Husmann D A, McPhaul M J
Department of Surgery, University of Texas Southwestern Medical Center, Dallas 75235-9031.
Endocrinology. 1991 Sep;129(3):1409-16. doi: 10.1210/endo-129-3-1409.
Inhibition of androgen action by flutamide, a nonsteroidal antiandrogen, blocked testicular descent in 40% of the testes exposed to this agent continuously from gestational day 13 through postpartal day 28. By contrast, only 11% of the testes failed to descend when blocked by 5 alpha-reductase inhibitors during the same period. Flutamide administration over narrower time intervals (gestational day 13-15, 16-17, or 18-19) revealed maximal interference with testicular descent after androgen inhibition during gestational days 16-17. No significant differences in testicular or epididymal weights were evident between descended and undescended testes; furthermore, no correlation was detected between the presence of epididymal abnormalities and testicular descent. These findings indicate that androgen inhibition during a brief period of embryonic development can block testicular descent. The mechanism through which this inhibition occurs remains to be elucidated.
非甾体类抗雄激素药物氟他胺抑制雄激素作用,在从妊娠第13天至产后第28天持续暴露于该药物的睾丸中,40%的睾丸下降受阻。相比之下,在同一时期,当被5α-还原酶抑制剂阻断时,只有11%的睾丸未能下降。在更窄的时间间隔(妊娠第13 - 15天、16 - 17天或18 - 19天)给予氟他胺显示,在妊娠第16 - 17天雄激素受到抑制后,对睾丸下降的干扰最大。下降和未下降的睾丸之间,睾丸或附睾重量没有明显差异;此外,未检测到附睾异常与睾丸下降之间存在相关性。这些发现表明,在胚胎发育的短时间内抑制雄激素可阻断睾丸下降。这种抑制发生的机制仍有待阐明。