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Currier SA, Whitt JG, Reyna KS. Biological validation of faecal corticosterone metabolites as a non-invasive stress assessment in translocated California valley quail ( Callipepla californica). CONSERVATION PHYSIOLOGY 2024; 12:coae012. [PMID: 38616893 PMCID: PMC11015821 DOI: 10.1093/conphys/coae012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 02/12/2024] [Accepted: 02/26/2024] [Indexed: 04/16/2024]
Abstract
US quail species are vulnerable to population declines as a result of climate change, habitat loss and habitat fragmentation, all of which can result in physiological stress. Additionally, population restoration techniques (PRTs), like translocations, also induce stress. Traditional assessments of avian stress hormone levels include capturing and handling birds to extract blood, methods that are inherently stressful and can compound stress analyses. However, the stress hormone corticosterone (CORT) is metabolized from the blood and excreted in faeces as faecal corticosterone metabolites (FCMs). FCMs have been used as a non-invasive measurement of stress hormone levels in a variety of species, but must be validated for each species. The objective of this study was to biologically validate the use of FCMs as a non-invasive measurement of CORT levels in California valley quail (Callipepla californica). Reference and treatment quail were acclimated for 3 weeks in an outdoor aviary. Subsequently, treatment quail were subjected to a simulated 48-h translocation, a common and stress hormone-inducing PRT. Faecal samples were collected every 4 h and processed using an enzyme immunoassay. Mean FCM concentrations of treatment quail (41.50 ± 16.13 ng/g) were higher than reference FCM concentrations (24.07 ± 10.4 ng/g). These results biologically validate the use of FCMs as a non-invasive method to assess CORT levels in California valley quail, demonstrate diurnal variation in quail CORT levels, and confirm that quail translocations are a stress-inducing PRT. Ultimately, this research validates a new non-invasive tool for stress response measurement to advance quail research, management and conservation.
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Affiliation(s)
- Sarah A Currier
- The Quail Research Laboratory, Ted and Donna Lyon Center for Gamebird Research, Texas A&M University-Commerce, Commerce, TX, 75429, USA
| | - Jeffrey G Whitt
- The Quail Research Laboratory, Ted and Donna Lyon Center for Gamebird Research, Texas A&M University-Commerce, Commerce, TX, 75429, USA
| | - Kelly S Reyna
- The Quail Research Laboratory, Ted and Donna Lyon Center for Gamebird Research, Texas A&M University-Commerce, Commerce, TX, 75429, USA
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Doherty AH, Florant GL, Donahue SW. Endocrine regulation of bone and energy metabolism in hibernating mammals. Integr Comp Biol 2014; 54:463-83. [PMID: 24556365 DOI: 10.1093/icb/icu001] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
Precise coordination among organs is required to maintain homeostasis throughout hibernation. This is particularly true in balancing bone remodeling processes (bone formation and resorption) in hibernators experiencing nutritional deprivation and extreme physical inactivity, two factors normally leading to pronounced bone loss in non-hibernating mammals. In recent years, important relationships between bone, fat, reproductive, and brain tissues have come to light. These systems share interconnected regulatory mechanisms of energy metabolism that potentially protect the skeleton during hibernation. This review focuses on the endocrine and neuroendocrine regulation of bone/fat/energy metabolism in hibernators. Hibernators appear to have unique mechanisms that protect musculoskeletal tissues while catabolizing their abundant stores of fat. Furthermore, the bone remodeling processes that normally cause disuse-induced bone loss in non-hibernators are compared to bone remodeling processes in hibernators, and possible adaptations of the bone signaling pathways that protect the skeleton during hibernation are discussed. Understanding the biological mechanisms that allow hibernators to survive the prolonged disuse and fasting associated with extreme environmental challenges will provide critical information regarding the limit of convergence in mammalian systems and of skeletal plasticity, and may contribute valuable insight into the etiology and treatment of human diseases.
