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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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572<br />

Chapter | 18 Pituitary Function<br />

TABLE 18-3 Basal Concentrations <strong>of</strong> POMC-Derived Peptides in Plasma <strong>of</strong> Healthy <strong>Animals</strong> a<br />

Hormone (Unit) Species (n) Sampling Time Mean SD (Range) Reference<br />

ACTH Dog (160) 08.00–10.00 h (2.2–19.8) ( Peterson et al. , 1986 )<br />

(pmol/l) Cat (130) After overnight fast 24 26 ( Javadi et al. ,2004)<br />

Horse (10) 7 1 ( Orth et al, , 1982 )<br />

Cattle (39) 08.00–14.00 h 0.6 0.04 ( Beerda et al. , 2004 )<br />

Pig (11) Morning 2.4 0.5 ( Hari and Pliska, 2005 )<br />

Sheep (male, 6) 15 2 ( Gardner et al. , 2006 )<br />

Ferret (21) 14.30–16.00 (11.7–24.0) ( Schoemaker et al. , 2002a )<br />

α -MSH Dog (160) 08.00–10.00 h (1.5 – 15) ( Peterson et al. , 1986 )<br />

(pmol/l) Cat (130) After overnight fast 180 122 ( Javadi et al. , 2004 )<br />

Horse (10) 14.4 1.2 ( Orth et al. , 1982 )<br />

Ferret (44) 14.30–16.00 (4–108) ( Schoemaker et al. , 2002a )<br />

β -END Dog (160) 08.00–10.00 h (1.5–17.4) ( Peterson et al. , 1986 )<br />

(pmol/l) Horse (10) 18.3 4.4 ( Orth et al. , 1982 )<br />

a<br />

Most <strong>of</strong> the values have been converted to SI units, employing: 1 ng ACTH/liter 0.22 pmol/l; 1ng α -MSH/liter 0.60 pmol/l; 1ng β -END/<br />

liter 0.29 pmol/l.<br />

TABLE 18-4 Maximal Plasma Concentrations <strong>of</strong> POMC-Derived Peptides Following Intravenous Administration<br />

<strong>of</strong> a Variety <strong>of</strong> Stimulants<br />

Hormone (Unit) Species (n) Substance Dose Mean SEM Reference<br />

ACTH Dog (8) CRH 1 μ g/kg 61 9 ( Meij et al., 1996a )<br />

(pmol/l) Dog (6) AVP 0.6 μ g/kg 50 15 ( Kemppainen and Sartin, 1987 )<br />

Dog (16) LVP 0.2 U/kg 49 5 ( van Wijk et al., 1994 )<br />

Dog (19) Haloperidol 0.06 mg/kg 62 7 ( Rijnberk et al., 1987 )<br />

Dog (6) Insulin 0.5 U/kg 85 20 ( Kemppainen and Sartin, 1987 )<br />

Cat (6) CRH 1 μ g/kg 29 3 ( Willemse and Mol, 1994 )<br />

Sheep (5) CRH 1 μ g/kg 125 52 ( Pradier et al., 1986 )<br />

Sheep (5) AVP 1 μ g/kg 202 77 ( Pradier et al., 1986 )<br />

Pig (4) CRH 1 μ g/kg 18 3 ( Hari and Pliska, 2005 )<br />

α -MSH Dog (19) Haloperidol 0.06 mg/kg 40 4 ( Rijnberk et al., 1987 )<br />

(pmol/l) Cat (6) CRH 1 μ g/kg No effect ( Willemse and Mol, 1994 )<br />

Cat (4) Haloperidol 2 mg/kg 125 36 ( Peterson et al., 1994 )<br />

et al. , 1997b ; Peterson et al. , 1986 ; Rijnberk et al. , 1987 )<br />

with pituitary-dependent hyperadrenocorticism <strong>of</strong> IL origin.<br />

In the horse, basal plasma ACTH concentration predicts<br />

a pituitary adenoma <strong>of</strong> the IL with 100% sensitivity<br />

( van der Kolk et al. , 1995 ).<br />

Of the dynamic tests, the dexamethasone suppression<br />

tests (see Chapter 19 on adrenocortical function) are<br />

still the best for the diagnosis and differential diagnosis <strong>of</strong><br />

excessive ACTH and glucocorticoid secretion. In animals<br />

suspected <strong>of</strong> having pituitary-adrenocortical insufficiency,<br />

the secretory capacity for POMC-derived peptides can be<br />

measured by provocative testing.<br />

CRH and AVP are also used in the differentiation<br />

between pituitary-dependent hyperadrenocorticism and<br />

hyperadrenocorticism resulting from adrenocortical tumor.<br />

The chronically suppressed corticotropic cells are presumed<br />

to be unresponsive to these stimuli. However, Meijer et al. ,<br />

(1978) found considerable overlap in plasma cortisol value<br />

in the AVP test, whereas much less is claimed to occur in<br />

the CRH test ( Peterson, 1986 ). It has been demonstrated that<br />

LVP stimulates cortisol release by adrenal tumors in a direct<br />

way ( van Wijk et al. , 1994 ).<br />

It has been shown that dogs with pituitary-dependent<br />

hyperadrenocorticism usually remain responsive to single<br />

CRH administration ( Rijnberk et al. , 1987 ) or combined<br />

hypophysiotropic stimulation in spite <strong>of</strong> persisting hypercortisolism<br />

and neoplastic transformation <strong>of</strong> the corticotropes<br />

( Meij et al. , 1997a ). The cells <strong>of</strong> the pituitary lesions<br />

were found to be less responsive to CRH in vitro than were<br />

normal corticotropes ( Mol et al. , 1987 ) and less sensitive<br />

to inhibition by glucocorticoids ( van Wijk et al. , 1998 ).<br />

As far as the possibility for manipulation <strong>of</strong> canine IL<br />

function is concerned, <strong>of</strong> the substances tested only the<br />

dopamine agonist haloperidol ( Kemppainen and Sartin,

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