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大鼠垂体柄损伤后垂体门脉血浆中精氨酸加压素、催产素和促肾上腺皮质激素释放激素的显著变化。

Marked changes of arginine vasopressin, oxytocin, and corticotropin-releasing hormone in hypophysial portal plasma after pituitary stalk damage in the rat.

作者信息

Makara G B, Sutton S, Otto S, Plotsky P M

机构信息

Institute of Experimental Medicine, Hungarian Academy of Sciences, Budapest.

出版信息

Endocrinology. 1995 May;136(5):1864-8. doi: 10.1210/endo.136.5.7720631.

Abstract

Mechanical compression of the pituitary stalk with the help of a blunt stereotaxic knife results in posterior pituitary denervation (PPD) and sprouting proximal to the injury, leading to formation of an ectopic neurohypophysis in the stalk. This provides an experimental model for those cases in which traumatic damage severs the nerve fibers to the neural lobe but does not obliterate the hypophysial-portal circulation. The effect of PPD on the hypophysial-portal concentration profile of putative ACTH secretagogues as well as basal and stimulated ACTH secretion in vitro were investigated at varying times after PPD. The contents of arginine vasopressin (AVP) and oxytocin (OT) in extracts of the stalk median eminence 1 week after PPD were markedly elevated, whereas corticotropin-releasing hormone (CRH) content was unaffected. Levels of these three neuropeptides in hypophysial-portal blood collected under anesthesia from the proximal stump of the transected stalk (or the ectopic neural lobe) were measured at weekly intervals in groups of rats after sham or PPD surgery. Hypophysial-portal AVP levels showed a monotonic increase with time after PPD from a 1.8-fold elevation at 1 week post-PPD to a maximum concentration 6-fold greater than that in sham groups at 4 weeks post-PPD. Portal plasma OT levels also exhibited extreme elevation. In contrast, portal plasma CRH levels showed an initial 72% decline 1 week post-PPD. We suggest that mechanical damage to the pituitary stalk and the subsequent sprouting redirected secretion of AVP and OT from the neural lobe to the pituitary stalk. This caused sustained elevations of portal plasma concentrations of AVP and OT. The resulting tonic exposure to AVP and/or OT may down-regulate anterior pituitary receptors to these neurohypophyseal peptides and indirectly decrease CRH release into the portal circulation.

摘要

用钝性立体定向刀对垂体柄进行机械压迫会导致垂体后叶去神经支配(PPD),并在损伤近端出现轴突发芽,进而在柄内形成异位神经垂体。这为那些创伤性损伤切断了通向神经叶的神经纤维但未破坏垂体门脉循环的病例提供了一个实验模型。在PPD后的不同时间,研究了PPD对假定的促肾上腺皮质激素分泌刺激物的垂体门脉浓度分布以及体外基础和刺激状态下促肾上腺皮质激素分泌的影响。PPD后1周,垂体柄正中隆起提取物中精氨酸加压素(AVP)和催产素(OT)的含量显著升高,而促肾上腺皮质激素释放激素(CRH)的含量未受影响。在假手术或PPD手术的大鼠组中,每周对麻醉下从横断柄的近端残端(或异位神经叶)采集的垂体门脉血中这三种神经肽的水平进行测量。垂体门脉AVP水平在PPD后随时间呈单调增加,从PPD后1周升高1.8倍到PPD后4周达到最大浓度,比假手术组高6倍。门脉血浆OT水平也出现极度升高。相比之下,门脉血浆CRH水平在PPD后1周最初下降了72%。我们认为,垂体柄的机械损伤以及随后的轴突发芽将AVP和OT从神经叶的分泌重新导向了垂体柄。这导致门脉血浆中AVP和OT浓度持续升高。由此产生的AVP和/或OT的持续性暴露可能会下调垂体前叶对这些神经垂体肽的受体,并间接减少CRH释放到门脉循环中。

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