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Affiliation(s)
- Alison H Doherty
- *Department of Biology, Colorado State University, Fort Collins, CO 80523-1620, USA; Department of Mechanical Engineering, Colorado State University, Fort Collins, CO 80523-1620, USA*Department of Biology, Colorado State University, Fort Collins, CO 80523-1620, USA; Department of Mechanical Engineering, Colorado State University, Fort Collins, CO 80523-1620, USA
| | - Gregory L Florant
- *Department of Biology, Colorado State University, Fort Collins, CO 80523-1620, USA; Department of Mechanical Engineering, Colorado State University, Fort Collins, CO 80523-1620, USA
| | - Seth W Donahue
- *Department of Biology, Colorado State University, Fort Collins, CO 80523-1620, USA; Department of Mechanical Engineering, Colorado State University, Fort Collins, CO 80523-1620, USA
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Bosson CO, Palme R, Boonstra R. Assessment of the stress response in Columbian ground squirrels: laboratory and field validation of an enzyme immunoassay for fecal cortisol metabolites. Physiol Biochem Zool 2009; 82:291-301. [PMID: 19335228 DOI: 10.1086/597530] [Citation(s) in RCA: 57] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Stress responses play a critical role in the ecology and demography of wild animals, and the analysis of fecal hormone metabolites is a powerful noninvasive method to assess the role of stress. We characterized the metabolites of injected radiolabeled cortisol in the urine and feces of Columbian ground squirrels and validated an enzyme immunoassay for measuring fecal cortisol metabolites (FCM) with a 5 alpha-3beta,11 beta-diol structure by stimulation and suppression of adrenocortical activity and by evaluation of the circadian pattern of FCM excretion. In addition, we also evaluated the impact of capture, handling, and acclimation to the laboratory on FCM. Cortisol is highly metabolized, with virtually none being excreted, and of the radiolabeled cortisol injected, 31% was recovered in urine and 6.5% in feces. The lag time between cortisol injection and its appearance in urine and feces was 4.5 +/- 0.82 (SE) h and 7.0 +/- 0.53 (SE) h, respectively. FCM levels varied over the day, reflecting circadian variation in endogenous cortisol. Dexamethasone decreased FCM levels by 33%, and ACTH increased them by 255%. Trapping and housing initially increased FCM levels and decreased body mass, but these reversed within 3-7 d, indicating acclimation. Finally, FCM levels were modestly repeatable over time (r=0.57) in wild, live trapped, nonbreeding animals, indicating that FCMs provide a measure of the squirrel's stress-axis state. This assay provides a robust noninvasive assessment of the stress response of the Columbian ground squirrel and will facilitate an integration of its life history and physiology.
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Affiliation(s)
- Curtis O Bosson
- Centre for the Neurobiology of Stress, University of Toronto Scarborough, Toronto, Ontario M1C 1A4, Canada
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Nunes S, Pelz KM, Muecke EM, Holekamp KE, Zucker I. Plasma glucocorticoid concentrations and body mass in ground squirrels: seasonal variation and circannual organization. Gen Comp Endocrinol 2006; 146:136-43. [PMID: 16360155 DOI: 10.1016/j.ygcen.2005.10.013] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2004] [Revised: 10/13/2005] [Accepted: 10/17/2005] [Indexed: 10/24/2022]
Abstract
We examined variation in plasma glucocorticoid concentrations of free-living Belding's ground squirrels (Spermophilus beldingi) and captive golden-mantled ground squirrels (Spermophilus lateralis) housed in constant environmental conditions. Plasma corticosterone concentrations were not significantly correlated with time held captive in traps prior to collection of blood samples in males or non-breeding females, but these variables were significantly correlated in breeding females during the pre-mating, lactation, and post-lactation periods. Among male S. beldingi, plasma corticosterone concentrations increased over the course of the active season, and were significantly higher in non-breeding than breeding individuals. Corticosterone concentrations also increased in non-breeding females throughout the active period. In breeding females, baseline (non-stress) corticosterone concentrations, determined from blood samples collected within 3 min of capture, increased during gestation and declined during lactation, whereas stress values of corticosterone, determined from blood samples collected within 4-11 min of capture, increased during gestation and then again during the period after young emerged from the natal burrow. Changes in plasma corticosterone concentrations of S. beldingi paralleled changes in body mass. Among S. lateralis, plasma concentrations of cortisol were elevated when males and females were in reproductive condition and lower in reproductively quiescent squirrels. The annual peak in plasma cortisol concentrations occurred just prior to increases in body mass associated with pre-hibernation fattening. Collectively, these results suggest that concentrations of circulating glucocorticoids fluctuate with circannual rhythmicity in conjunction with annual cycles of change in body mass and activity; within these circannual cycles glucocorticoid concentrations are influenced by stress and breeding status.
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Affiliation(s)
- Scott Nunes
- Department of Biology, University of San Francisco, San Francisco, CA 94117, USA.
