Abstract:
:The current concept that blunted adrenocorticotropic hormone (ACTH) response to human corticotropin-releasing-hormone (h-CRH) in depression is primarily determined by elevated circulating plasma cortisol levels is still unproven. We tested this hypothesis by comparing ACTH release following intravenous administration of 100 micrograms h-CRH in 10 normal controls and in 21 inpatients with a major depressive episode. Eleven of these depressed patients were pretreated with an oral dose of 2 g metyrapone, which inhibits cortisol biosynthesis by blocking C-11 beta-steroid-hydroxylase. This intervention deprives the entire system of cortisol, which is the major feedback signal for the regulation of ACTH secretion at various pituitary and limbic sites. ACTH responses, assessed as areas-under-time-course-curves, were: in normal controls, 6.8 +/- 2.4 (SD) pg/ml/min x 10(3); in unmedicated patients, 2.6 +/- 1.1 pg/ml/min x 10(3); and in metyrapone pretreated patients, 9.0 +/- 6.7 pg/ml/min x 10(3). Thus, ACTH release in unmedicated depressed patients was significantly (p less than 0.001, Mann-Whitney U-test) blunted when compared with normal controls. In contrast, this blunting was completely avoided after metyrapone pretreatment, which resulted in net ACTH responses that were indistinguishable from those of the controls.
journal_name
Biol Psychiatryjournal_title
Biological psychiatryauthors
von Bardeleben U,Stalla GK,Müller OA,Holsboer Fdoi
10.1016/0006-3223(88)90254-5subject
Has Abstractpub_date
1988-11-01 00:00:00pages
782-6issue
7eissn
0006-3223issn
1873-2402pii
0006-3223(88)90254-5journal_volume
24pub_type
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journal_title:Biological psychiatry
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journal_title:Biological psychiatry
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1987-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-11-15 00:00:00
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更新日期:2007-05-01 00:00:00
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journal_title:Biological psychiatry
pub_type: 杂志文章,随机对照试验
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更新日期:2015-10-15 00:00:00
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pub_type: 杂志文章
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更新日期:2013-01-15 00:00:00
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更新日期:2009-08-01 00:00:00
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journal_title:Biological psychiatry
pub_type: 杂志文章
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更新日期:1981-02-01 00:00:00
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pub_type: 杂志文章
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