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Studies on the Causes of Hyponatremia Associated with Adrenal Insufficiency

Research Project

Project/Area Number 63570519
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field 内分泌・代謝学
Research InstitutionTohoku University

Principal Investigator

MURAKAMI Osamu  Tohoku Univ. Sch. of Med, 2nd Dept Int Med, Assistant, 医学部, 助手 (00157744)

Co-Investigator(Kenkyū-buntansha) MOURI Toraichi  Tohoku Univ. Sch. of Med, 2nd Dept Int Med, Assistant, 医学部附属病院, 助手 (80004688)
TOTUNE Kazuhito  Tohoku Univ. Sch. of Med, 2nd Dept Int Med, Assistant, 医学部附属病院, 助手 (10217515)
戸恒 和久  東北大学, 医学部附属病院, 助手
Project Period (FY) 1988 – 1990
Project Status Completed (Fiscal Year 1990)
Budget Amount *help
¥2,000,000 (Direct Cost: ¥2,000,000)
Fiscal Year 1990: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 1989: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1988: ¥1,100,000 (Direct Cost: ¥1,100,000)
KeywordsHypothalamus / Paraventricular nucleus / Arginine vasopressin / Corticotropin-releasing hormone / Adrenal insufficiency / Insulin-induced hypoglycemia / Radioimmunoassay / Immunocytochemistry / ヒト視床部室傍核 / corticotropinーreleasing horomone / arginine vasopressin / freeーfloating immunostaining / pituitaryーadrenal axis / calcitonin geneーrelated peptide / radioimmunoassay / high performance liguid chromatography / ヒト視床下部傍室核 / corticotropin-releasing hormone(CRH) / arginine vasopressin(AVP) / インスリン負荷試験(ITT) / CRH試験 / ACTH / 水負荷試験 / ヒト視床下部房室核 / corticitropin-relea sing hormane (CHR) / arginine vasopressin (AVP) / 副腎皮質機能低下症 / 低Na血症
Research Abstract

1. Arginine vasopressin (AVP) and corticotropin-releasing hormone (CRH) in the paraventricular nucleus (PVN) of hypothalamus of adrenalectomized rats. AVP and CRH immunostainings in the parvocellular cells of the PVN were increased by adrenalectomy and suppressed by the supplementation of dexamethasone. Aldosterone administration and dehydration had no effects. These findings suggest that the production of AVP in the parvocellular cells of PVN is increased in adrenal insufficiency and this is caused not by mineralocorticoid deficiency or dehydration, but by glucocorticoid deficiency.
2. Co-existence of AVP and CRH in the PVN and CRH immunoreactive nerve fibers in the human hypothalamus. AVP co-exists with CRH in the parvocellular cells of the PVN in human hypothalamuus. CRH-immunoreactive nerve fibers run laterally and downward from the PVN, and then medially toward the pituitary stalk.
3. Novel neuropeptides in human and/or rat hypothalamus. High concentrations of immunoreactive calcito … More nin-gene related peptide (CGRP), brain natriuretic peptide, melanin concentrating hormone (MCH) and cerebellin were found in the hypothalamus by radioimmunoassay. Immunocytochemical studies using postmortem brain showed that CGRP immunoreactive cells were present in the PVN and supraoptic nucleus, and MCH immunoreactive celles were present around the mammillary body of posterior hypothalamus.
4. Plasma AVP and ACTH in insulin-induced hypoglycemia and the comparison with the effect CRH administration. Plasma ACTH were increased during insulin-induced hypoglycemia in healthy subjects and this increase was about 2.6 times larger than in CRH administration. Plasma AVP were increased during insulin-induced hypoglycemia and this increase was not suppressed by the low plasma osmolarity indused by water load. Therefore, the AVP secretion in hypoglycemia is thought to play an important role in the regulation of hypothalamo-pituitaryadrenal axis.
Conclusion : These studies suggest that AVP which co-exists with CRH in the parvocellular cells of the PVN has an important pathophysiological role in the hyponatremia associated with adrenal insufficiency.
Further studies are reguired to clarify the pathophysiological roles of novel neuropeptides such as CGRP in adrenal insufficiency. Less

Report

(4 results)
  • 1990 Annual Research Report   Final Research Report Summary
  • 1989 Annual Research Report
  • 1988 Annual Research Report
  • Research Products

    (17 results)

All Other

All Publications (17 results)

  • [Publications] 高橋,毛利,村上ら: "Corticotropinーreleasing hormone in the human hypothalamus.Freeーbloating immunos taining method." Endocrinol japon. 36. 275-280 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 高橋,毛利,村上ら: "Calcitonin geneーrelated peptide in the human hypothalamus." Endocrinol japon. 36. 409-415 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 大根田,戸恒,村上ら: "ヒト脳におけるCerebellinの分布" 医学のあゆみ. 155. 197-198 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 毛利,高橋,村上ら: "Coーexistence.of coiticotropinーreleasing factor(CRF)and arginine vasopressin(AVP)in the paraーventricular nucleus(PVN)of human hypothalamus" Neuroendocrinology.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 曽根,戸恒,村上ら: "Porcine frain natriuretic peptideーlike immunoreactinty in rat tissues" Peptides.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Takahashi, Mouri Murakami et al: "Corticotropin-releasing hormone in the human hypothalamus. Free-floating immunostaining method." Endocrinol Japon. 36. 275-280 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Takahashi, Mouri Murakami et al: "Calcitonin gene-related peptide in the human hypothalamus." Endocrinol Japon. 36. 409-415 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Ohneda, Mouri Totsune, Murakami et al: "Cerebellin in the human brain (In Japanese)" Igaku-no-Ayumi. 155. 197-198 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Takahashi, Mouri Murakami et al: "Co-existence of corticotropin-releasing factor and arginine vasopressin in the paraventricular uncleus of human hypothalamus" Neuroendocrinology.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Sone, Totsune Murakami et al: "Porcine brain natriuretic peptide-like immunoreactivity in rat tissues" Peptides.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 高橋 和広,毛利 虎一,村上 治ら: "corticotropinーreleasing hormone in the human hypothalamus.Freeーfloating immunostaining method" Endocrinol.japon.36(2). 275-280 (1989)

    • Related Report
      1990 Annual Research Report
  • [Publications] 高橋 和広,毛利 虎一,村上 治ら: "Calcitonin geneーrelated peptide in the human hypothalamus." Endocrinol.japon.36(3). 409-415 (1989)

    • Related Report
      1990 Annual Research Report
  • [Publications] 大根田 実,毛利 虎一,村上 治ら: "ヒト脳におけるcerebellinの分布" 医学のあゆみ. 155. 197-198 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 毛利 虎一,村上ら: "Coーexistence of corticotropinーreleasing factor(CRF)and arginine vasopressin(AVP)in the paraventricular nucleus(PVN)of human hypothalamus." Neuroendcrinology.

    • Related Report
      1990 Annual Research Report
  • [Publications] 高橋一宏,毛利虎一,村上治ら: "corticotropin-Releasing Hormone in the Human Hypothalanos.Free-Flozting Immunostaining Method" Endocrinol.Japon.36(2). 275-280 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 毛利虎一,村上治ら: "co-existense of corticoti-opin-releasing hormone(CRH)and arginine vdsopression(AVP)in th paventxicular nucleus(PVN)of herhypothalamus" Neuroendocrinolgy. (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] 毛利虎一、村上治: N euroendocrinology. 1989.

    • Related Report
      1988 Annual Research Report

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Published: 1988-04-01   Modified: 2016-04-21  

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