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Characterization of the effect of Mycoplasma fermentans on the hypothalamo-pituitary-adrenal axis

A Wohlman1, R Gallily, R Yirmiya

  • 1Department of Neurology, Hadassah University Hospital, Jerusalem, Israel.

Neuroendocrinology
|October 6, 1997
PubMed

Insights

Mycoplasma fermentans activates the hypothalamus-pituitary-adrenal axis by reducing corticotropin-releasing hormone (CRH-41) release, with tumor necrosis factor-alpha (TNF alpha) involvement. Glucocorticoid feedback is mediated by type II corticosteroid receptors.

Area of Science:

  • Neuroendocrinology
  • Immunology
  • Microbiology

Background:

  • The hypothalamus-pituitary-adrenal (HPA) axis regulates the stress response.
  • Mycoplasma fermentans is a pathogen that can elicit immune responses.
  • Understanding how microbial components activate the HPA axis is crucial for deciphering host-pathogen interactions.

Purpose of the Study:

  • To investigate the mechanisms underlying HPA axis activation by Mycoplasma fermentans.
  • To determine the role of corticotropin-releasing hormone (CRH-41), corticosteroid receptors, noradrenergic system, and tumor necrosis factor-alpha (TNF alpha) in this response.

Main Methods:

  • Rats were injected intracerebroventricularly with heat-inactivated M. fermentans.
  • Hormone levels (ACTH, corticosterone) and CRH-41 content were measured.
  • Dexamethasone (DEX), corticosteroid receptor antagonists (RU-38486, RU-28318), catecholamine neurotoxin (6-hydroxydopamine), and alpha 1-adrenergic antagonist (prazosin) were used.
  • Hypothalamic TNF alpha levels were assessed via bioassay and immunoassay.
  • Pentoxifylline was used to inhibit TNF alpha synthesis.

Main Results:

  • M. fermentans significantly depleted median eminence CRH-41 and elevated serum ACTH and corticosterone.
  • Dexamethasone inhibited these M. fermentans-induced changes.
  • Type II corticosteroid receptor antagonist RU-38486 abolished DEX's inhibitory effect.
  • Noradrenergic system manipulation did not affect the M. fermentans response but did affect interleukin-1 response.
  • M. fermentans increased hypothalamic TNF alpha levels.
  • Pentoxifylline inhibited the adrenocortical response to M. fermentans.

Conclusions:

  • M. fermentans activates the HPA axis via reduced CRH-41 release from the median eminence.
  • Glucocorticoid feedback is mediated by type II corticosteroid receptors.
  • The central noradrenergic system is not critical for M. fermentans-induced HPA activation.
  • Hypothalamic TNF alpha production is involved in mediating the HPA axis activation by M. fermentans.

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