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Submitted on September 28, 2007
Accepted on April 8, 2008
Division of Medical Pharmacology, LACDR, Leiden University Medical Center, Leiden, The Netherlands; Laboratory of Neuroendocrine Biochemistry, IBYME, Buenos Aires, Argentina
* To whom correspondence should be addressed. E-mail: y.revsin{at}lacdr.leidenuniv.nl.
Previous studies have demonstrated that type 1 diabetes is characterized by hypercorticism and lack of periodicity in adrenal hormone secretion. In the present study we tested the hypothesis that hypercorticism is initiated by an enhanced release of ACTH leading subsequently to adrenocortical growth and increased output of adrenocortical hormones. To test this hypothesis we used the streptozotocin (STZ)-induced diabetes mouse model and measured hypothalamic-pituitary-adrenal axis activity at different time points. The results showed that the expected rise in blood glucose levels induced by STZ treatment preceded the surge in corticosterone secretion, which took place one day after diabetes onset. Surprisingly, circulating ACTH levels were not increased and even below control levels until one day after diabetes onset and remained low until day 11 during hypercorticism. In response to ACTH (but not vasopressin) cultures of adrenal gland cells from 11-days diabetic mice secreted higher amounts of corticosterone than control cells. RT-qPCR revealed increased expression of melanocortin 2 (MC2) and MC5 receptors in the adrenal glands at 2 and 11 days of STZ-induced diabetes. AVP mRNA expression in the paraventricular nucleus (PVN) of the hypothalamus was increased, while hippocampal MR mRNA was decreased in 11-day diabetic animals. GR and CRH mRNAs remained unchanged in hippocampus and PVN of diabetic mice at all time points studied. These results suggest that sensitization of the adrenal glands to ACTH rather than an increase in circulating ACTH level is the primary event leading to hypercorticism in the STZ-induced diabetes mouse model.
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