电场刺激对垂体前叶ACTH分泌的影响及作用机制的研究

目的和方法：本实验通过切除大鼠肾上腺改变垂体的功能状态,利用垂体组织块离体灌流并施加电场刺激的方法,观察服垂体前叶内神经纤维对促肾上腺皮质激素（ＡＣＴＨ）释放的影响,结果：参数为强度３０ｍＡ,波宽０．５ｍｓ,频率１０Ｈｚ的电场刺激可明显抑制肾上腺切除９６ｈ后垂体前叶组织块释放ＡＣＴＨ,此效应可被预先给予的河豚毒素（ＴＴＸ）所取肖精氨酸加压素（ＡＶＰ）可显著刺激垂体组织块释放ＡＣＴＨ,同样参数的电场     

电场刺激对离体温育垂体前叶促肾上腺皮质激素分泌的影响

本实验应用离体温育大鼠垂体前叶组织块结合电场刺激及放射免疫测定方法,观察了垂体前叶内的神经纤维兴奋对促肾上腺皮质激素（ＡＣＴＨ）分泌的影响以及其它因素的作用。结果表明,一定参数的电场刺激使温育的大鼠四分之一垂体前叶组织块ＡＣＴＨ分泌增加,能被河豚毒素（ＴＴＸ）和藜芦碱部分阻断,此效应也可被地塞米松显著抑制,而同一参数的电场刺激与促肾上腺皮质激素释放激素（ＣＲＨ）诱发的ＡＣＴＨ分泌没有相互作用。经典神经递质受体阻断剂阿托品、心得安、酚妥拉明对电场刺激诱发的ＡＣＴＨ分泌没有显著影响;ＧＡＥＡ＿Ａ受体拮抗剂荷包牡丹碱明显促进此效应。该作用不受Ｐ物质拮抗剂ｓｐａｎｔｉｄｅ的影响,而降钙素基因相关肽（ＣＧＲＰ）受体拮抗剂ＣＧＲＰ片段８－３７能部分阻断这一作用。上述结果提示电场刺激所诱发的ＡＣＴＨ分泌可能部分由垂体前叶内ＣＧＲＰ能神经纤维介导。     

葆包牡丹碱对垂体前叶组织块释放促肾上腺皮质激素的刺激效应

本实验利用垂体组织块离体灌流技术,观察到γ－氨基丁酸Ａ受体拮抗剂荷包牡丹笃切除双侧肾上腺９６ｈ后的大鼠垂体前叶ＡＣＴＨ的分泌具有强烈的刺激作用。但同样浓度的荷包牡丹笃分离的垂体前叶细胞的ＡＣＴＨ分泌无影响,提示肾上腺切除后,γ－氨基丁酸在垂体前叶直接或通过间接途径抑制ＡＣＴＨ分泌。     

荷包牡丹碱对垂体前叶组织块释放促肾上腺皮质激素的刺激效应

本实验利用垂体组织块离体灌流技术,观察到－氨基丁酸Ａ受体拮抗剂荷包牡丹碱对切除双侧肾上腺９６ｈ后的大鼠垂体前叶ＡＣＴＨ的分泌具有强烈的刺激作用。但同样浓度的荷包牡丹碱对分离的垂体前叶细胞的ＡＣＴＨ分泌无影响。提示肾上腺切除后,－氨基丁酸在垂体前叶直接或通过间接途径抑制ＡＣＴＨ分泌。     

中枢5—羟色胺能系统与下丘脑—垂体应激激素

存在于下丘脑的神经末梢所释放的５－羟色胺（５－ＨＴ）可增加ＣＲＨ和肾素释放因子、垂体前叶ＡＣＴＨ和催乳素（ＰＲＬ）、垂体后叶加压素（ＶＰ）和催产素（ＯＴ）的分泌。５－ＨＴ１和／或５－ＨＴ２受体激活介导了这些激素分泌。     

中枢5－羟色胺能系统与下丘脑－垂体应激激素

存在于下丘脑的神经末梢所释放的５－羟色胺（５－ＨＴ）可增加ＣＲＨ和肾素释放因子、垂体前叶ＡＣＴＨ和催乳素（ＰＲＵ、垂体后叶加压素（ＶＰ）和催产素（ＯＴ）的分泌。５－ＨＴ１和／或５－ＨＴ２受体激活介导了这些激素分泌。     

