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青春期儿童的血浆雌激素和雄激素浓度。

Plasma estrogen and androgen concentrations in children during adolescence.

作者信息

Gupta D, Attanasio A, Raaf S

出版信息

J Clin Endocrinol Metab. 1975 Apr;40(4):636-43. doi: 10.1210/jcem-40-4-636.

DOI:10.1210/jcem-40-4-636
PMID:1127074
Abstract

Using Sephadex LH-20 chromatography and a radioimmunological technique, the simultaneous measurement of estrone, estradiol, testosterone and dihydrotestosterone was performed in a single extract of peripheral plasma in children. In 44 boys and 43 girls, the mean plasma concentration of estrone rose steadily in both sexes, though more pronounced in the girls. For estradiol, this increment was noted only for the girls. For testosterone, the boys showed a spurt after pubertal stage 3, whereas the girls did not show any rise throughout the developmental phases. The girls, however, showed increment in dihydrotestosterone, concentration from pubertal stage 1 to 3, and plateaued thereafter. The boys showed marked increment in the concentration of this steroid throughout development, although less pronounced as that seen for testosterone. Plasma estrogens correlated better with the clinical evaluation of sexual maturation than with chronological ages in the girls. Similarly, the boys showed better relationship between the androgens and maturational stages than with chronological age. The girls also demonstrated a steep increment in the SDs for the estrogen values with sexual maturation (at stages 3 and 4, the SDs for estrone and estradiol were 0.26 and 0.80 respectively, at stage 5 they were 0.82 and 1.49 respectively) reflecting perhaps the onset of cyclic activity. When the estrogen values were related to the androgen values, the boys demonstrated a high association (r equals 0.78). This correlation was absent in the girls.

摘要

采用葡聚糖凝胶LH - 20柱色谱法和放射免疫技术,对儿童外周血单个提取物中的雌酮、雌二醇、睾酮和双氢睾酮进行同步测定。在44名男孩和43名女孩中,两性的血浆雌酮平均浓度均稳步上升,不过女孩上升更为明显。对于雌二醇,仅在女孩中观察到这种升高。对于睾酮,男孩在青春期3期后出现激增,而女孩在整个发育阶段均未出现升高。然而,女孩的双氢睾酮浓度从青春期1期到3期升高,此后趋于平稳。男孩在整个发育过程中该类固醇浓度显著升高,尽管不如睾酮明显。女孩血浆雌激素与性成熟的临床评估相关性优于与实际年龄的相关性。同样,男孩的雄激素与成熟阶段之间的关系比与实际年龄的关系更为密切。女孩在性成熟时雌激素值的标准差也急剧增加(在3期和4期,雌酮和雌二醇的标准差分别为0.26和0.80,在5期分别为0.82和1.49),这可能反映了周期性活动的开始。当雌激素值与雄激素值相关时,男孩显示出高度相关性(r等于0.78)。女孩中不存在这种相关性。

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