1984
DOI: 10.1016/0272-0590(84)90224-0
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The effects of drugs and chemicals upon the structure of the adrenal gland

W RIBELIN
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Cited by 109 publications
(34 citation statements)
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“…Proliferative changes of the rat adrenal medulla have been reported to be produced by numerous chemicals that are devoid of similar actions in humans (nicotine, reserpine, lactose, sorbitol, xylitol, and lactilol) (Ribelin, 1984;Roe and Bar, 1985;Boelsterli and Zbinden, 1985). The preponderance of evidence indicates that most, if not all, of these agents cause medullary hyperplasia in the rat adrenal through indirect and physiologically explainable mechanisms such as the production of hormonal imbalances, chemically induced changes in general nutritional status, and changes in calcium homeostasis (Gopinath et al, 1987;Roe and Bar, 1985;Tischler and DeLellis, 1988).…”
Section: Discussionmentioning
confidence: 99%
“…Proliferative changes of the rat adrenal medulla have been reported to be produced by numerous chemicals that are devoid of similar actions in humans (nicotine, reserpine, lactose, sorbitol, xylitol, and lactilol) (Ribelin, 1984;Roe and Bar, 1985;Boelsterli and Zbinden, 1985). The preponderance of evidence indicates that most, if not all, of these agents cause medullary hyperplasia in the rat adrenal through indirect and physiologically explainable mechanisms such as the production of hormonal imbalances, chemically induced changes in general nutritional status, and changes in calcium homeostasis (Gopinath et al, 1987;Roe and Bar, 1985;Tischler and DeLellis, 1988).…”
Section: Discussionmentioning
confidence: 99%
“…Owing to its high blood ½ow per unit mass, high lipophilicity and presence of enzymes with metabolizing potential, the adrenal is the endocrine organ that is the most vulnerable to toxic insult (Hinson and Raven, 2006;Ribelin, 1984). Suppression of adrenocortical function and steroidogenesis may have fatal consequences, as demonstrated by etomidate.…”
Section: Introductionmentioning
confidence: 99%
“…The physiological role of the adrenal cortex can also hide expression of toxicity which may only become apparent when significant activation of the stress response is required to tolerate trauma and crises and assist survival. The lack of standardised adrenocortical functional testing is considered a major deficiency in regulatory endocrine disrupter strategies (see [2,3,59]) and more surprising given that the adrenal is the most common toxicological target in the endocrine system [4] its role as a vital organ and in developmental processes. Further, the tendency to "write-off" adrenal findings as stress in mammalian regulatory toxicology studies, in the absence of corroboratory evidence of adrenocortical functionality, is common and potentially dangerous which requires recognition in regulatory toxicology.…”
Section: Resultsmentioning
confidence: 99%
“…The adrenal gland is the most commonly affected endocrine organ in toxicology studies [4]. Part of the reason for this is the central physiological role of the adrenal in the stress response, where toxic insult from the administration of drugs and chemicals administered at the maximum tolerated dose is often stressful and activates the hypothalamo-pituitary-adrenocortical (HPA) axis to increase ACTH secretion.…”
Section: Characteristics Of the Adrenal Gland Conveying Vulnerabilitymentioning
confidence: 99%
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