Document Detail


High testosterone levels of ovarian origin affect adrenal steroidogenesis?
MedLine Citation:
PMID:  1846875     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Androgens of ovarian origin have been suggested to affect adrenal enzymatic activity. To investigate this possibility, the 17-hydroxyprogesterone (17-OH P) and cortisol (F) responses to an ACTH stimulation test (0.25 mg iv, bolus) were evaluated in 10 normal women and in 39 hyperandrogenic women with normal (14 subjects) or high (25 subjects) testosterone (T) levels. The 17-OH P release and the ratio between 17-OH P and F release in response to the ACTH stimulation test were significantly higher (P less than 0.05) in hyperandrogenic women with high T levels than in normal subjects. Eight hyperandrogenic women with high T received intranasal GnRH agonist (Buserelin, 1200 micrograms/day) for 4 weeks, and the 17-OH P and F release in response to the ACTH stimulation was reassessed after agonist treatment. At the end of GnRH agonist administration the mean circulating levels of T were significantly reduced (P less than 0.05). The F response to the ACTH test was not modified by pretreatment with the GnRH agonist. The 17-OH P response to the ACTH stimulation test after the GnRH agonist was unchanged in comparison with control tests, as well as the ratio between 17-OH P and F responses to the ACTH test. These data do not seem to confirm, as previously suggested, that high T levels of ovarian origin affect adrenal steroidogenesis.
Authors:
F Fruzzetti; G B Melis; V Mais; D Beconcini; A M Paoletti; G Cristiani; E Mian; P Fioretti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of clinical endocrinology and metabolism     Volume:  72     ISSN:  0021-972X     ISO Abbreviation:  J. Clin. Endocrinol. Metab.     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-03-14     Completed Date:  1991-03-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375362     Medline TA:  J Clin Endocrinol Metab     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  426-31     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Pisa, Italy.
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MeSH Terms
Descriptor/Qualifier:
17-alpha-Hydroxyprogesterone
Adolescent
Adrenal Glands / metabolism*
Adrenocorticotropic Hormone / diagnostic use
Adult
Buserelin / pharmacology,  therapeutic use
Estradiol / blood
Female
Follicle Stimulating Hormone / blood
Hirsutism / metabolism
Humans
Hydrocortisone / biosynthesis*
Hydroxyprogesterones / metabolism*
Luteinizing Hormone / blood
Ovary / metabolism*
Testosterone / blood*
Chemical
Reg. No./Substance:
0/Hydroxyprogesterones; 50-23-7/Hydrocortisone; 50-28-2/Estradiol; 57982-77-1/Buserelin; 58-22-0/Testosterone; 68-96-2/17-alpha-Hydroxyprogesterone; 9002-60-2/Adrenocorticotropic Hormone; 9002-67-9/Luteinizing Hormone; 9002-68-0/Follicle Stimulating Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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