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Potentiation of the hCRF-induced release of ACTH in man by an opioid antagonist

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Summary

Administration of synthetic human corticotropin-releasing factor (hCRF; 2 µg/kg body weight) to six normal male subjects produced a significant rise in plasma ACTH, followed by an increase in circulating cortisol. Simultaneous treatment with the opioid antagonist naloxone (1.6 mg i.v. bolus, followed by an infusion at a rate of 1.2 mg/h) significantly potentiated the hCRF-induced rise in ACTH and enhanced the cortisol response to hCRF. It is suggested that naloxone acts by antagonizing an inhibitory ultra-short-loop feedback effect of coreleased β-endorphin on pituitary corticotrophs, thereby amplifying the net effect of hCRF, i.e., the release of ACTH.

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Abbreviations

ACTH:

adrenocorticotropic hormone

CRF:

corticotropin-releasing factor

hCRF:

human CRF

oCRF:

ovine CRF

EKG:

electrocardiogram

POMC:

proopiomelanocortin

RIA:

radioimmunoassay

S.E.M.:

standard error of the mean

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This study was supported by the Deutsche Forschungsgemeinschaft (Go 299/3-2; Mu 585/2-2)

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Ehrenreich, H., Kolmar, C., Müller, O.A. et al. Potentiation of the hCRF-induced release of ACTH in man by an opioid antagonist. Klin Wochenschr 65, 453–457 (1987). https://doi.org/10.1007/BF01712837

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  • DOI: https://doi.org/10.1007/BF01712837

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