Eastman S A, Makawiti D W, Collins W P, Hodges J K
J Endocrinol. 1984 Jul;102(1):19-26. doi: 10.1677/joe.0.1020019.
Non-invasive methods for monitoring reproductive status based on the measurement of urinary steroid conjugates were examined. Levels of urinary oestrone-3-glucuronide, oestrone-3-sulphate, oestradiol glucuronide, oestradiol sulphate and pregnanediol-3 alpha-glucuronide were determined during the ovarian cycle and pregnancy. Sequential hydrolysis showed oestradiol conjugates to be more abundant than oestrone conjugates. The levels of sulphates and glucuronides were similar in the follicular phase whereas sulphates predominated during the luteal phase and pregnancy. Although levels of oestrone-3-sulphate were two- to fourfold lower than those of oestradiol sulphate, measured after hydrolysis, the profiles throughout the cycle and pregnancy were similar. Levels of oestrone-3-sulphate, measured by direct assay, were below 1 mumol/mmol creatinine during the follicular phase, rising 3-4 days after ovulation to reach maximum values (2-8 mumol/mmol creatinine) in the mid-luteal phase. There was no consistent increase before ovulation. Levels during pregnancy rose gradually until days 70-90, after which there was no further increase (gestation length = 144 days). The pattern of pregnanediol-3 alpha-glucuronide was similar to that of oestrone-3-sulphate during the ovarian cycle but levels did not increase during pregnancy. The patterns of excretion of oestrogen and progesterone metabolites were similar to the pattern of the circulating hormones during the ovarian cycle. Circulating and urinary hormone patterns were similar for oestrogens throughout pregnancy but pregnanediol-3 alpha-glucuronide did not reflect progesterone secretion beyond day 70 of gestation.
研究了基于尿甾体结合物测量来监测生殖状态的非侵入性方法。在卵巢周期和孕期测定了尿雌酮 - 3 - 葡萄糖醛酸苷、雌酮 - 3 - 硫酸酯、雌二醇葡萄糖醛酸苷、雌二醇硫酸酯和孕二醇 - 3α - 葡萄糖醛酸苷的水平。连续水解显示雌二醇结合物比雌酮结合物更丰富。卵泡期硫酸盐和葡萄糖醛酸苷的水平相似,而黄体期和孕期以硫酸盐为主。尽管水解后测得的雌酮 - 3 - 硫酸酯水平比雌二醇硫酸酯低两到四倍,但整个周期和孕期的变化趋势相似。直接测定法测得的卵泡期雌酮 - 3 - 硫酸酯水平低于1μmol/mmol肌酐,排卵后3 - 4天升高,在黄体中期达到最大值(2 - 8μmol/mmol肌酐)。排卵前没有持续升高。孕期水平逐渐上升直至70 - 90天,此后不再升高(妊娠期长度 = 144天)。卵巢周期中孕二醇 - 3α - 葡萄糖醛酸苷的模式与雌酮 - 3 - 硫酸酯相似,但孕期水平没有升高。卵巢周期中雌激素和孕激素代谢物的排泄模式与循环激素的模式相似。整个孕期雌激素的循环和尿激素模式相似,但孕二醇 - 3α - 葡萄糖醛酸苷在妊娠70天后不能反映孕激素的分泌情况。