)恒河猴ACTH和皮质醇脉冲式释放的影响,并将其与CRF刺激的效果进行比较。在静脉注射可卡因(0.4和0.8mg/kg)和CRF(1.0和10μg/kg)之前和之后60分钟内,每隔2分钟采集一次静脉血样。采用聚类分析程序评估ACTH和皮质醇释放的脉冲特征。给予安慰剂后,检测到ACTH脉冲频率为每小时3个峰值。给予可卡因后,血浆可卡因水平在2分钟内分别达到峰值92±3.0和201±60ng/mL。然而,与正常完整雄性不同,可卡因并未刺激OVX雌性的ACTH脉冲式释放。与给药前相比,可卡因(0.4mg/kg)降低了ACTH增量峰值高度和谷值水平,更高剂量的可卡因对ACTH释放无影响。静脉推注低剂量CRF(1.0μg/kg)显著增加了ACTH增量峰值高度(P<0.05),更高剂量的CRF(10μg/kg)增加了ACTH峰值幅度、峰值幅度增加百分比、峰值下面积、增量峰值高度以及ACTH谷值水平和最低点(10μg/kg,静脉注射)(P<0.05)。给予CRF或可卡因后,ACTH脉冲频率未改变。在安慰剂条件下,皮质醇的脉冲式释放为每小时2.7个峰值,给予可卡因或CRF后未改变。低剂量和高剂量CRF后,皮质醇脉冲幅度增加。高剂量CRF(10μg/kg)也增加了皮质醇谷值的平均水平。总之,我们发现CRF而非可卡因刺激了OVX恒河猴的ACTH和皮质醇脉冲式释放。对CRF刺激的强烈ACTH反应表明垂体前叶促肾上腺皮质激素细胞的CRF敏感性和ACTH释放能力是完整的。与正常雄性猴子相比,可卡因对OVX猴子下丘脑-垂体-肾上腺轴缺乏刺激作用,可能反映了性腺类固醇的缺失。