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Hershel Raff Endocrine Research Laboratory, Aurora St Luke’s Medical Center, Medical College of Wisconsin, Milwaukee, Wisconsin 53215, USA
Center for Neuropharmacology and Neurosciences, Albany Medical College, Albany, New York 12208, USA

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Lauren Jacobson Endocrine Research Laboratory, Aurora St Luke’s Medical Center, Medical College of Wisconsin, Milwaukee, Wisconsin 53215, USA
Center for Neuropharmacology and Neurosciences, Albany Medical College, Albany, New York 12208, USA

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The objective of this study was to determine the effects of manipulating glucocorticoid negative feedback on acute ACTH and corticosterone responses to corticotropin-releasing hormone (CRH) injection in 7-day-old rats exposed to normoxia or hypoxia from birth. Chemical adrenalectomy was achieved with aminoglutethimide, and glucocorticoids were replaced with a low dose of dexamethasone. Hypoxia per se increased basal plasma corticosterone and attenuated the plasma ACTH response to CRH. Aminoglutethimide per se decreased plasma corticosterone and strongly increased basal plasma ACTH and anterior pituitary POMC gene expression. Dexamethasone partially attenuated elevations in basal plasma ACTH due to aminoglutethimide in both normoxic and hypoxic pups, but inhibited anterior pituitary POMC expression and CRH-induced plasma ACTH only in hypoxic pups. Despite this inhibition, hypoxic pups treated with both dexamethasone and aminoglutethimide still exhibited a significant CRH-induced increment in plasma ACTH, which was lacking in hypoxic pups not treated with either dexamethasone or aminoglutethimide. We conclude that ACTH responses to acute stimuli in hypoxic neonatal rats are prevented by ACTH-independent increases in corticosterone, rather than by intrinsic hypothalamic–pituitary hypoactivity.

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Eric D Bruder Endocrine Research Laboratory, St Luke’s Medical Center, Milwaukee, Wisconsin 53215, USA
Center for Neuropharmacology and Neurosciences, Albany Medical College, Albany, New York 12208, USA
Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA

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Lauren Jacobson Endocrine Research Laboratory, St Luke’s Medical Center, Milwaukee, Wisconsin 53215, USA
Center for Neuropharmacology and Neurosciences, Albany Medical College, Albany, New York 12208, USA
Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA

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Hershel Raff Endocrine Research Laboratory, St Luke’s Medical Center, Milwaukee, Wisconsin 53215, USA
Center for Neuropharmacology and Neurosciences, Albany Medical College, Albany, New York 12208, USA
Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA

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Ghrelin, leptin, and endogenous glucocorticoids play a role in appetite regulation, energy balance, and growth. The present study assessed the effects of dexamethasone (DEX) on these hormones, and on ACTH and pituitary proopiomelanocortin (POMC) and corticotropin-releasing hormone receptor-1 (CRHR1) mRNA expression, during a common metabolic stress – neonatal hypoxia. Newborn rats were raised in room air (21% O2) or under normobaric hypoxia (12% O2) from birth to postnatal day (PD) 7. DEX was administered on PD3 (0.5 mg/kg), PD4 (0.25 mg/kg), PD5 (0.125 mg/kg), and PD6 (0.05 mg/kg). Pups were studied on PD7 (24 h after the last dose of DEX). DEX significantly increased plasma leptin and ghrelin in normoxic pups, but only increased ghrelin in hypoxic pups. Hypoxia alone resulted in a small increase in plasma leptin. Plasma corticosterone and pituitary POMC mRNA expression were decreased 24 h following the last dose of DEX, whereas plasma ACTH and pituitary CRHR1 mRNA expression had already increased (normoxia and hypoxia). Hypoxia alone increased corticosterone, but had no effect on ACTH or pituitary POMC and CRHR1 mRNA expression. Neonatal DEX treatment, hypoxia, and the combination of both affect hormones involved in energy homeostasis. Pituitary function in the neonate was quickly restored following DEX-induced suppression of the hypothalamic–pituitary–adrenal axis. The changes in ghrelin, leptin, and corticosterone may be beneficial to the hypoxic neonate through the maintenance of appetite and shifts in intermediary metabolism.

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