Document Detail


Suppression of basal plasma cortisol and adrenal androgen concentrations, but not of ACTH and cortisol responses to hCRH by low-dose dexamethasone in rhesus monkeys.
MedLine Citation:
PMID:  2838697     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Glucocorticoid treatment at replacement doses does not result in a suppression of ACTH and cortisol responses to corticotropin-releasing hormone (CRH), while basal plasma concentrations of cortisol and adrenal androgens are efficiently suppressed 34 h after starting treatment. This finding could be demonstrated in rhesus monkeys receiving a continuous infusion of dexamethasone (1 microgram/kg per h) for 48 h and confirms our observations in patients on alternate-day prednisone therapy and in patients with congenital adrenal hyperplasia on glucocorticoid replacement therapy. We conclude that the decrease of basal adrenal steroid secretion resulting from glucocorticoid replacement therapy represents an effect on hypothalamic rather than on pituitary function.
Authors:
T H Schürmeyer; B T Gallucci; T P Tomai
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of steroid biochemistry     Volume:  30     ISSN:  0022-4731     ISO Abbreviation:  J. Steroid Biochem.     Publication Date:  1988  
Date Detail:
Created Date:  1988-08-11     Completed Date:  1988-08-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0260125     Medline TA:  J Steroid Biochem     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  435-7     Citation Subset:  IM    
Affiliation:
Department of Clinical Endocrinology, Medizinische Hochschule Hannover, F.R.G.
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MeSH Terms
Descriptor/Qualifier:
Adrenocorticotropic Hormone / secretion*
Androgens / blood,  metabolism*
Animals
Corticotropin-Releasing Hormone / pharmacology*
Dexamethasone / pharmacology*
Dose-Response Relationship, Drug
Hydrocortisone / blood*,  secretion
Kinetics
Macaca mulatta
Male
Pituitary-Adrenal System / drug effects,  physiology*
Chemical
Reg. No./Substance:
0/Androgens; 50-02-2/Dexamethasone; 50-23-7/Hydrocortisone; 9002-60-2/Adrenocorticotropic Hormone; 9015-71-8/Corticotropin-Releasing Hormone

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


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