Niimi K, Krieg R J, Hanna J D, Santos F, Chan J C
Department of Pediatrics, Medical College of Virginia, Richmond 23298-0709.
J Am Soc Nephrol. 1993 Jan;3(7):1428-33. doi: 10.1681/ASN.V371428.
Chronic glucocorticoid treatment is complicated by growth failure. The study presented here was designed to investigate the effect of cortisone on growth hormone (GH) secretion by individual pituitary cells in young male rats. Beginning at 37 days of age, animals were injected sc with cortisone acetate (CORT; 5.0 mg/rat per day) or the same volume of saline (SAL) for 8 days. At 45 days of age, the body weights of the CORT animals (134.5 +/- 5.5 g) were significantly less (P < 0.0005) than those of SAL controls (179.3 +/- 4.2 g). The secretory capacity of dispersed pituitary cells was assessed by the reverse hemolytic plaque assay. Cells were exposed to six concentrations of GH-releasing hormone (GHRH) ranging from 0.01 to 3.0 nM. CORT treatment significantly decreased the absolute number of somatotropes per pituitary gland (CORT, 1.23 +/- 0.03 x 10(6); SAL, 1.57 +/- 0.09 x 10(6); P = 0.025). Conversely, the mean plaque areas were significantly greater for CORT animals at all concentrations of GHRH tested, indicating that the amount of GH secreted by individual somatotropes was significantly increased by CORT. It was concluded that the paradoxical increase in the in vitro GHRH responsiveness, which is commonly observed after glucocorticoid treatment, was due to an increase in the capacity of fewer individual somatotropes to secrete GH.
长期使用糖皮质激素治疗会出现生长发育迟缓的并发症。本研究旨在探讨可的松对幼年雄性大鼠单个垂体细胞生长激素(GH)分泌的影响。从37日龄开始,给动物皮下注射醋酸可的松(CORT;5.0毫克/只/天)或相同体积的生理盐水(SAL),持续8天。在45日龄时,CORT组动物的体重(134.5±5.5克)明显低于SAL对照组(179.3±4.2克)(P<0.0005)。采用反向溶血空斑试验评估分散垂体细胞的分泌能力。将细胞暴露于六种浓度范围为0.01至3.0 nM的生长激素释放激素(GHRH)中。CORT处理显著降低了每个垂体中生长激素细胞的绝对数量(CORT组为1.23±0.03×10⁶;SAL组为1.57±0.09×10⁶;P = 0.025)。相反,在所有测试的GHRH浓度下,CORT组动物的平均空斑面积显著更大,表明CORT使单个生长激素细胞分泌的GH量显著增加。得出的结论是,糖皮质激素治疗后常见的体外GHRH反应性反常增加是由于较少数量的单个生长激素细胞分泌GH的能力增加所致。