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Journal Article 2006; 27(1-2): 60-62 PubMed PMID: 16648774 Citation  Keywords:  Adrenocorticotropic Hormone:blood, Animals, Corticosterone:blood, Growth Hormone:blood, Injections, Intraventricular, Male, Nerve Tissue Proteins:pharmacology, Pituitary-Adrenal System:drug effects, Prolactin:blood, Rats, Rats, Inbred WKY,.   

OBJECTIVE: It has been reported that the cocaine and amphetamine regulated transcript (CART) is widely expressed in the hypothalamic nuclei involved in the mechanism of hormonal secretion.

RESEARCH METHODS: In order to evaluate the effect of CART on the activation of the pituitary-adrenal axis in the rat, CART (55-102) in a dose of 0.5 microg in 5 microl CSF was infused into the third ventricle (icv) with an automatic pump. At 10, 30, 60, 120 min after the infusion of CART or vehicle, the animals were decapitated and the trunk blood was collected. Serum ACTH and corticosterone concentrations were measured with RIA kits provided by Phoenix Pharmaceuticals and ICN Biomedicals USA, respectively.

RESULTS: The stimulating effect of CART on ACTH concentration was observed only 30 min after icv injection. However, CART stimulated corticosterone release at 10, 30, 60 min after icv injection.

CONCLUSIONS: CART (55-102) administered intracerebroventricularly (icv) stimulated ACTH and corticosterone release. The stimulating effect of CART on ACTH was short-lived....

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Clinical Trial 2005; 26(6): 709-712 PubMed PMID: 16380696 Citation  Keywords:  Adrenocorticotropic Hormone:blood, Adult, Dexamethasone:therapeutic use, Down-Regulation, Female, Humans, Hydrocortisone:blood, Middle Aged, Nelson Syndrome:blood, Somatostatin:therapeutic use, Treatment Outcome, Valproic Acid:therapeutic use,.   

OBJECTIVE: Pituitary tumours occurring in patients bilaterally adrenalectomized because of Cushing's disease (Nelson's syndrome) are frequently invasive and a complete their resection is not possible in most of them. Administration of the drugs decreasing ACTH secretion could be helpful in such unresectable tumours. We tried to evaluate the influence of somatostatin and valproic acid, compared to dexamethasone, in short-term studies, on plasma ACTH levels in Nelson's syndrome (NS).

MATERIAL AND METHODS: Basal ACTH levels were determined within 18 h after last dose of hydrocortisone and next, 1 and 2 hours following oral administration of 20 mg of hydrocortisone. Somatostatin was injected s.c. in two patients with NS while sodium valproate and dexamethasone were administered orally for three days in three patients with NS (two with an invasive pituitary tumour and one with a localized, intrasellar adenoma). The blood for ACTH and cortisol determination was drawn before the tests (two hours after 20 mg of hydrocortisone ingestion) as well as 1 and 2 hours following somatostatin injection and after 3 days of valproic acid or dexamethasone administration.

RESULTS: High plasma ACTH levels were found before the tests. Somatostatin lowered ACTH levels in both patients, more effectively in the patient with non-invasive pituitary adenoma. Valproic acid decreased moderately ACTH concentration in two patients, while following dexamethasone administration a fall in ACTH levels was observed in all three patients, the most evident in the patient with a non-invasive Nelson's adenoma.

CONCLUSION: Somatostatin seemed to be more effective in its inhibitory action on ACTH secretion than valproic acid, thus its administration in invasive cases of NS could be tried as a supplementary method to neurosurgery. The response to dexamethasone administration indicates that a feed-back regulation, although impaired, exists in these cases....

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Case Reports 2005; 26(5): 499-502 PubMed PMID: 16264411 Citation  Keywords:  Adrenal Insufficiency:complications, Adrenocorticotropic Hormone:deficiency, Adult, Autonomic Nervous System:physiopathology, Chromosomes, Human, Pair 12:genetics, Conjunctival Diseases:complications, Electroencephalography, Epilepsy:genetics, Hormone Rep.   

: Allgrove syndrome is a rare autosomal recessive disease with achalasia, alacrima, adrenocortical insufficiency, autonomic neuropathy and other neurological disturbances. A case of two brothers with Addison s disease from early childhood is presented. The younger brother with Addison disease died at the age of 5. The older brother was treated for adrenocortical insufficiency from the age 3, and then treated for achalasia and epilepsy from the age of 5. The patient is currently 26 years old and suffers from achalasia and adrenocortical insufficiency. He also suffers from alacrima, autonomic neuropathy, epilepsy and other damages of the central and peripheral nervous system. The clinical picture is typical for Allgrove or 4A syndrome, and the diagnosis was confirmed by means of molecular analysis of a new AAAS gene mutation....

