Nankin H R, Pinto R, Fan D F, Troen P
J Clin Endocrinol Metab. 1975 Aug;41(2):271-81. doi: 10.1210/jcem-41-2-271.
Four normal 18-20 yr-old men were studied on 3 occasions, from 0830 h to 1500 h. The baseline for each study consisted of 3 or 4 measurements of the respective hormone obtained between 0830 and 0900 h. In the control studies mean testosterone (T) fell by 43% (P less than 0.01) during the final 30 min. The fall was gradual throughout the day and was significant by 1100 h (P less than 0.05). Administration of LH and LH-releasing hormone (LHRH) at 0900 h resulted in 9-fold (5 min) and 3-fold (30 min) higher concentrations of LH respectively. LH declined more slowly after LHRH. Titers of T rose to the 0830-0900 h mean 130 min after LH but were never significantly elevated; the occurrence of a significant drop in mean T was delayed for 70 min. After LHRH there was a nonsignificant 24% increase of the mean T followed by a slow decline; however, T did not fall significantly below the mean baseline level. In contrast, in 2 of the 4 subjects LHRH resulted in rises in T levels (P less than 0.05) above the basal titers. Testosterone-binding globulin (TeBG) mean titers showed no diurnal rhythm in the control studies. There were statistically significant elevations of mean TeBG 150 min after LH and 340 to 370 min after LHRH, as well as sustained increases during the final 30 to 210 min of 1 or 2 individuals in each group. The reason for these increases in TeBG is not presently known. Estrogen analyses performed in all studies on 2 of the subjects revealed: 1) afternoon titers of estrone were lower than baseline in all 6 studies, 2) there was no diurnal rhythm for estradiol in control studies, and 3) estradiol increased during the final 2.5 to 3 h after LHRH (P less than 0.01), but after LH it was not altered in 1 man and was lower in the other.
对4名年龄在18至20岁的正常男性进行了3次研究,时间从08:30至15:00。每次研究的基线由08:30至09:00期间对相应激素进行的3次或4次测量组成。在对照研究中,睾酮(T)在最后30分钟内平均下降了43%(P<0.01)。全天下降较为缓慢,到11:00时下降显著(P<0.05)。09:00时给予促黄体生成素(LH)和促性腺激素释放激素(LHRH)后,LH浓度分别在5分钟时升高了9倍,30分钟时升高了3倍。LHRH后LH下降更为缓慢。LH注射后130分钟,T水平升至08:30至09:00时的平均值,但从未显著升高;平均T显著下降的时间延迟了70分钟。LHRH后,平均T无显著增加24%,随后缓慢下降;然而,T并未显著降至平均基线水平以下。相比之下,4名受试者中有2名LHRH导致T水平升高(P<0.05),高于基础滴度。在对照研究中,睾酮结合球蛋白(TeBG)平均滴度未显示出昼夜节律。LH注射后150分钟以及LHRH注射后340至370分钟,TeBG平均滴度有统计学显著升高,并且每组中1或2名个体在最后30至210分钟内持续升高。目前尚不清楚TeBG升高的原因。对所有研究中的2名受试者进行的雌激素分析显示:1)在所有6项研究中,下午雌酮滴度均低于基线;2)在对照研究中,雌二醇无昼夜节律;3)LHRH注射后最后2.5至3小时内雌二醇升高(P<0.01),但LH注射后,1名男性未改变,另1名男性较低。