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正常男性中促卵泡生成素、促黄体生成素及睾酮对静脉注射促黄体生成素释放因子(LRF)反应的日变化

Daily variations of FSH, LH and testosterone response to intravenous luteinizing hormone-releasing factor (LRF) in normal men.

作者信息

Schwarzstein L, de Laborde N P, Aparicio N J, Turner D, Mirkin A, Rodríguez A, Lhullier F R, Rosner J M

出版信息

J Clin Endocrinol Metab. 1975 Feb;40(2):313-7. doi: 10.1210/jcem-40-2-313.

Abstract

The responses of FSH, LH and testosterone to acute stimulation with synthetic LRF were studied in 6 healthy, fertile men aged 33.4 plus or minus 1.6 yr (X plus or minus SE). Fifty mug of LRF were given, iv at 0600 h, 1200 h, 1800 h and 0000 h, at 1-week intervals, to all 6 volunteers simultaneously. Blood samples were collected by venipuncture before (-5 and 0 min) and 8, 16, 32, 64 and 128 min after LRF injection. Plasma levels of FSH, LH and testosterone were determined by double antibody radioimmunoassay techniques. The responses of FSH and LH to LRF injection showed a clear difference at the times studied. Maximal values were obtained at 0600 h and 1800 h while the response at noon was not significant for LH and absent for FSH. Testosterone secretion showed a clear-cut response to LRF in all the subjects. At three of the four studied times (0600 h, 1800 h, 000 h) plasma testosterone was already increased at 8 min reaching its maximum at 16 min and persisted high until the end of the study. The noon response reached its maximum at the end of the test period. The daily variations of FSH and LH responses to acute LRF stimulation should be taken into consideration in clinical practive and the increment in testosterone secretion makes this test a useful indicator for androgenic testicular reserve.

摘要

在6名年龄为33.4±1.6岁(X±SE)的健康、有生育能力的男性中,研究了促卵泡激素(FSH)、促黄体生成素(LH)和睾酮对合成促性腺激素释放激素(LRF)急性刺激的反应。每隔1周,在06:00、12:00、18:00和00:00时,给所有6名志愿者静脉注射50微克LRF。在注射LRF前(-5分钟和0分钟)以及注射后8、16、32、64和128分钟通过静脉穿刺采集血样。采用双抗体放射免疫分析技术测定血浆中FSH、LH和睾酮的水平。在研究的时间点,FSH和LH对LRF注射的反应显示出明显差异。在06:00和18:00时获得最大值,而中午时LH的反应不显著,FSH无反应。所有受试者的睾酮分泌对LRF均有明确反应。在四个研究时间中的三个时间点(06:00、18:00、00:00),血浆睾酮在8分钟时已经升高,在16分钟时达到最大值,并一直保持高水平直至研究结束。中午的反应在试验期结束时达到最大值。在临床实践中应考虑FSH和LH对急性LRF刺激反应的每日变化,并且睾酮分泌的增加使该试验成为评估睾丸雄激素储备的有用指标。

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