Westerhof I, Van den Brom W E, Mol J A
Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, University of Utrecht, The Netherlands.
Avian Dis. 1996 Apr-Jun;40(2):312-20.
This paper reports on the duration of the suppressive effects of single high and low doses of dexamethasone, cortisol, and prednisolone on the pituitary-adrenocortical (PA) system in pigeons. In addition, the effects of long-term daily administration of a high dose of dexamethasone are reported. In Expt. 1, low and high doses of dexamethasone (0.5 microgram/kg and 0.5 mg/kg), cortisol (15 micrograms/kg and 1.5 mg/kg), and prednisolone (3.5 micrograms/kg and 3.5 mg/kg) were administered around the expected nadir (4 hr before the peak) of the diurnal plasma corticosterone concentration. The recovery of the PA system was investigated by measuring plasma corticosterone concentrations before and 30 min after arginine vasopressin (AVP) stimulation (10 micrograms/kg) around the expected peak of plasma corticosterone concentrations. In Expt. 2, one high dose of each of the three glucocorticoids was administered 4 hr before the peak, followed by AVP stimulation around the expected peak of plasma corticosterone concentrations each day for 3 days. In Expt. 3, the recovery of the PA system following long-term daily administration of 1 mg/kg dexamethasone was investigated by repeated stimulations with AVP after cessation of the treatment. The results of these experiments (I) confirm that the PA system of pigeons is very sensitive to the suppressive effects of dexamethasone, cortisol, and prednisolone in a dose-dependent manner, (II) demonstrate that after cessation of glucocorticoid treatment the response to AVP stimulation is restored earlier than basal corticosterone concentrations, (III) demonstrate that after long-term glucocorticoid treatment the responsiveness of the PA system recovers relatively fast, and (IV) demonstrate that long-term treatment with a high dose of dexamethasone not only results in complete suppression of the PA system but is also a serious risk for infection and death.
本文报告了单次高剂量和低剂量地塞米松、皮质醇和泼尼松龙对鸽子垂体-肾上腺皮质(PA)系统的抑制作用持续时间。此外,还报告了长期每日给予高剂量地塞米松的效果。在实验1中,在昼夜血浆皮质酮浓度预期最低点(峰值前4小时)左右给予低剂量和高剂量的地塞米松(0.5微克/千克和0.5毫克/千克)、皮质醇(15微克/千克和1.5毫克/千克)以及泼尼松龙(3.5微克/千克和3.5毫克/千克)。通过在血浆皮质酮浓度预期峰值左右测量精氨酸加压素(AVP)刺激(10微克/千克)前及刺激后30分钟的血浆皮质酮浓度,研究PA系统的恢复情况。在实验2中,在峰值前4小时给予三种糖皮质激素中的每一种高剂量,随后每天在血浆皮质酮浓度预期峰值左右进行AVP刺激,持续3天。在实验3中,通过在停止治疗后用AVP重复刺激来研究长期每日给予1毫克/千克地塞米松后PA系统的恢复情况。这些实验的结果(I)证实鸽子的PA系统对地塞米松、皮质醇和泼尼松龙的抑制作用非常敏感,且呈剂量依赖性;(II)表明糖皮质激素治疗停止后,对AVP刺激的反应恢复早于基础皮质酮浓度;(III)表明长期糖皮质激素治疗后,PA系统的反应性恢复相对较快;(IV)表明长期高剂量地塞米松治疗不仅会导致PA系统完全抑制,还会带来感染和死亡的严重风险。