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青春期前男孩促黄体生成素(LH)和睾酮释放的睡眠-觉醒模式。

Sleep-wake patterns of LH and testosterone release in prepubertal boys.

作者信息

Judd H L, Parker D C, Yen S S

出版信息

J Clin Endocrinol Metab. 1977 May;44(5):865-9. doi: 10.1210/jcem-44-5-865.

DOI:10.1210/jcem-44-5-865
PMID:870514
Abstract

Ten prepubertal boys who ranged in age from 6 11/12 to 14 2/12 years were studied for 2 consecutive nights. The subjects went to sleep at their usual times and sleep patterns were monitered polygraphically. Each night blood samples were drawn every 30 min from 1800 to 0600 h and plasma LH and testosterone (T) levels were measured on each sample. During evening wakefulness the mean LH (range 2.8-5.1 mIU/ml) and T (range 31-116 pg/ml) levels were in the normal prepubertal range for each subject. In the 5 youngest subjects (age 6 11/12 to 10 8/12 years) the mean hormone levels during sleep were significantly higher than the wakeful levels in 2 of 9 and 0 of 9 study nights for LH and T, respectively. In contrast, in the older prepubertal boys (age 13 2/12 to 14 2/12 years) the mean levels during sleep were significantly higher than wakeful values during 8 of 9 and 5 of 9 study nights for the same respective hormones. These data suggest that in young prepubertal subjects the sleep related rises of LH and T are either absent or not discernible in the peripheral blood. The prepubertal pattern of sleep-entrained LH and T release may be seen in prepubertal boys approaching the time of puberty and these hormonal rhythms are antecedent to the physical changes of puberty.

摘要

对10名青春期前男孩进行了连续两晚的研究,他们的年龄在6又11/12岁至14又2/12岁之间。受试者按平时时间入睡,通过多导睡眠图监测睡眠模式。每天晚上从18:00至06:00每30分钟采集一次血样,检测每份样本的血浆促黄体生成素(LH)和睾酮(T)水平。在夜间清醒期间,每个受试者的平均LH水平(范围为2.8 - 5.1 mIU/ml)和T水平(范围为31 - 116 pg/ml)处于青春期前的正常范围内。在5名最年幼的受试者(年龄为6又11/12岁至10又8/12岁)中,在9个研究夜晚中的2个夜晚,睡眠期间的平均LH水平显著高于清醒水平,而T水平在9个研究夜晚中均无此现象。相比之下,在年龄较大的青春期前男孩(年龄为13又2/12岁至14又2/12岁)中,对于相同的相应激素,在9个研究夜晚中的8个夜晚,睡眠期间的平均水平显著高于清醒时的值,在9个研究夜晚中的5个夜晚也是如此。这些数据表明,在年幼的青春期前受试者中,外周血中与睡眠相关的LH和T升高不存在或难以察觉。接近青春期的青春期前男孩可能会出现睡眠诱导的LH和T释放的青春期前模式,并且这些激素节律先于青春期的身体变化出现。

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