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1 Second Department of
Medicine,
Central neuropeptides play important roles in
many instances of physiological and pathophysiological
regulation mediated through the autonomic nervous system. In regard to
the hepatobiliary system, several neuropeptides act in the brain to
regulate bile secretion, hepatic blood flow, and hepatic proliferation.
Stressors and sympathetic nerve activation are reported to exacerbate
experimental liver injury. Some stressors are known to stimulate
corticotropin-releasing factor (CRF) synthesis in the central nervous
system and induce activation of sympathetic nerves in animal models.
The effect of intracisternal CRF on carbon tetrachloride
(CCl4)-induced acute liver
injury was examined in rats. Intracisternal injection of CRF dose
dependently enhanced elevation of the serum alanine aminotransferase (ALT) level induced by CCl4.
Elevations of serum aspartate aminotransferase, alkaline phosphatase,
and total bilirubin levels by CCl4
were also enhanced by intracisternal CRF injection. Intracisternal injection of CRF also aggravated
CCl4-induced hepatic histological changes. Intracisternal CRF injection alone did not modify the serum
ALT level. Intravenous administration of CRF did not influence CCl4-induced acute liver injury.
The aggravating effect of central CRF on
CCl4-induced acute liver injury
was abolished by denervation of hepatic plexus with phenol and by
denervation of noradrenergic fibers with 6-hydroxydopamine treatment
but not by hepatic branch vagotomy or atropine treatment. These results
suggest that CRF acts in the brain to exacerbate acute liver injury
through the sympathetic-noradrenergic pathways.
sympathetic nerve; noradrenergic nerve; peptide; hepatic damage; central nervous system
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