E. Wolfovitz et al., EFFECTS OF HYPERCORTISOLEMIA OR HYPERINSULINEMIA ON NEUROCHEMICAL INDEXES OF CATECHOLAMINE RELEASE AND SYNTHESIS IN CONSCIOUS RATS, Journal of the autonomic nervous system, 54(2), 1995, pp. 104-112
Glucocorticoids and insulin (INS) complexly affect sympathoneural and
adrenomedullary outflows. This study assessed effects of chronic hyper
cortisolemia and effects of INS independent of INS-induced hypoglycemi
a on neurochemical indices of different aspects of catecholaminergic f
unction in conscious rats. Since r-DOPA is the precursor of the endoge
nous catecholamines and the immediate product of the rate-limiting enz
ymatic step in catecholamine biosynthesis, alterations in rates of app
earance (spillover) of L-DOPA in arterial plasma may reflect alteratio
ns in catecholamine synthesis. The study therefore included examinatio
n of whether cortisol (CORT) or INS affects L-DOPA spillover or renal
excretion of dopamine (DA) derived from plasma L-DOPA. Arterial plasma
levels and urinary excretion rates of endogenous catechols and radiol
abelled L-DOPA and DA were measured during systemic intravenous infusi
ons of [H-3]L-DOPA. CORT was administered via a subcutaneous minipump
reservoir for one week prior to [H-3]L-DOPA infusion, and INS was infu
sed with glucose to examine effects of hyperinsulinemia independently
of hypoglycemia. CORT decreased plasma levels and urinary excretion of
norepinephrine (NE). INS did not. Neither CORT nor INS affected level
s of other catechols, L-DOPA spillover, or the rate of urinary excreti
on of [H-3]DA for a given plasma level of [H-3]L-DOPA. The results sug
gest that CORT inhibits sympathetically-mediated NE release without al
tering overall rates of catecholamine turnover or synthesis in sympath
etic nerves in vivo and that INS effects on catecholaminergic function
depend entirely on INS-induced hypoglycemia.