Pacak K, Palkovits M, Yadid G, Kvetnansky R, Kopin I J, Goldstein D S
Clinical Neuroscience Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland 20892, USA.
Am J Physiol. 1998 Oct;275(4):R1247-55. doi: 10.1152/ajpregu.1998.275.4.R1247.
Selye defined stress as the nonspecific response of the body to any demand. Stressors elicit both pituitary-adrenocortical and sympathoadrenomedullary responses. One can test Selye's concept by comparing magnitudes of responses at different stress intensities and assuming that the magnitudes vary with stress intensity, with the prediction that, at different stress intensities, ratios of increments neuroendocrine responses should be the same. We measured arterial plasma ACTH, norepinephrine, and epinephrine in conscious rats after hemorrhage, intravenous insulin, subctaneous formaldehyde solution, cold, or immobilization. Relative to ACTH increments, cold evoked large norepinephrine responses, insulin large epinephrine responses, and hemorrhage small norepinephrine and epinephrine responses, whereas immobilization elicited large increases in levels of all three compounds. The ACTH response to 25% hemorrhage exceeded five times that to 10%, and the epinephrine response to 25% hemorrhage was two times that to 10%. The ACTH response to 4% formaldehyde solution was two times that to 1%, and the epinephrine response to 4% formaldehyde solution exceeded four times that to 1%. These results are inconsistent with Selye's doctrine of nonspecificity and the existence of a unitary "stress syndrome," and they are more consistent with the concept that each stressor has its own central neurochemical and peripheral neuroendocrine "signature."
塞利将压力定义为身体对任何需求的非特异性反应。应激源会引发垂体 - 肾上腺皮质和交感 - 肾上腺髓质反应。人们可以通过比较不同应激强度下的反应强度,并假设反应强度随应激强度而变化,来检验塞利的概念,预测在不同应激强度下,神经内分泌反应增量的比率应该是相同的。我们测量了清醒大鼠在出血、静脉注射胰岛素、皮下注射甲醛溶液、寒冷或固定后动脉血浆中的促肾上腺皮质激素(ACTH)、去甲肾上腺素和肾上腺素。相对于ACTH的增量,寒冷引发了较大的去甲肾上腺素反应,胰岛素引发了较大的肾上腺素反应,出血引发了较小的去甲肾上腺素和肾上腺素反应,而固定则使所有三种化合物的水平大幅升高。对25%出血的ACTH反应超过了对10%出血反应的五倍,对25%出血肾上腺素反应是对10%出血反应的两倍。对4%甲醛溶液的ACTH反应是对1%甲醛溶液反应的两倍,对4%甲醛溶液的肾上腺素反应超过了对1%甲醛溶液反应的四倍。这些结果与塞利的非特异性学说以及单一“应激综合征”的存在不一致,它们更符合这样一种概念,即每种应激源都有其自身的中枢神经化学和外周神经内分泌“特征”。