S. Suemaru et al., VENTROMEDIAL HYPOTHALAMIC-LESIONS INHIBIT CORTICOSTEROID FEEDBACK-REGULATION OF BASAL ACTH DURING THE TROUGH OF THE CIRCADIAN-RHYTHM, Neuroendocrinology, 61(4), 1995, pp. 453-463
We have determined the effects of bilateral electrolytic lesions of th
e ventromedial hypothalamus (VMH) on activity in the hypothalamo-pitui
tary-adrenal (HPA) system. Acutely, during the first 5 days, lesions o
f the anterior-medial VMH caused loss of the diurnal rhythms in food i
ntake and plasma corticosterone (B) levels. Plasma B concentrations we
re elevated during the time of the normal trough of the basal diurnal
rhythm in HPA axis activity and the diurnal rhythm in food intake was
abolished, in agreement with the results of others. Consistent with hy
peractivity in the HPA axis, lesioned rats had increased adrenal weigh
t, decreased thymus and body weights and decreased plasma transcortin
concentrations. To determine how lesions of the VMH provoke these incr
eases in activity of the HPA system, the sensitivity of ACTH in adrena
lectomized, lesioned rats to replacement with exogenous B was determin
ed under basal conditions during the trough (morning - AM) and peak (e
vening - PM) of the diurnal rhythm in HPA axis activity. ACTH in lesio
ned rats in the AM was insensitive to feedback over the very low range
of plasma B of 14 mu g/dl, whereas sham-lesioned controls exhibited t
he normal, high sensitivity of ACTH to B at this time of day. There wa
s no difference between the sensitivity of ACTH to this low range of B
in the PM in VMH- and sham-lesioned rats. Two to 5 weeks after VMH le
sions, as found by others, mean daily plasma B levels did not differ f
rom sham-lesioned controls; however; plasma B during the AM was still
mildly elevated in these rats. Inhibition of plasma B in the PM by dex
amethasone was less effective in lesioned rats. Although HPA system re
sponses to hypoglycemia, corticotropin-releasing factor and ACTH were
normal, the lesioned rats exhibited obesity, hyperinsulinemia, hypergl
ycemia, hypertension and tachycardia, all signs consistent with mild h
yperactivity of the PHA axis. Occupancy of type I, high-affinity corti
costeroid receptors is known to control basal activity of the HPA syst
em during the trough of the diurnal rhythm and to interact with glucoc
orticoid receptors to affect basal activity during the peak of the diu
rnal rhythm and during AM stress. We conclude that VMH lesions disrupt
transmission of inhibitory signals, mediated by occupancy of type I c
orticosteroid receptors, that are initiated by a B feedback site.