Chiodera P, Volpi R, Capretti L, Giacalone G, Caffarri G, Davoli C, Nigro E, Coiro V
Department of Internal Medicine, School of Medicine, University of Parma, Italy.
Horm Res. 1994;42(6):267-72. doi: 10.1159/000184207.
Delta-sleep-inducing peptide (DSIP) is a well-known inhibitor of pituitary ACTH secretion. In order to evaluate the possible influence of DSIP on basal arginine-vasopressin (AVP) secretion and/or on the AVP-response to osmotic and pressure/volumetric stimuli, DSIP (25 nmol/kg) was infused in 10 min to 8 normal men (23-34 years old) just before a 2-hour infusion of normal saline (NaCl 0.9%; DSIP test) or hypertonic saline (0.51 M NaCl; osmotic test) or before an orthostatic test (standing upright and maintaining an orthostatic position for 20 min). In different occasions, a 10-min infusion of normal saline (placebo) was given instead of DSIP. In an additional 7 subjects, DSIP or placebo was given 60 min before hypertonic saline or the orthostatic test. The results obtained after the administration of DSIP at time 0 and at -60 min were similar.
The administration of DSIP or normal saline alone did not change the concentrations of circulating AVP. A slight physiological decline in ACTH levels was observed during saline infusion, whereas a significant decrease in ACTH levels was induced by DSIP administration. Osmotic stimulation of AVP secretion by hypertonic NaCl induced a significant increase in plasma AVP concentrations which was not modified by DSIP administration. The ACTH secretory patterns during hypertonic NaCl and hypertonic NaCl plus DSIP were similar to those observed during normal saline and normal saline plus DSIP, respectively. The orthostatic test provided similar plasma AVP increments, regardless of the previous treatment with DSIP.(ABSTRACT TRUNCATED AT 250 WORDS)
促睡眠肽(DSIP)是一种众所周知的垂体促肾上腺皮质激素(ACTH)分泌抑制剂。为了评估DSIP对基础精氨酸加压素(AVP)分泌和/或对AVP对渗透压及压力/容量刺激反应的可能影响,在对8名正常男性(23 - 34岁)输注2小时生理盐水(0.9%氯化钠;DSIP试验)或高渗盐水(0.51M氯化钠;渗透压试验)之前或体位试验(直立并保持直立姿势20分钟)之前的10分钟内,输注DSIP(25nmol/kg)。在不同情况下,给予10分钟的生理盐水输注(安慰剂)以替代DSIP。在另外7名受试者中,在高渗盐水或体位试验前60分钟给予DSIP或安慰剂。在0时刻和 - 60分钟给予DSIP后获得的结果相似。
单独给予DSIP或生理盐水均未改变循环中AVP的浓度。在输注生理盐水期间观察到ACTH水平有轻微的生理性下降,而给予DSIP可导致ACTH水平显著降低。高渗氯化钠对AVP分泌的渗透压刺激导致血浆AVP浓度显著升高,而给予DSIP并未改变这一情况。高渗氯化钠和高渗氯化钠加DSIP期间的ACTH分泌模式分别与生理盐水和生理盐水加DSIP期间观察到的模式相似。体位试验提供了相似的血浆AVP增量,无论之前是否用DSIP治疗。(摘要截断于250字)