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正常成年男性血浆雌激素的调节。II. 地塞米松和促肾上腺皮质激素给药后雌二醇、雌酮、睾酮和皮质醇的反应。

Regulation of plasma oestrogens in normal adult males. II. Response of oestradiol, oestrone, testosterone and cortisol to dexamethasone and ACTH administration.

作者信息

Doerr P, Pirke K M

出版信息

Acta Endocrinol (Copenh). 1975 Mar;78(3):531-8.

PMID:164093
Abstract

The response of plasma oestradiol (Oe-2), oestrone (Oe-1), testosterone (T) and cortisol to dexamethasone and ACTH administration in normal adult males was ascertained. After an oral dose of 1.5 mg dexamethasone Oe-1 decreased from 2. 51 to 1.85 ng/100 ml (74% of the control level, mean of 15 subjects) over night and after continuing the dexamethasone administration for two more days (twice daily 1.5 mg) Oe-1 decreased to 1.30 ng/100 ml (52%). Oe-2 (control level 1.71 ng/100 ml) and T (678 ng/100 ml) did not change over night, but at the end of the test Oe-2 decreased to 84% and T to 91% of the control level. After a single im injection of 2 mg beta 1-24 cortrophin Oe-1 increased 1.9 times (meanof 13 subjects) without further increase during two more days of treatment (twice daily 1 mg), while Oe-2 did not change over night and decreased to 75% of the control level at the end of the test. Under ACTH T decreased to 66% of the control level over night and to 50% at the end of the test indicating a suppression of the testicular hormone secretion. From these results and those reported previously it was concluded that the testicular hormone secretion influences mainly Oe-2 in peripheral plasma, while Oe-1 depends mainly on the adrenal hormone secretion.

摘要

研究了正常成年男性血浆雌二醇(Oe-2)、雌酮(Oe-1)、睾酮(T)和皮质醇对地塞米松和促肾上腺皮质激素(ACTH)给药的反应。口服1.5mg地塞米松后,Oe-1在一夜之间从2.51ng/100ml降至1.85ng/100ml(15名受试者的平均值,为对照水平的74%),在继续给予地塞米松两天(每日两次,每次1.5mg)后,Oe-1降至1.30ng/100ml(52%)。Oe-2(对照水平为1.71ng/100ml)和T(678ng/100ml)在一夜之间没有变化,但在试验结束时,Oe-2降至对照水平的84%,T降至91%。单次肌肉注射2mgβ1-24促肾上腺皮质激素后,Oe-1增加了1.9倍(13名受试者的平均值),在接下来的两天治疗(每日两次,每次1mg)中没有进一步增加,而Oe-2在一夜之间没有变化,在试验结束时降至对照水平的75%。在ACTH作用下,T在一夜之间降至对照水平的66%,在试验结束时降至50%,表明睾丸激素分泌受到抑制。根据这些结果以及先前报道的结果得出结论,睾丸激素分泌主要影响外周血浆中的Oe-2,而Oe-1主要依赖于肾上腺激素分泌。

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