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Serum catecholamine and hormonal titers in the hibernating snake Naja haje haje, with reference to the annual climatic cycle. J Therm Biol 2005. [DOI: 10.1016/j.jtherbio.2005.08.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Mateo JM, Cavigelli SA. A validation of extraction methods for noninvasive sampling of glucocorticoids in free-living ground squirrels. Physiol Biochem Zool 2005; 78:1069-84. [PMID: 16228945 PMCID: PMC2562585 DOI: 10.1086/432855] [Citation(s) in RCA: 52] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/16/2005] [Indexed: 11/03/2022]
Abstract
Fecal hormone assays provide a powerful tool for noninvasive monitoring of endocrine status in wild animals. In this study we validated a protocol for extracting and measuring glucocorticoids in free-living and captive Belding's ground squirrels (Spermophilus beldingi). We first compared two commonly used extraction protocols to determine which performed better with commercially available antibodies. We next verified the preferred extraction method by correlating circulating and fecal glucocorticoid measures from a group of individuals over time. For this comparison, we used both a cortisol and a corticosterone antibody to determine which had greater affinity to the fecal metabolites. Cortisol was the primary circulating glucocorticoid, but both hormones were present in well above detectable concentrations in the blood, which does not occur in other sciurids. In addition, the cortisol antibody showed greater binding with the fecal extracts than did the corticosterone antibody. Finally, we used adrenocorticotropic hormone and dexamethasone challenges to demonstrate that changes in adrenal functioning are reflected in changing fecal corticoid levels. These results suggest that our extraction protocol provides a fast, reliable assay of stress hormones in free-living ground squirrels without the confounding influence of short-term rises in glucocorticoid concentrations caused by handling and restraint stress and that it can facilitate ecological and evolutionary studies of stress in wild species.
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Affiliation(s)
- Jill M Mateo
- Committee on Human Development, University of Chicago, Chicago, IL, 60637, USA.
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Nunes S, Muecke EM, Holekamp KE. Seasonal effects of food provisioning on body fat, insulin, and corticosterone in free-living juvenile Belding's ground squirrels (Spermophilus beldingi). CAN J ZOOL 2002. [DOI: 10.1139/z01-222] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
We evaluated the relationship between body fat and the metabolic hormones insulin and corticosterone in free-living juvenile Belding's ground squirrels (Spermophilus beldingi). Some free-living juveniles were provisioned with extra food high in fat and calories, and unprovisioned juveniles were used as controls. Body fat (as a percentage of body mass) of squirrels was regularly evaluated using non-invasive methods. Blood samples were also regularly collected from juveniles and assayed for plasma concentrations of insulin and corticosterone. Provisioned juveniles were fatter than unprovisioned juveniles during most of the active season, but differences in body fat disappeared near the end of summer as juveniles began fattening for hibernation. Thus, our data indicate that although body fat may fluctuate with energy availability early in the active season, it is regulated at precise levels as squirrels prepare for winter. Plasma corticosterone concentrations did not differ between provisioned and unprovisioned juveniles. However, plasma insulin concentrations were greater in provisioned than in unprovisioned juveniles early in the summer. Differences in insulin concentrations disappeared later in the active season, just prior to the disappearance of differences in body fat. Moreover, plasma insulin concentrations were significantly correlated with subsequent changes in body fat. Thus, our data suggest a link between insulin and seasonal regulation of body fat in juvenile S. beldingi.
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Boonstra R, Hubbs AH, Lacey EA, McColl CJ. Seasonal changes in glucocorticoid and testosterone concentrations in free-living arctic ground squirrels from the boreal forest of the Yukon. CAN J ZOOL 2001. [DOI: 10.1139/z00-175] [Citation(s) in RCA: 83] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
We examined how glucocorticoid and testosterone concentrations changed from spring to summer by livetrapping free-living populations of arctic ground squirrels (Spermophilus parryii). The primary glucocorticoid was found to be cortisol, with corticosterone below measurable concentrations in most individuals. Livetrapping elicited a strong stress response in both sexes: breeding males and females trapped in spring had free cortisol concentrations 4 and 34 times, respectively, those of base-line animals. The maximum corticosteroid-binding capacity (MCBC) was unaffected by trapping and was about 3 times higher in breeding females than in breeding males. Over the active season, MCBC values were lowest in all male classes (juveniles, nonreproductive adults, and reproductive adults), being less than half those in all female classes; pregnant females had values approximately twice those of juvenile females. However, free cortisol concentrations were similar in all female classes and in juvenile males and about half those in adult males. Livetrapping increased testosterone concentrations in males over those found in samples from base-line males, and testosterone concentrations did not affect MCBC values. Testosterone concentrations in livetrapped animals differed significantly among male classes, with nonreproductive males maintaining concentrations 64% of those in breeding males and 10 times those in juveniles.