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Journal Article 2005; 26(5): 515-520 PubMed PMID: 16264408 Citation  Keywords:  Adrenal Medulla:physiopathology, Adrenocorticotropic Hormone:blood, Animals, Cold Temperature, Corticosterone:blood, Epinephrine:blood, Luminescence, Male, Norepinephrine:blood, Pituitary-Adrenal System:physiopathology, Rats, Rats, Wistar, Restraint, Phys.   

OBJECTIVE: The effects of three different long-term (21 days) stresses: isolation(LTI), forced swimming (LTS) and isolation accompanied by forced swimming (LTI+LTS) on the level of plasma noradrenaline (NA), adrenaline (A), corticosterone (CORT) and adrenocorticotropic hormone (ACTH), both under basal conditions and in response to short-term immobilization and cold as heterotypic additional stressors, were compared.

METHODS: Plasma NA and A were assayed by the radioenzymatic method. Plasma CORT was measured using RIA kits. Plasma ACTH was determined by chemiluminescent method.

RESULTS: LTI produced a significant elevation of basal plasma CORT and ACTH, while basal plasma NA and A concentrations remained unchanged. Combination of long-term isolation and forced swimming, produced a significant elevation of basal plasma ACTH content only, while LTS did not influence the basal level of this hormone. When LTI rats were exposed to immobilization and cold, a significant elevation of plasma NA and A level was recorded. In LTS and LTI+LTS groups of rats exposed to immobilization or cold, increased plasma NA and A levels were observed, but this increase was lower in comparison with that found in LTI rats. No difference in plasma CORT content between the three long-term stressed groups of animals was observed, while plasma ACTH level was significantly more elevated in LTS and LTI+LTS than in LTI rats.

CONCLUSION: Based on these results, it may be concluded that LTI as a psychosocial stress represents a stronger stressor than LTS. Also, daily short-term (15 min, 21 days) swimming stress seems to attenuate the effect of long-term isolation on the activity of sympatho-adrenomedullary system....

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Comparative Study 2005; 26(4): 337-341 PubMed PMID: 16136013 Citation  Keywords:  Adrenocorticotropic Hormone:blood, Adult, Biomarkers:blood, Cystinyl Aminopeptidase:blood, Female, Homeostasis:physiology, Humans, Immunoassay, Pregnancy:blood, Pregnancy Trimester, First, Pregnancy Trimester, Second, Pregnancy Trimester, Third,.   

INTRODUCTION: Normal function of the hypothalamo-adrenal axis is important for the regulation of feto-maternal intrauterine homeostasis including immunomodulating activity and may influence the timing of parturition. ACTH is produced during pregnancy by mother pituitary gland and by trophoblast cells, which are the place of oxytocinase production. Oxytocinase is basically secreted by syncytiotrophoblast cells and rises progressively during pregnancy until the labor. Oxytocinase may play a role as one of the main factors suppressing uterine contractions, controlling the vascular resistance and the volume of the retroplacental blood pool.

MATERIAL AND METHODS: The study group consisted of 102 patients with pregnancy following infertility treatment. The assessment was provided longitudinally in six selected groups progressively according to the gestational age. Immunoassay was used to measure ACTH plasma concentration. Oxytocinase plasma activity was established using l-cystine-di-beta-naphthylamide as a substrate.

RESULTS: Significantly increased oxytocinase plasma level was identified during pregnancy, progressive rise was observed beginning with the first trimester of pregnancy, until the labor. ACTH plasma concentration was observed to be at comparable level in the first and second trimester of pregnancy, while sudden statistically significant increase of ACTH plasma level was noted beginning with 28th week of gestation.

CONCLUSIONS: The assessment of ACTH and oxytocinase plasma concentration might be useful for the evaluation of pregnancy development....

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Journal Article 2005; 26(4): 342-346 PubMed PMID: 16136012 Citation  Keywords:  Abortion, Spontaneous:blood, Adrenocorticotropic Hormone:blood, Cystinyl Aminopeptidase:blood, Female, Homeostasis:physiology, Humans, Hypothalamo-Hypophyseal System:physiology, Pituitary-Adrenal System:physiology, Pregnancy, Pregnancy Trimester, First,.   

INTRODUCTION: The labor at term finishes normal pregnancy. Both labor at term and first trimester spontaneous abortion are connected with increasing cytotoxic immune response within decidua. Th1 cytokines including IL-2 and INF-gamma are able to exert an effect on HPA axis and result in ACTH secretion. Oxytocinase serum level during pregnancy rises with the fetal development and arrest of oxytocinase serum growth might indicate the its development impairment, what might result in spontaneous abortion.

