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一项关于反映生育期男性垂体、肾上腺皮质和睾丸功能的血浆激素水平的短期变化及相互关系的研究。

A study of the short-time variation and interrelationship of plasma hormone levels reflecting pituitary, adrenocortical and testicular function in fertile men.

作者信息

de la Torre B, Sjöberg B, Hedman M, Bártfai G, Diczfalusy E

出版信息

Int J Androl. 1981 Oct;4(5):532-45. doi: 10.1111/j.1365-2605.1981.tb00736.x.

DOI:10.1111/j.1365-2605.1981.tb00736.x
PMID:7319643
Abstract

Using radioimmunoassay method, we have estimated the levels of cortisol (C), pregnenolone (delta 5P), 17-hydroxypregnenolone (17-OH-delta 5P), dehydroepiandrosterone (DHEA), 17-hydroxyprogesterone (17-OH-P), androstenedione (A), testosterone (T) and dihydrotestosterone (DHT) in peripheral plasma samples collected at short-time (15 min) intervals from 10 fertile men, during two 4-h periods (06.00 to 10.00 and 18.00 to 22.00). In addition, the levels of biologically active luteinizing hormone (LH) were measured by an in vitro bioassay method in 9 of the subjects. The levels of all steroids studied exhibited diurnal variation with higher levels during the morning and lower levels during the evening period. The cortisol and the delta 5-steroid levels also exhibited individual short-term episodic spikes during the 2 periods. No short-term variation was observed in the levels of 17-OH-P, A, T and DHT. Statistically significant correlations were found between the levels of C and those of the delta 5-steroids and A in most of the subjects. No correlation was found between the above steroid levels and those of 17-OH-P, T and DHT. Also the LH levels exhibited episodic spikes of 60 to 90 min duration, but no diurnal variation. When the LH levels were related to those of T found in the same samples or in samples withdrawn 15 to 810 min afterwards, a significant positive correlation was found on repeated occasions in 5 of the 9 subjects. No systematic negative correlation was found when the T levels were related to those of LH in the same sequential fashion. Whereas the positive correlations found between LH and T levels in some of the subjects might suggest that physiological changes in peripheral LH levels are instrumental in regulating T-secretion, the rather consistent lack of significant negative correlation between T and LH levels seems to favour the view that the release of LH is not modulated by peripheral testosterone levels alone.

摘要

采用放射免疫分析法,我们测定了10名生育期男性在两个4小时时间段(06:00至10:00和18:00至22:00)内每隔15分钟采集的外周血样本中皮质醇(C)、孕烯醇酮(δ5P)、17-羟孕烯醇酮(17-OH-δ5P)、脱氢表雄酮(DHEA)、17-羟孕酮(17-OH-P)、雄烯二酮(A)、睾酮(T)和双氢睾酮(DHT)的水平。此外,采用体外生物测定法测定了9名受试者中生物活性促黄体生成素(LH)的水平。所研究的所有类固醇水平均呈现昼夜变化,上午水平较高,傍晚水平较低。在这两个时间段内,皮质醇和δ5-类固醇水平还出现了个体短期的突发性峰值。17-OH-P、A、T和DHT水平未观察到短期变化。在大多数受试者中,发现C水平与δ5-类固醇和A水平之间存在统计学显著相关性。上述类固醇水平与17-OH-P、T和DHT水平之间未发现相关性。LH水平也出现了持续60至90分钟的突发性峰值,但无昼夜变化。当将LH水平与同一样本或之后15至810分钟采集的样本中的T水平相关联时,在9名受试者中的5名中多次发现显著正相关。当以相同顺序将T水平与LH水平相关联时,未发现系统性负相关。虽然在一些受试者中发现LH和T水平之间的正相关可能表明外周LH水平的生理变化有助于调节T分泌,但T和LH水平之间相当一致地缺乏显著负相关似乎支持这样一种观点,即LH的释放并非仅由外周睾酮水平调节。

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