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DOC 0000017443
Page 363
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amlnas, which we have termed alanlnee, neutralise adrenalcortical hormone#
in tbs tissues and tins release AC1B and stimulate tbs general adaptation jgm»
!
drome.
They are in turn neutralised by increased excretion of adrenal cortical
^
bomcmt if bodily resistance is adecpoter (the resistance phase of Selye)*
Beneever, if tissue dosage is overwhelming the body passes rapidly through
the phases of dam and resistance to exhaustion*
Such acute exhaustion is
synonymous with Irreversible shook or peripheral vascular failure (so-called
forward cardiac failure)*
IT overwhelming acute stress involves the ianma
mechanism, the high concentration of uansutralised alanalne prcvctoc the
;
Arthus’s phenomenon with its characteristic vascular thrcobocis and resultant
tissue necrosis*
If stress is mxiuiyprQlOT^
exposure to
infections or siallar antigens, the continued and increasing release of
tmneutralised alaimina exhausts the adrenals or exceeds their protective
capacity (even In the presence of cortical hypertrophy), and collagen disease
results*
Bis Stress As
of Alazcdne
In the experiments reported above tbs adrenal ccrtisdL enlargement observed
nay be considered an indirect effect of ale-mine, which neutralises cortisone
—-*
in tbs tissues and
thus stimulates tbs adenorypephyeia, which releosos ACTH _
'**’*
.»•
to bring about tbs cortical hyperplasia.
Another interpretation* however, is
possible.
The alanine nay act directly on the adrenal medulla, which in
-
-
V.
turn releases adrenalin to stimulate the adenohypophysis to secrete increased
£
ACTR*
This second interpretation is suggested by the degenerative changes in the
adrenal medulla, which were observed, in a- further group of experiments described
below.
Whether either or both Mechanises apply, the fact remains the adrenals under-
go enlargement !in some animals to four times their normal weight)*
The changes
*
In the lymphoid tissue, particularly majjred in the spleen, are the result <f
-
the adrenal cortical hyperplasia*
The alanaino in any event initiates the
adaptation syndrome*
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