MATERIAL AND METHODS: The study group consisted of 27 patients with clinical symptoms of missed abortion. A control group consisted of 89 pregnant women, who were successfully treated because of infertility. Immunoassay was used to measure ACTH plasma concentration. Oxytocinase plasma activity was established using l-cystine-di-beta-naphthylamide as a substrate.

RESULTS: In the present study, significant increase in ACTH plasma concentration was observed during first trimester of spontaneous abortion. These patients were not characterized by significant increase of oxytocinase plasma level.

CONCLUSIONS: The observed ACTH rise during spontaneous abortion might be also related to the alterations at the maternal-fetal interface and the response of HPA axis to the growing cytotoxic activity....

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Journal Article 2005; 26(4): 347-350 PubMed PMID: 16136011 Citation  Keywords:  Adrenocorticotropic Hormone:blood, Adult, Follicle Stimulating Hormone:blood, Humans, Hydrocortisone:blood, Infertility, Male:blood, Leydig Cells:metabolism, Luteinizing Hormone:blood, Male, Sperm Count, Stress, Psychological:blood, Testosterone:biosynthe.   

INTRODUCTION: Emotional stress connected with work or, for example, depressive reaction to infertility, is one of frequent causes of decreased quality of semen. An objective examination of this factor is difficult because stress depends also on patient's emotionality. One of the ways to study this problem is evaluating the relation between ACTH level and selected semen parameters.

MATERIAL AND METHODS: The study was based on results of the examination of 83 men from couples treated for infertility in the Gynecology and Infertility Clinic of the Jagiellonian University in Krakow. Determination of ACTH, FSH, LH, cortisol, testosterone and androstendion was performed using ELISA.

RESULTS: Lower average values of semen volume, sperm cells concentration and A sperm cell mobility and higher value of D sperm cells mobility were identified in the group of men from couples treated for infertility with ACTH level >30 pg/ml in comparison to the WHO standards and the control group with ACTH <30 pg/ml. Higher ACTH and cortisol levels were detected in the group of men with the sperm count <10 mln/mL in comparison to the control group with the sperm count >20 mln/mL. Low and statistically insignificant correlation was observed between androstendion and testosterone levels, what might suggest the reduction of testosterone synthesis in this group.

CONCLUSIONS: Our results might indicate that the rise of ACTH and cortisol inhibit the conversion of adrostendion into testosterone in Leydig-cells resulting in the rise of androstendion, drop of testosterone production and lower average values of semen volume, sperm cells concentration and A sperm cell mobility and higher value of D sperm cells mobility....

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Journal Article 2005; 26(4): 361-366 PubMed PMID: 16136008 Citation  Keywords:  Adrenocorticotropic Hormone:blood, Adult, Exercise:physiology, Female, Humans, Hydrocortisone:blood, Immune System:physiology, Immunoglobulin A:blood, Immunoglobulin G:blood, Immunoglobulin M:blood, Sports, Stress, Physiological:blood,.   

BACKGROUND: Despite the numerous studies controversial results exist in specific immune response to exercise. The aim of this study was to determining the differences in the humoral immune parameters, serum ACTH and cortisol levels existing between sportswomen and sedentary subjects and the effect of acute aerobic and anaerobic exercise on these parameters.

MATERIALS/METHODS: 40 sportswomen (Groups 1 and 2) and 20 sedentary women (Group 3) were enrolled and Group 1 performed aerobic exercise on a treadmill for 30 minutes while the Group 2 was subjected to the Wingate effort test for 30 seconds. Before exercising (at 8.30 a.m), immediately after the exercise, and 4 hours, days 2 and 5 days after exercising blood samples were obtained and the levels of IgA, IgG, IgM, complement 3 (C3) and complement 4 (C4) were determined turbidometrically.

RESULTS: Before exercise: the means of IgA and IgG values in the G1 and G2 groups were higher than the Group G3, and the mean cortisol levels in the sedentary group was significantly higher (p<0.05). After Exercise: Whereas the C3 and C4 levels decreased significantly at the end of the exercise in Group 1 and 2 (p<0.05), the IgA, IgG (p<0.05) and IgM levels (p<0.01) at the 4th and 5th determinations were observed to be significantly higher in only the Group 1. The cortisol and ACTH levels were found to have increased significantly (p<0.05) in the Group 1. In Group 2, no changes were observed in the IgA, IgG and IgM levels.

CONCLUSIONS: We conclude that regular and moderate exercise has favorable effects on the immune system by increasing immunoglobulins which are potent protective factors....

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