大鼠垂体前叶中的TH-,ChAT-免疫阳性神经纤维

长期以来,人们一直认为垂体前叶腺细胞没有直接神经支配,前叶内只有自主神经纤维支配垂体前叶的血管。本文在大鼠垂体的相邻切片上,应用免疫组织化学技术,对前叶中的儿茶酚胺的特征性酶——酪氨酸羟化酶（ＴＨ）和乙酰胆碱的特征性酶——胆碱乙酰转移酶（ＣｈＡＴ）进行显色。结果显示,大鼠垂体前叶中存在着ＴＨ－和ＣｈＡＴ－免疫阳性神经终末,两者可同时分布于垂体前叶的同一区域,且有较多终末分布于腺细胞周围。本文提示：儿茶酚胺和胆碱能神经纤维有可能直接调节腺细胞的活动     

寒冷对大鼠下丘脑核团癌基因c-fos及垂体ACTH细胞表达的变化

本实验用寒冷刺激大鼠,观察垂体ＡＣＴＨ细胞及下丘脑核团ｃ－ｆｏｓ癌基因表达蛋白出现的变化。发现寒冷能促使垂体前叶ＡＣＴＨ细胞数目增多,体积胀大,且具有粗大突起伸到扩张的血窦旁。在视交叉腹外侧的视上核（ＳＯ）神经元及视交叉上核（Ｓｃｈ）周围部神经元皆出现ｃ－ｆｏｓ强阳性反应。第三脑室侧壁室管膜上皮及少数室周核（ｐｅ）神经元为ｃ－ｆｏｓ阳性。视前内侧区（ＭＰＡ）可见分散的阳性神经元。位于室旁核内的外侧,出现ｃ－ｆｏｓ反应较浅的小神经元。本文最后探讨有关ＡＣＴＨ释放的调节。     

神经内分泌讲座（六）：促肾上腺皮质激素释放激素

早在１９４８年,哈里斯（Ｈａｒｒｉｓ）就提出下丘脑含有调节垂体功能的化学递质。１９５５年,萨夫兰（Ｓａｆｒａｎ）和吉尔曼（Ｇｕｉｌｅｍｉｎ）等发现下丘脑提取物中存在着刺激腺垂体分泌促肾上腺皮质激素（ＡＣＴＨ）的物质,被命名为促肾上腺皮质激素释放因子（...     

垂体柄阻滞麻醉对急性失血时大鼠血浆ACTH分泌的影响

目的 :探讨肽能神经纤维进入垂体前叶的途径及神经纤维的功能。方法① :经咽旁入路切断大鼠垂体柄 ,术后 8d观察垂体前叶内CGRP免疫反应阳性纤维密度的变化。结果 :切断垂体柄术后一周垂体前叶内约 80 %的CGRP免疫反应阳性纤维消失 ,提示至少绝大部分的CGRP免疫反应纤维经过垂体柄进入垂体前叶 ,残留纤维是溃变不完全抑或是另有来源尚不清楚。方法② :暴露大鼠垂体柄。切除或保留肾上腺 ,保温静置 60min后局麻垂体柄 ,股动脉放血刺激ACTH分泌。结果 :①切除肾上腺并局麻垂体柄大鼠 ,急性失血后 5min内ACTH水平低于对照组 ,在 3min时间点差异显著 (P <0 .0 5 )。保留肾上腺组大鼠局麻垂体柄后对失血的应激反应亦呈同样趋势。结论 :上述结果提示垂体柄内可能存在兴奋性纤维促进急性失血后ACTH的快速分泌反应 ,但该作用可能被迅速增强的CRH作用逐渐掩盖 ;②急性失血后各组大鼠垂体前叶POMCmRNA变化不明显。     

GnRH相关肽在大鼠垂体前叶的细胞学定位

本研究应用特异性抗GnRH相关肽(GAP)N端11个氨基酸的抗血清和六种垂体前叶激素的抗血清,通过免疫组织化学双重染色技术观察GAP在大鼠垂体前叶细胞的定位。结果发现,GAP样免疫反应性物质存在于LH细胞和FSH细胞,而未见于GH、PRL、TSH和ACTH细胞。本文首次证明GAP存在于正常大鼠垂体促性腺激素细胞,为GAP调节LH和FSH的分泌提供了形态学证据;也支持GAP的功能序列在其分子的N端,或GAP进一步裂解出N端片段而发挥作用。     

