B-Endorphin Response to a Low Dosage of Human Corticotropin Releasing Hormone During Metyrapone Administration in Depression

This study defines the pituitary B-endorphin (BE) secretory response to a low dosage (0.3ug/kg) of human corticotropin releasing hormone (CRH) in depressed patients and normal controls pretreated with metyrapone. We find no difference in the B-endorphin response to CRH in depressed subjects without...

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Veröffentlicht in:Endocrine research 1992-01, Vol.18 (4), p.241-260
Hauptverfasser: Lisansky, Jonathan, Hauger, Richard, Strassman, Rick, Dorin, Rick, Meikle, A. W., Brazis, Madelyn, Qualls, Clifford, Turkin, Alan
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container_end_page 260
container_issue 4
container_start_page 241
container_title Endocrine research
container_volume 18
creator Lisansky, Jonathan
Hauger, Richard
Strassman, Rick
Dorin, Rick
Meikle, A. W.
Brazis, Madelyn
Qualls, Clifford
Turkin, Alan
description This study defines the pituitary B-endorphin (BE) secretory response to a low dosage (0.3ug/kg) of human corticotropin releasing hormone (CRH) in depressed patients and normal controls pretreated with metyrapone. We find no difference in the B-endorphin response to CRH in depressed subjects without evidence of HPA overactivity, compared with controls. This finding is contrasted with other data demonstrating a blunted B-endorphin response to CRH in depressives. The influence of metyrapone pretreatment on the pituitary B-endorphin response to CRH through a mechanism that minimizes the impact of cortisol negative feedback is discussed. Future studies which include low dose CRH infusion both in the presence and in the absence of metyrapone pretreatment will help investigate alterations in the regulation of pituitary B-endorphin secretion in depression including the possibility of increased pituitary sensitivity to the negative fast feedback of cortisol.
doi_str_mv 10.1080/07435809209111035
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W.</creatorcontrib><creatorcontrib>Brazis, Madelyn</creatorcontrib><creatorcontrib>Qualls, Clifford</creatorcontrib><creatorcontrib>Turkin, Alan</creatorcontrib><title>B-Endorphin Response to a Low Dosage of Human Corticotropin Releasing Hormone During Metyrapone Administration in Depression</title><title>Endocrine research</title><addtitle>Endocr Res</addtitle><description>This study defines the pituitary B-endorphin (BE) secretory response to a low dosage (0.3ug/kg) of human corticotropin releasing hormone (CRH) in depressed patients and normal controls pretreated with metyrapone. We find no difference in the B-endorphin response to CRH in depressed subjects without evidence of HPA overactivity, compared with controls. This finding is contrasted with other data demonstrating a blunted B-endorphin response to CRH in depressives. The influence of metyrapone pretreatment on the pituitary B-endorphin response to CRH through a mechanism that minimizes the impact of cortisol negative feedback is discussed. Future studies which include low dose CRH infusion both in the presence and in the absence of metyrapone pretreatment will help investigate alterations in the regulation of pituitary B-endorphin secretion in depression including the possibility of increased pituitary sensitivity to the negative fast feedback of cortisol.</description><subject>Adrenal Glands - physiopathology</subject><subject>Adult and adolescent clinical studies</subject><subject>beta-Endorphin - secretion</subject><subject>Biological and medical sciences</subject><subject>Corticotropin-Releasing Hormone</subject><subject>Depression</subject><subject>Depressive Disorder - physiopathology</subject><subject>Female</subject><subject>Humans</subject><subject>Hydrocortisone - blood</subject><subject>Hydrocortisone - urine</subject><subject>Hypothalamus - physiopathology</subject><subject>Kinetics</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metyrapone</subject><subject>Mood disorders</subject><subject>Pituitary Gland - physiopathology</subject><subject>Psychology. 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W.</creator><creator>Brazis, Madelyn</creator><creator>Qualls, Clifford</creator><creator>Turkin, Alan</creator><general>Informa Healthcare USA, Inc</general><general>Taylor &amp; Francis</general><general>Dekker</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920101</creationdate><title>B-Endorphin Response to a Low Dosage of Human Corticotropin Releasing Hormone During Metyrapone Administration in Depression</title><author>Lisansky, Jonathan ; Hauger, Richard ; Strassman, Rick ; Dorin, Rick ; Meikle, A. 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source MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete
subjects Adrenal Glands - physiopathology
Adult and adolescent clinical studies
beta-Endorphin - secretion
Biological and medical sciences
Corticotropin-Releasing Hormone
Depression
Depressive Disorder - physiopathology
Female
Humans
Hydrocortisone - blood
Hydrocortisone - urine
Hypothalamus - physiopathology
Kinetics
Male
Medical sciences
Metyrapone
Mood disorders
Pituitary Gland - physiopathology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
title B-Endorphin Response to a Low Dosage of Human Corticotropin Releasing Hormone During Metyrapone Administration in Depression
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