La melatonina reduce la respuesta de cortisol al ACTH en humanos
Background: Melatonin receptors are widely distributed in human tissues but they have not been reported in human adrenal gland. Aim: To assess if the human adrenal gland expresses melatonin receptors and if melatonin affeets cortisol response to ACTH in dexamethasone suppressed volunteers. Material...
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Sociedad Médica de Santiago
2008
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oai:scielo:S0034-988720080011000042009-03-23La melatonina reduce la respuesta de cortisol al ACTH en humanosCampino,CarmenValenzuela,FranciscoArteaga,EugenioTorres-Farfán,ClaudiaTrucco,CristiánVelasco,AlfredoGuzmán,SergioSerón-Ferré,María Adrenocorticotropic hormone Hydrocortisone Melatonin Background: Melatonin receptors are widely distributed in human tissues but they have not been reported in human adrenal gland. Aim: To assess if the human adrenal gland expresses melatonin receptors and if melatonin affeets cortisol response to ACTH in dexamethasone suppressed volunteers. Material and methods: Adrenal glands were obtained from 4 patients undergoing unilateral nephrectomy-adrenalectomy for renal cáncer. Expression of mRNA MT1 and MT2 melatonin receptors was measured by Reverse Transcriptase Polymerase Chain Reaction (RT-PCR). The effect of melatonin on the response to intravenous (i.v.) ACTH was tested (randomized cross-over, double-blind, placebo-controlled tríal) in eight young healthy males pretreated with dexamethasone (1 mg) at 23:00 h. On the next day at 08:00 h, an i.v. Une was inserted, at 08:30 h, and after a blood sample, subjeets ingested 6 mg melatonin or placebo. At 09:00 h, 1-24 ACTH (Cortrosyn, 1µg/1.73 m² body surface área) was injected, drawing samples at 0, 15, 30, 45 and 60 minutes after. Melatonin, cortisol, cortisone, progesterone, aldosterone, DHEA-S, testosterone and prolactin were measured by immunoassay. Results: The four adrenal glands expressed only MT1 receptor mRNA. Melatonin ingestión reduced the cortisol response to ACTH from 14.6+1.45µg/dl at 60 min in the placebo group to 10.8+1.2µg/dl in the melatonin group (p <0.01 mixed model test). It did not affect other steroid hormone levels and abolished the morningphysiological decline of prolactin. Conclusions: The expression ofMTl melatonin receptor in the human adrenal, and the melatonin reduction of ACTH-stimulated cortisol production suggest a direct melatonin action on the adrenal gland .info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.11 20082008-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100004es10.4067/S0034-98872008001100004 |
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Scielo Chile |
collection |
Scielo Chile |
language |
Spanish / Castilian |
topic |
Adrenocorticotropic hormone Hydrocortisone Melatonin |
spellingShingle |
Adrenocorticotropic hormone Hydrocortisone Melatonin Campino,Carmen Valenzuela,Francisco Arteaga,Eugenio Torres-Farfán,Claudia Trucco,Cristián Velasco,Alfredo Guzmán,Sergio Serón-Ferré,María La melatonina reduce la respuesta de cortisol al ACTH en humanos |
description |
Background: Melatonin receptors are widely distributed in human tissues but they have not been reported in human adrenal gland. Aim: To assess if the human adrenal gland expresses melatonin receptors and if melatonin affeets cortisol response to ACTH in dexamethasone suppressed volunteers. Material and methods: Adrenal glands were obtained from 4 patients undergoing unilateral nephrectomy-adrenalectomy for renal cáncer. Expression of mRNA MT1 and MT2 melatonin receptors was measured by Reverse Transcriptase Polymerase Chain Reaction (RT-PCR). The effect of melatonin on the response to intravenous (i.v.) ACTH was tested (randomized cross-over, double-blind, placebo-controlled tríal) in eight young healthy males pretreated with dexamethasone (1 mg) at 23:00 h. On the next day at 08:00 h, an i.v. Une was inserted, at 08:30 h, and after a blood sample, subjeets ingested 6 mg melatonin or placebo. At 09:00 h, 1-24 ACTH (Cortrosyn, 1µg/1.73 m² body surface área) was injected, drawing samples at 0, 15, 30, 45 and 60 minutes after. Melatonin, cortisol, cortisone, progesterone, aldosterone, DHEA-S, testosterone and prolactin were measured by immunoassay. Results: The four adrenal glands expressed only MT1 receptor mRNA. Melatonin ingestión reduced the cortisol response to ACTH from 14.6+1.45µg/dl at 60 min in the placebo group to 10.8+1.2µg/dl in the melatonin group (p <0.01 mixed model test). It did not affect other steroid hormone levels and abolished the morningphysiological decline of prolactin. Conclusions: The expression ofMTl melatonin receptor in the human adrenal, and the melatonin reduction of ACTH-stimulated cortisol production suggest a direct melatonin action on the adrenal gland . |
author |
Campino,Carmen Valenzuela,Francisco Arteaga,Eugenio Torres-Farfán,Claudia Trucco,Cristián Velasco,Alfredo Guzmán,Sergio Serón-Ferré,María |
author_facet |
Campino,Carmen Valenzuela,Francisco Arteaga,Eugenio Torres-Farfán,Claudia Trucco,Cristián Velasco,Alfredo Guzmán,Sergio Serón-Ferré,María |
author_sort |
Campino,Carmen |
title |
La melatonina reduce la respuesta de cortisol al ACTH en humanos |
title_short |
La melatonina reduce la respuesta de cortisol al ACTH en humanos |
title_full |
La melatonina reduce la respuesta de cortisol al ACTH en humanos |
title_fullStr |
La melatonina reduce la respuesta de cortisol al ACTH en humanos |
title_full_unstemmed |
La melatonina reduce la respuesta de cortisol al ACTH en humanos |
title_sort |
la melatonina reduce la respuesta de cortisol al acth en humanos |
publisher |
Sociedad Médica de Santiago |
publishDate |
2008 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100004 |
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