Changes in steroid pattern following acute and chronic adrenocorticotropin administration in premature adrenarche
| Autor: | M.V. Adamo, R. Balducci, Vincenzo Toscano, Brunetto Boscherini, A. Mangiantini, Claudia Cives |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
Male
medicine.medical_specialty Hydrocortisone Cortodoxone Dehydroepiandrosterone Puberty Precocious Adrenocorticotropic hormone Biology Biochemistry chemistry.chemical_compound Endocrinology Dehydroepiandrosterone sulfate Adrenocorticotropic Hormone Adrenal Cortex Hormones Internal medicine medicine Hydroxyprogesterones Humans Child Dexamethasone Adrenal cortex Dehydroepiandrosterone Sulfate Adrenarche 17-alpha-Hydroxyprogesterone Androstenedione medicine.anatomical_structure chemistry Pregnenolone Adrenal Cortex Female medicine.drug |
| Zdroj: | Journal of steroid biochemistry. 32(2) |
| ISSN: | 0022-4731 |
| Popis: | Biochemically adrenarche is characterized by increased production of 5-ene steroids, in particular Dehydroepiandrosterone (DHA) and its sulphate (DHA-S). It is still not clear if ACTH is responsible for this adrenal steroid production. The aim of the present study was to evaluate the effect of acute and chronic ACTH administration, without dexamethasone pretreatment, on hormonal patterns in 20 patients (5 males aged between 6 8/12 and 7 10/12 years and 15 females aged between 5 9/12 and 7 6/12 years) with idiopathic premature adrenarche. Pregnenolone (5P), DHA, DHA-S, 17-hydroxyprogesterone (17-OHP), androstenedione (A), 11-deoxycortisol (S) and cortisol (F) have been determined by Radioimmunoassay. The results of the hormonal evaluation (means +/- standard error) showed high plasma levels of DHA [329.2 +/- 41.7 ng/100 ml (dl)] and DHA-S (169.1 +/- 54 micrograms/dl) and slightly increased levels of 5P (74.4 +/- 7.1 ng/dl), of A (45.4 +/- 4.6 ng/dl) and 17-OHP (69.3 +/- 11.3 ng/dl) in comparison to those of controls, thus indicating a decrease in 3 beta-hydroxysteroid dehydrogenase activity and an increase in 17-20-lyase and 17-hydroxylase activities, characteristic for adrenarche. Acute and chronic ACTH stimulation did not amplify the characteristic basal hormonal pattern, but they induced a shift of adrenal steroid metabolism to 4-ene pathway, suggesting that the basal hormonal pattern in premature adrenarche may be independent or, at least, not exclusively dependent on ACTH control. |
| Databáze: | OpenAIRE |
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