M. Hatzinger et al., COMBINED DEXAMETHASONE CRH TEST IN RATS - HYPOTHALAMO-PITUITARY-ADRENOCORTICAL SYSTEM ALTERATIONS IN AGING/, Neuroendocrinology, 64(5), 1996, pp. 349-356
Alterations of the hypothalamo-pituitary-adrenocortical (HPA) system a
re well-known phenomena in human aging as well as under stressful cond
itions and in psychiatric disorders. Among the various neuroendocrine
function tests developed so far, the combined dexamethasone (DEX)/cort
icotropin-releasing hormone (CRH) test, in which DEX-pretreated subjec
ts receive a single dose of CRH, has proved to be the most sensitive m
easure of subtle changes in HPA system regulation. To further explore
the mechanisms underlying these neuroendocrine abnormalities in an ani
mal model, a combined DEX/CRH test was established in young male Wista
r rats. Five days before the experiment, the jugular vein was catheter
ized under halothane anesthesia for subsequent drug infusion and blood
sampling. DEX (30 mu g/kg) administered at 12.00 h, during the diurna
l trough, suppressed the diurnal increase in circulating corticotropin
(ACTH) and corticosterone between 18.00 and 20.00 h, during the acrop
hase. Subsequent CRH (50 ng/kg) infused at 20.00 h provoked a minimal
escape from DEX suppression, indicated by a slight increase in ACTH an
d corticosterone secretion. Therefore, the combination of 30 mu g/kg D
EX given at 12.00 h followed by pituitary-adrenal system stimulation w
ith 50 ng/kg CRH at 20.00 h was defined as the standard DEX/CRH test p
rocedure and was then used in young (3-6 months) and aged male Wistar
rats (20-24 months). After DEX treatment, basal ACTH levels between 18
.00 and 20.00 h were significantly higher in aged than in young rats (
77.6 +/- 23.2 vs. 19.9 +/- 0.9 pg/ml; p < 0.01), indicating resistance
of the HPA system to the suppressive effect of DEX. In addition, the
ACTH response to subsequent CRH was significantly higher in aged than
in young animals (area under the concentration time curve: 3,670 +/- 2
,230 vs. 294 +/- 112; p < 0.05). Thus, the HPA system appeared to be p
rofoundly dysregulated in aged male Wistar rats. The elevated basal AC
TH levels reflect glucocorticoid nonsuppression, suggesting negative f
eedback impairment. This is further supported by the elevated ACTH res
ponse to a subsequent CRH challenge, which, in addition, may indicate
changes in the endogenous synergistic mechanisms of CRH with other cor
ticotropic factors, for instance vasopressin. In summary, the DEX/CRH
test revealed HPA system alterations in aging and can be applied in fu
ture studies to further explore the mechanisms underlying the neuroend
ocrine disturbances during (psycho) pathological states.