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健康男性在使用掩蔽剂庚酸睾酮的情况下口服睾酮滥用的血浆和尿液标志物。

Plasma and urinary markers of oral testosterone misuse by healthy men in presence of masking epitestosterone administration.

作者信息

Dehennin L, Pérès G

机构信息

Fondation de Recherche en Hormonologie, Fresnes, France.

出版信息

Int J Sports Med. 1996 Jul;17(5):315-9. doi: 10.1055/s-2007-972853.

Abstract

There is a potential need for the official criterion of testosterone abuse in sport (the urinary concentration ratio of testosterone glucuronide/epitestosterone glucuronide, TG/EG > 6) to be backed-up by some complementary markers, more particularly in cases of physiologically high TG/EG and when there is suspicion of joint administration of testosterone and epitestosterone. Testosterone, epitestosterone, their glucuro- and sulfoconjugates, 5-androstene-3 beta, 17 alpha-diol glucuronide and 17-hydroxyprogesterone have been analysed by isotope dilution-gas chromatography-mass spectrometry in plasma and urine of seven subjects supplemented with a single oral dose of undecanoates of testosterone and epitestosterone (respectively 40 mg and 1.5 mg). Adequate plasma criteria for testosterone abuse were the ratios of testosterone glucuronide/17-hydroxyprogesterone and testosterone glucuronide/testosterone which increased significantly above basal values for up to 10 h. The same trend was observed for the ratio of urinary glucuronides of testosterone/5-androstene-3 beta, 17 alpha-diol, while TG/EG was not affected by simultaneous administration of epitestosterone. One subject with low basal TG/EG failed to respond to testosterone administration by any significant increase of analysed parameters.

摘要

体育界睾酮滥用的官方标准(尿中睾酮葡糖苷酸/表睾酮葡糖苷酸的浓度比,TG/EG > 6)可能需要一些补充标志物的支持,特别是在生理上TG/EG较高以及怀疑同时使用睾酮和表睾酮的情况下。通过同位素稀释-气相色谱-质谱法分析了7名单次口服睾酮和表睾酮十一酸酯(分别为40毫克和1.5毫克)的受试者血浆和尿液中的睾酮、表睾酮、它们的葡糖醛酸和硫酸共轭物、5-雄烯-3β,17α-二醇葡糖苷酸和17-羟孕酮。睾酮滥用的适当血浆标准是睾酮葡糖苷酸/17-羟孕酮和睾酮葡糖苷酸/睾酮的比值,在长达10小时内显著高于基础值。尿中睾酮葡糖苷酸/5-雄烯-3β,17α-二醇的比值也观察到相同趋势,而TG/EG不受同时给予表睾酮的影响。一名基础TG/EG较低的受试者,所分析参数未因给予睾酮而出现任何显著增加。

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