Abstract
We investigated ACTH and Cortisol responses after ovine CRF injection (1 µg/kg one bolus) in a group of 11 drug-free patients suffering from major depression. When compared to sex- and age-matched normal controls, our depressed patients showed: Higher ACTH basal values (p< 0.002); higher Cortisol basal values (p < 0.009); blunted ACTH response to oCRF administration (p < 0.23); higher Cortisol response to oCRF (p < 0.001). Our data show that in depressed patients the feed-back mechanism is functionally intact at the pituitary level on one hand, while on the other, a hyperrespon-siveness of adrenal cortex (even to minimal stimuli) seems to be present. Moreover, a hypersecretion of endogenous CRF in these patients seems to be likely.
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Carroll B.J., Curtis G.C., Mendels J. Neuroendocrine regulation in depression. I: Limbic system-adrenocortical dysfunctions. Arch. Gen. Psychiatry 33: 1039, 1976.
Rubin R.T., Mandell A.J. Adrenal cortical activity in pathological emotional states: a review. Am. J. Psych. 123: 387, 1966.
Vale W., Spiess J., Rivier C., Rivier J. Characterization of a 41 -residue ovine hypothalamic peptide that stimulates secretion of corticotropin and beta-endorphin. Science 213: 1394, 1981.
Gillies G.E., Linton E.A., Lowry P.J. Corticotropin-releasing activity of the CRF is potentiated several times by vasopressin. Nature 299: 355, 1982.
Chrousos. G.P., Schulte H.M., Oldfield E.H. Corticotropin-releasing-factor: basic and clinical studies. Psychopharmacol. Bull. 19: 416, 1983.
Gold P.W., Chrousos G.P. Clinical studies with corticotropin-releasing factor: implications for the diagnosis and pathophysiology of depression, Cushing’s disease, and adrenal insufficiency. Psychoneuroendocrinology 10: 401, 1985.
Gold P.W., Loriaux D.L., Roy A., Kling M.A., Calabrese J.R., Kellner C.H., Nieman L.K., Post R.M., Pickar D., Gallucci W., Avgerinos P., Paul S., Oldfield E.H., Cutler G.B., Chrousos G.P. Responses to corticotropin-releasing hormone in the hypercortisolism of depression and Cushing’s disease. N. Engl. J. Med. 314: 1329, 1986.
Holsboer F., Muller O.A., Doerr KG., Sippell W.G., Stalla G.K., Gerken A., Steiger A., Boll E., Benkert O. ACTH and multisteroid responses to corticotropin-releasing factor in depressive illness: relationship to multisteroid responses after ACTH stimulation and dexamethasone suppression. Psychoneuroendocrinology 2: 147, 1984.
Holsboer F., Bardeleben U., Gerken A., Staller G.K., Muller O.A. Blunted corticotropin and normal Cortisol response to human corticotropin-releasing factor in depression. N. Engl. J. Med. 311: 1127, 1984.
Diagnostic and Statistical Manual of Mental Disorders, (DSM-III), ed. 3. American Psychiatric Association, Washington, D.C., 1980.
Spitzer R.L., Endicott J., Robins E. Research Diagnostic Criteria: rationale and reliability. Arch. Gen. Psych. 35: 773, 1978.
Hamilton M. A rating scale for depression. J. Neurol. Neurosurg. Psychiatry 23: 56, 1960.
Orth D.N., Jackson R.V., DeCherney G.S. Effect of synthetic ovine corticotropin-releasing factor: dose response of plasma adrenocorticotropin and Cortisol. J. Clin. Invest. 71: 587, 1983.
Tsukada T., Nakai Y., Koh T., Tsujii S., Imura H. Plasma adrenocorticotropin and Cortisol responses to intravenous injection of corticotropin-releasing factor in the morning and evening. J. Clin. Endocrinol. Metab. 35: 869, 1983.
Cavagnini F. Role of corticotropin-releasing factor (CRF) in the control of ACTH secretion. Riv. It. Biol. Med. 4: 9, 1984.
Schulte H.M., Chrousos G.P., Oldfield E.H., Gold P.W., Cutler G., Loriaux D.N. Ovine corticotropin-releasing factor administration in normal men. Pituitary and adrenal responses in the morning and evening. Horm. Res. 21: 69, 1985.
Schulte H.M., Chrousos G.P., Oldfield E.H., Gold P.W., Cutler G.B., Loriaux D.L. The effects of corticotropin-releasing factor on the anterior pituitary function of stalk-sectioned cynomolgus macaques: dose-response of Cortisol secretion. J. Clin. Endocrinol. Metab. 55: 810, 1982b.
Schulte H.M., Chrousos G.P., Oldfield E.H., Booth J.M., Gold P.W., Cutler G.B., Loriaux D.L. Corticotropin releasing factor: pharmacokinetics in man. J. Clin. Endocrinol. Metab. 56: 192, 1984.
Mason J.W., Sachar E.J., Fisherman J.R., Hamburg D.A., Handion J.H. Corticosteroid responses to hospital admission. Arch. Gen. Psychiatry 13: 1, 1965.
Nemeroff C.B., Widerlov E., Bissette G., Walleus H., Karlsson I., Eklund K., Kilts C.D., Loosen P.T., Vale W. Elevated concentrations of CSF corticotropin-releasing factor-like immunoreactivity in depressed patients. Science 219: 1342, 1984.
Schulte H.M., Chrousos G.P., Gold P.W., Booth J.D., Oldfield E.H., Cutler G.B., Loriaux D.L. Continuous administration of synthetic ovine corticotropin-releasing factor in man. J. Clin. Invest. 75: 1781, 1985.
Sutton R.E., Koob G.F., LeMoul M. Corticotropin-releasing factor produces behavioral activation in rats. Nature 293: 331, 1982.
Sirinthsinghji D.S.J., Rees L.H., Rivier J., Vale W. Corticotropin-releasing factor in a potent inhibitor of sexual receptivity in the female rat. Nature 305: 232, 1983.
Amsterdam J.D., Winocour A., Abelman E., Lucki I., Rickeis K. Cosyntropin (ACTH a1 -24) stimulation test in depressed patients and healthy subjects. Am. J. Psych. 140: 907, 1983.
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Nerozzi, D., Bersani, G., Melia, E. et al. Corticotropin-releasing factor and adrenal function in major depression. J Endocrinol Invest 11, 697–701 (1988). https://doi.org/10.1007/BF03350921
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DOI: https://doi.org/10.1007/BF03350921