Nathorst-Böös J, Stock S, von Schoultz B
Karolinska Institute, Department of Obstetrics and Gynecology, Danderyd Hospital, Sweden.
Gynecol Endocrinol. 1994 Jun;8(2):127-32. doi: 10.3109/09513599409058034.
The regulation of oxytocin is incompletely understood and data indicate that in addition to several neurotransmitters, estrogens may be involved. The aim of the present study was to investigate the effects of oophorectomy and hormonal replacement therapy (HRT) on basal levels and 24-h profiles of oxytocin. Basal levels of oxytocin were measured in 95 women who had undergone hysterectomy and who were divided into three groups: group A (n = 30), oophorectomized (BSO), not on HRT; group B (n = 32), BSO, receiving HRT; and group C (n = 33), ovaries preserved and not receiving HRT. The 24-h profiles of oxytocin were measured in nine women before and after hysterectomy. Continuous venous blood sampling was performed 1 week before surgery and 6-7 weeks after surgery for all nine women. Thereafter, three of the four oophorectomized women started replacement therapy with transdermal estradiol 50 micrograms/day. After 10 weeks of treatment, a third sampling was performed. Exogenous estrogen administration was associated with increased oxytocin levels and negative correlation between oxytocin and follicle stimulating hormone/luteinizing hormone levels was found. Removal of the ovaries did not reduce oxytocin levels in any of the investigated groups. When 24-h values were analyzed, no specific rhythmic or pulsatile pattern before or after hysterectomy, with or without simultaneous oophorectomy, was found.
目前对催产素的调节机制尚未完全了解,有数据表明,除了几种神经递质外,雌激素可能也参与其中。本研究的目的是调查卵巢切除术和激素替代疗法(HRT)对催产素基础水平和24小时变化曲线的影响。对95名接受过子宫切除术的女性进行了催产素基础水平的测量,这些女性被分为三组:A组(n = 30),双侧卵巢切除(BSO),未接受HRT;B组(n = 32),双侧卵巢切除,接受HRT;C组(n = 33),保留卵巢,未接受HRT。对9名女性在子宫切除术前和术后进行了催产素24小时变化曲线的测量。对所有9名女性在手术前1周和手术后6 - 7周进行连续静脉血采样。此后,4名双侧卵巢切除的女性中有3名开始使用每日50微克的经皮雌二醇进行替代治疗。治疗10周后,进行了第三次采样。外源性雌激素给药与催产素水平升高相关,并且发现催产素与促卵泡激素/促黄体生成素水平之间呈负相关。在任何研究组中,卵巢切除均未降低催产素水平。当分析24小时的值时,无论是否同时进行卵巢切除术,在子宫切除术前或术后均未发现特定的节律性或脉冲模式。