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Hubbs AH, Millar JS, Wiebe JP. Effect of brief exposure to a potential predator on cortisol concentrations in female Columbian ground squirrels (Spermophilus columbianus). CAN J ZOOL 2000. [DOI: 10.1139/z99-244] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
We examined the effect of exposure to a potential predator on cortisol concentrations in captive female Columbian ground squirrels (Spermophilus columbianus) and determined if lactation mitigated this cortisol response. Lactating and nonlactating females were exposed to a dog (Canis familiaris) for 5 min once a week over a 8-week period. Blood was collected 5 min and 2.5 and 4.5 h after exposure to the dog. Females exposed to the dog had higher concentrations of total (but not free) cortisol than unexposed females only in the 5-min blood sample. Over the active season, total- and free-cortisol levels were 37-47% higher in females exposed to the dog than in unexposed females in early to mid-July when young were being weaned. The cortisol response to the dog was suppressed during lactation. Cortisol levels were, on average, 41-59% lower during lactation than during nonlactation 5 min (but not 2.5 or 4.5 h) after exposure to the dog.
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Tokuyama K, Galantino HL, Green R, Florant GL. Seasonal glucose uptake in marmots (Marmota flaviventris): the role of pancreatic hormones. COMPARATIVE BIOCHEMISTRY AND PHYSIOLOGY. A, COMPARATIVE PHYSIOLOGY 1991; 100:925-30. [PMID: 1685387 DOI: 10.1016/0300-9629(91)90316-5] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
1. Glucose uptake was measured throughout the year in marmots (Marmota flaviventris) by the hyperglycemic clamp technique. During each 2 hr experiment, the plasma glucose level was maintained at 215 mg/dl while blood samples were collected and analysed for glucose, insulin, glucagon, cortisol and catecholamines. 2. Glucose uptake was calculated from the glucose infusion rate, changes in the glucose pool (using a correction factor), and urinary glucose excretion. 3. In autumn, animals peaked in body weight (greater than 4.0 kg) and ceased to feed. Basal plasma insulin levels in autumn were significantly elevated over all other seasons (P less than 0.01) and glucose uptake in autumn was 9.7 +/- 2.4 mg/min which was significantly lower (P less than 0.05) than summer (21.7 +/- 2.4 mg/min) during the steady state phase of the glucose clamp (90-120 min). 4. Plasma glucagon levels declined during the clamp in all seasons but there was no significant difference between seasons. Plasma cortisol and catecholamine (norepinephrine and epinephrine) levels remained unchanged under basal and experimental conditions throughout the seasons. 5. During glucose infusion, beta-hydroxybutyrate levels were suppressed suggesting that lipolysis was reduced during the experiment. 6. These results suggest that the marmot exhibits seasonal changes in glucose uptake; the lowest rate of glucose uptake occurring in the autumn after the animals peak in body weight and cease to feed.
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Affiliation(s)
- K Tokuyama
- Department of Biology, Temple University, Philadelphia, PA 19122
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Armitage KB. Factors affecting corticosteroid concentrations in yellow-bellied marmots. COMPARATIVE BIOCHEMISTRY AND PHYSIOLOGY. A, COMPARATIVE PHYSIOLOGY 1991; 98:47-54. [PMID: 1673377 DOI: 10.1016/0300-9629(91)90576-x] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
1. Bound and total corticosteroid concentrations of yellow-bellied marmots (Marmota flaviventris) were lowest in May after emergence from hibernation and peaked in August prior to immergence. 2. Total corticosteroids were affected by age but not by sex or reproductive status. 3. There was no consistent relationship between measures of population density and concentrations of corticosteroids; when a significant relationship occurred, only 22-34% of the variation was explained. 4. Social status and social behavior were the major factors affecting corticosteroid concentrations.
