Clarke D, Fearon U, Cunningham S K, McKenna T J
Department of Endocrinology, St Vincent's Hospital, Dublin, Ireland.
J Endocrinol. 1996 Nov;151(2):301-7. doi: 10.1677/joe.0.1510301.
This study examines the androgen-stimulating properties of pro-opiomelanocortin-derived peptides, ACTH, beta-endorphin (beta-End) and joining peptide (JP). Ten different cell suspensions were prepared from ten human adrenal glands. ACTH and JP stimulated cortisol, androstenedione (delta 4) and dehydroepiandrosterone (DHEA) production (P < 0.05); beta-End stimulated only delta 4 and DHEA production. beta-End brought about significant increases in the delta 4 or DHEA to cortisol ratios. The addition of beta-End (10(-10) M) suppressed ACTH-stimulated cortisol production from 7573 +/- 2960 to 5994 +/- 2654 pmol/10(6) cells (means +/- S.E.M.; P < 0.05). The addition of beta-End did not affect ACTH-stimulated delta 4 production (210 +/- 88 and 236 +/- 105 pmol/10(6) cells). JP (10(-10) M) inhibited ACTH-stimulated cortisol production so that the mean values fell to 5186 +/- 2588 and also inhibited DHEA production, from 240 +/- 48 to 180 +/- 33 pmol/10(6) cells. These results suggest that the relative production of androgen to cortisol is greater in response to beta-End and JP than in response to ACTH. If blood levels of these peptides rise to herald adrenarche as reported for beta-End, suppression of cortisol production may result in an increase in ACTH to correct cortisol levels resulting in an increase in delta 4 and DHEA levels. This may explain the occurrence of increasing androgen levels at adrenarche.
本研究检测了源自阿片促黑皮质素原的肽类、促肾上腺皮质激素(ACTH)、β-内啡肽(β-End)和连接肽(JP)的雄激素刺激特性。从10个人类肾上腺制备了10种不同的细胞悬液。ACTH和JP刺激了皮质醇、雄烯二酮(δ4)和脱氢表雄酮(DHEA)的产生(P<0.05);β-End仅刺激了δ4和DHEA的产生。β-End使δ4或DHEA与皮质醇的比率显著升高。添加β-End(10^-10 M)可将ACTH刺激的皮质醇产生从7573±2960 pmol/10^6细胞抑制至5994±2654 pmol/10^6细胞(均值±标准误;P<0.05)。添加β-End不影响ACTH刺激的δ4产生(210±88和236±105 pmol/10^6细胞)。JP(10^-10 M)抑制ACTH刺激的皮质醇产生,使平均值降至5186±2588,并且还抑制DHEA产生,从240±48降至180±33 pmol/10^6细胞。这些结果表明,与ACTH相比,β-End和JP刺激时雄激素与皮质醇的相对产生量更高。如果如β-End报道的那样,这些肽的血液水平升高预示肾上腺初现,皮质醇产生的抑制可能导致ACTH升高以纠正皮质醇水平,从而导致δ4和DHEA水平升高。这可能解释了肾上腺初现期雄激素水平升高的现象。