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促性腺激素释放激素输注对青春期前和青春期男性血浆性激素浓度的影响。

Effect of infusion of gonadotropin releasing hormone upon plasma concentrations of sex hormones in prepubertal and pubertal males.

作者信息

Reiter E O, Fuldauer V G, Root A W

出版信息

Steroids. 1976 Dec;28(6):829-35. doi: 10.1016/0039-128x(76)90033-7.

Abstract

Plasma testosterone (T), dihydrotestosterone (DHT), 17-hydroxyprogesterone (17OHP), androstenedione (A), estradiol (E2), and dehydroepiandrosterone sulfate (DHAS) were measured by radioimmunoassay after celite chromatography prior to and after a 3-hour infusion of the synthetic gonadotropin releasing factor, GnRH, in normal prepubertal and pubertal boys. Plasma T levels rose (p less than 0.001) in the pubertal but not prepubertal boys. 17OHP concentrations increased in those boys who had an increment of T. A, DHT, E2 or DHAS levels did not increase after GnRH. Basal levels of T, DHT, A and DHAS correlated with the peak and mean serum LH levels attained during the GnRH infusion. These data confirm the greater Leydig cell responsivity to transient rises of endogenous gonadotropin in pubertal males and also suggest that there may be a relationship between adrenal androgen production and maturation of the hypothalamic-pituitary-gonadal system.

摘要

在正常青春期前和青春期男孩中,于静脉输注合成促性腺激素释放因子(GnRH)3小时之前及之后,通过硅藻土柱层析后采用放射免疫分析法测定血浆睾酮(T)、双氢睾酮(DHT)、17 - 羟孕酮(17OHP)、雄烯二酮(A)、雌二醇(E2)及硫酸脱氢表雄酮(DHAS)。青春期男孩的血浆T水平升高(p < 0.001),而青春期前男孩则未升高。T升高的男孩中17OHP浓度增加。GnRH后A、DHT、E2或DHAS水平未升高。T、DHT、A和DHAS的基础水平与GnRH输注期间达到的血清LH峰值及均值相关。这些数据证实青春期男性睾丸间质细胞对内源性促性腺激素短暂升高的反应性更强,并且还提示肾上腺雄激素产生与下丘脑 - 垂体 - 性腺系统成熟之间可能存在关联。

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