Angiotensin II in the brain and pituitary: contrasting roles in the regulation of adenohypophyseal secretion

Angiotensin II (AII) is present in gonadotropes in rats, and there are AII receptors on lactotropes and corticotropes. AII may be a paracrine mediator that stimulates the secretion of prolactin and adrenocorticotropin (ACTH) at the level of the pituitary, but additional research is needed to define its exact role. Angiotensinogen may also reach the gonadotropes via a paracrine route. On the other hand, there is considerable evidence that brain AII stimulates the secretion of luteinizing hormone (LH) by increasing the secretion of LH-releasing hormone, and that this effect is due to AII-mediated release of norepinephrine from noradrenergic nerve terminals in the preoptic region of the hypothalamus. In addition, brain AII inhibits the secretion of prolactin, probably by increasing the release of dopamine into the portal hypophyseal vessels. Circulating AII stimulates the secretion of a third anterior pituitary hormone, ACTH, by acting on one or more of the circumventricular organs to increase the secretion of corticotropin-releasing hormone.     

The met-enkephalin analog FK 33-824 directly inhibits ACTH release by the rat pituitary gland in vitro

Systematic administration of the enkephalin analog FK 33-824 was previously shown to stimulate PRL secretion and to inhibit ACTH secretion in man. Naloxone prevented the effect on PRL release, but not on ACTH release. In this study, the direct action of this analog on hormone release by rat anterior pituitary lobes $\text{in}$$\text{vitro}$ were investigated. 1 uM FK 33-824 inhibited basal ACTH secretion by anterior pituitary glands in vitro, while 0.1 uM and 1 uM attenuated the lysine vasopressin stimulated ACTH release. Naloxone did not reverse the inhibitory action of the analog on ACTH release. β-Endorphin (0.01 - 1 uM) did not directly affect ACTH release. Basal and dopamine-induced inhibition of PRL release by anterior pituitary glands was neither influenced by FK 33-824 (0.1 and 1 uM), nor by β-endorphin (0.1 and 1 uM) with or without bacitracin. This study shows that the long-acting met-enkephalin analog FK 33-824 differentially affects PRL and ACTH secretion by the pituitary gland. It seems to stimulate PRL release at a suprapituitary site and this action probably involves u opiate receptors, because naloxone prevents these stimulatory effects. The inhibitory effect of FK 33-824 on ACTH release, however, is mediated via a direct effect at the pituitary level, which does not involve u receptors, as naloxone did not prevent this effect. In this respect, its action differs from that of β-endorphin, which does not directly affect ACTH release by the anterior pituitary gland.     

Cellular localization of apelin and its receptor in the anterior pituitary: evidence for a direct stimulatory action of apelin on ACTH release

Apelin is a bioactive peptide recently identified as the endogenous ligand of the human orphan G protein-coupled receptor APJ. The presence of apelin-immunoreactive nerve fibers, together with the detection of apelin receptor mRNA in the parvocellular part of the paraventricular nucleus and the stimulatory action of apelin on corticotropin-releasing hormone release, indicate that apelin modulates adrenocorticotropin (ACTH) release via an indirect action on the hypothalamus. However, a direct action of apelin in the anterior pituitary cannot be excluded. Here, we provided evidence for the existence of an apelinergic system within the adult male rat pituitary gland. Double immunofluorescence staining indicated that apelin is highly coexpressed in the anterior pituitary, mainly in corticotrophs (96.5 +/- 0.3%) and to a much lower extent in somatotropes (3.2 +/- 0.2%). Using in situ hybridization combined with immunohistochemistry, a high expression of apelin receptor mRNA was also found in corticotrophs, suggesting a local interaction between apelin and ACTH. In an ex vivo perifusion system of anterior pituitaries, apelin 17 (K17F, 10(-6) M) significantly increased basal ACTH release by 41%, whereas apelin 10 (R10F, 10(-6) M), an inactive apelin fragment, was ineffective. In addition, K17F but not R10F induced a dose-dependent increase in K(+)-evoked ACTH release, with maximal increase being observed for a 10(-6) M concentration. Taken together, these data outline the potential role of apelin as an autocrine/paracrine-acting peptide on ACTH release and provide morphological and neuroendocrine basis for further studies that explore the physiological role of apelin in the regulation of anterior pituitary functions.     