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Affiliation(s)
- K B Armitage
- Department of Systematics and Ecology, University of Kansas, Lawrence 66045-2106
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12
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Florant G, Green R, Abel T, Hartzell S, Tamarkin L, Brainard G. Melatonin profile in marmots: the influence of catecholamines, hibernation, and light. J Pineal Res 1989; 7:105-13. [PMID: 2769566 DOI: 10.1111/j.1600-079x.1989.tb00659.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The aim of this study was to determine the effects of circulating catecholamines and light on the daily melatonin rhythm in the marmot. Endogenous levels of circulating catecholamines and plasma melatonin were measured during arousal from hibernation in light and studies were performed on the circadian melatonin rhythm in two photoperiods (LD 4:20 and LD 8:16). In addition, studies were done on the capacity of broad-band white light at normal room intensities (32 muW/cm2 or 108 Ix) and of low-intensity monochromatic green light (500 nm; 1.4muW/cm2 or 3.1 Ix) to suppress high nocturnal melatonin levels. We conclude that high levels of plasma catecholamines that occur during arousal from hibernation do not influence the production and secretion of pineal melatonin. During the nocturnal portion of its light/dark cycle, the marmot plasma melatonin rhythm is suppressed by both white light and low-intensity green light.
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Affiliation(s)
- G Florant
- Department of Biology, Swarthmore College, Pennsylvania 19081
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Florant GL, Hoo-Paris R, Castex C, Bauman WA, Sutter BC. Pancreatic A and B cell stimulation in euthermic and hibernating marmots (Marmota flaviventris): effects of glucose and arginine administration. J Comp Physiol B 1986; 156:309-14. [PMID: 3522674 DOI: 10.1007/bf01101092] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
In euthermic and hibernating marmots (Marmota flaviventris), the pancreatic A and B cells respond in the appropriate secretory manner to glucose or arginine injection. Although reduced, this response, is clearly present in hibernating marmots. When glucose is administered to euthermic or hibernating marmots, plasma insulin concentrations rise and glucagon levels fall. While similar results are obtained in hibernation, the time period of the response is much longer due to the slowing of temperature dependent metabolic processes. Injection of L-arginine stimulates an increase in plasma glucose, insulin, and glucagon as expected. Measurements of plasma glucose, insulin, and glucagon under basal conditions, suggest that there are no significant differences between any phase of hibernation (eg. entrance, deep hibernation, arousal) and euthermia. These results provide indirect evidence that the pancreatic A and B cells of hibernating marmots continue to function in order to help regulate plasma glucose concentration.
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Nichols DJ, Weisbart M. Plasma cortisol concentrations in Atlantic salmon, Salmo salar: episodic variations, diurnal change, and short term response to adrenocorticotrophic hormone. Gen Comp Endocrinol 1984; 56:169-76. [PMID: 6096202 DOI: 10.1016/0016-6480(84)90027-3] [Citation(s) in RCA: 33] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Short term episodic peaks 1-2 hr in duration in plasma cortisol levels were observed in adult Atlantic salmon. These results support the concept that episodic secretion of corticosteroids may be a characteristic feature of the vertebrate adrenal/interrenal regulatory system and provide an explanation for the variability frequently observed in plasma cortisol concentrations in salmonids. Plasma cortisol levels also varied throughout the light-dark cycle and mean concentrations were higher during the night. High frequency variations in plasma cortisol levels (with a time scale of minutes rather than hours) were not observed. Porcine adrenocorticotrophic hormone (ACTH) and ACTH1-24 but not alpha-melanocyte-stimulating hormone (alpha-MSH) increased plasma cortisol levels 10 min after injection. The change in plasma cortisol levels after injection of 1 mU/kg porcine ACTH was of similar magnitude and duration as endogenous episodic variations. Plasma cortisol levels during episodic peaks, circadian changes, or after ACTH injection were less than the binding capacity of the "high" affinity protein binding system for cortisol. Hence, the unbound cortisol concentration is a linear function of the total cortisol concentration. Whereas episodic release of cortisol is indicated here, the physiological importance of this mode of hormone secretion is unclear. Plasma glucose levels were unaffected up to 2 hr after injection of ACTH and did not show close temporal correlation with endogenous episodic peaks in plasma cortisol.
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Bry C. Daily variations in plasma cortisol levels of individual female rainbow trout Salmo gairdneri: evidence for a post-feeding peak in well-adapted fish. Gen Comp Endocrinol 1982; 48:462-8. [PMID: 7160612 DOI: 10.1016/0016-6480(82)90181-2] [Citation(s) in RCA: 54] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Plasma catecholamine levels during cold adaptation and hibernation in woodchucks (Marmota monax). J Therm Biol 1982. [DOI: 10.1016/0306-4565(82)90003-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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