The effect of acute heat exposure on rat pituitary corticotroph activation: the role of vasopressin

The increased ambient temperature affects the function of hypothalamic-pituitary-adrenal (HPA) axis. Since the correlation among vasopressin (VP), adrenocorticotropic hormone (ACTH) and corticosterone (CORT) responses to various stressors have been long recognized, the aim of this study was to reveal the aforementioned hormones production and morphology of the pituitary gland after exposure to acute heat. Rats were exposed to high ambient temperature (38 °C) for 20 or 60 minutes. The circulating hormones were determined by an ELISA test or chemiluminescence's method. The results obtained show the elevation in ACTH and CORT secretion depending on the duration of heat exposure. The VP concentration increased only after prolonged exposure to heat (60 min). The pituitary morphology was examined by routine and fluorescent immunohistochemistry as well as electron microscopy. Observed changes in the anterior and posterior pituitary well corresponded to circulating hormones, regarding the volume density of ACTH-immunopositive cells, percentage of ACTH immunopositive area v. total area and number of VP-immunopositive containing varicose fibers per total area. Acute heat exposure also induced changes in shapes of ACTH-immunopositive cells. Cells appeared stellate with numerous slender cytoplasmic processes and degranulated, which is the most obvious after 20 min. In addition, immunopositivity of endothelial and anterior pituitary cells for VP suggests its influence on ACTH secretion.     

Functional PPAR-gamma receptor is a novel therapeutic target for ACTH-secreting pituitary adenomas

Adrenocorticotrophic hormone (ACTH)-secreting pituitary tumors are associated with high morbidity due to excess glucocorticoid production. No suitable drug therapies are currently available, and surgical excision is not invariably curative. Here we demonstrate immunoreactive expression of the nuclear hormone receptor peroxisome proliferator-activated receptor-gamma (PPAR-gamma) exclusively in normal ACTH-secreting human anterior pituitary cells: PPAR-gamma was abundantly expressed in all of six human ACTH-secreting pituitary tumors studied. PPAR-gamma activators induced G0/G1 cell-cycle arrest and apoptosis and suppressed ACTH secretion in human and murine corticotroph tumor cells. Development of murine corticotroph tumors, generated by subcutaneous injection of ACTH-secreting AtT20 cells, was prevented in four of five mice treated with the thiazolidinedione compound rosiglitazone, and ACTH and corticosterone secretion was suppressed in all treated mice. Based on these findings, thiazolidinediones may be an effective therapy for Cushing disease     

Angiotensin depolarizes parvocellular neurons in paraventricular nucleus through modulation of putative nonselective cationic and potassium conductances

Neurosecretory parvocellular neurons in the hypothalamic paraventricular nucleus (PVN) exercise considerable influence over the adenohypophysis and thus play a critical role in neuroendocrine regulation. ANG II has been demonstrated to act as a neurotransmitter in PVN, exerting significant impact on neuronal excitability and also influencing corticotrophin-releasing hormone secretion from the median eminence and, therefore, release of ACTH from the pituitary. We have used whole cell patch-clamp techniques in hypothalamic slices to examine the effects of ANG II on the excitability of neurosecretory parvocellular neurons. ANG II application resulted in a dose-dependent depolarization of neurosecretory neurons, a response that was maintained in tetrodotoxin (TTX), suggesting a direct mechanism of action. The depolarizing actions of this peptide were abolished by losartan, demonstrating these effects are AT(1) receptor mediated. Voltage-clamp analysis using slow voltage ramps revealed that ANG II activates a voltage-independent conductance with a reversal potential of -37.8 +/- 3.8 mV, suggesting ANG II effects on a nonselective cationic current. Further, a sustained potassium current characteristic of I(K) was significantly reduced (29.1 +/- 4.7%) by ANG II. These studies identify multiple postsynaptic modulatory sites through which ANG II can influence the excitability of neurosecretory parvocellular PVN neurons and, as a consequence of such actions, control hormonal secretion from the anterior pituitary.