Phillips D J, Albertsson-Wikland K, Eriksson K, Wide L
Department of Clinical Chemistry, University Hospital, Uppsala, Sweden.
J Clin Endocrinol Metab. 1997 Sep;82(9):3103-6. doi: 10.1210/jcem.82.9.4254.
Concentrations of LH and FSH are known to increase during normal pubertal development, but changes in the isoforms of the gonadotropins at this time have not been investigated in depth. We examined the median charge of serum LH and FSH using agarose suspension electrophoresis in 81 normal children at pubertal stages I-V. In pubertal girls there were no significant (P > 0.05) differences in the median charge of LH, but there was a small (P = 0.05) shift to more acidic FSH isoforms between pubertal stages I and IV. In boys there was a significant (P < 0.01) shift to more acidic isoforms for both LH and FSH by pubertal stage II. Further changes were not found later in puberty. Except for LH at pubertal stage I, where the median charge was similar (P > 0.05) for both sexes, the median charge was more basic (P < 0.001) for both LH and FSH in girls compared with boys at all five pubertal stages. The degree of charge heterogeneity of FSH, estimated as the peak width at half the peak height, was significantly (P < 0.01) larger at pubertal stage I than at pubertal stages III-V in both boys and girls. The charge heterogeneity of LH was similar for all pubertal stages in both sexes. In conclusion, there were few qualitative changes in the gonadotropins during normal female puberty, whereas in the male there was a dramatic shift to more acidic isoforms of LH and FSH early in puberty. This information may assist our understanding of normal and pathological processes during puberty and may be of clinical relevance in detecting the initiation of puberty in boys.
已知在正常青春期发育过程中促黄体生成素(LH)和促卵泡生成素(FSH)的浓度会升高,但此时促性腺激素同工型的变化尚未得到深入研究。我们使用琼脂糖悬液电泳法检测了81名处于青春期I - V期的正常儿童血清LH和FSH的中位电荷。在青春期女孩中,LH的中位电荷没有显著差异(P > 0.05),但在青春期I期和IV期之间,FSH同工型有轻微(P = 0.05)向更酸性形式的转变。在男孩中,到青春期II期时,LH和FSH均有显著(P < 0.01)向更酸性同工型的转变。青春期后期未发现进一步变化。除了青春期I期的LH,此时两性的中位电荷相似(P > 0.05)外,在所有五个青春期阶段,女孩LH和FSH的中位电荷均比男孩更碱性(P < 0.001)。以峰高一半处的峰宽估计的FSH电荷异质性程度,在青春期I期男孩和女孩中均显著(P < 0.01)大于青春期III - V期。两性在所有青春期阶段LH的电荷异质性相似。总之,正常女性青春期促性腺激素的定性变化很少,而男性在青春期早期LH和FSH会急剧向更酸性同工型转变。这些信息可能有助于我们理解青春期的正常和病理过程,并且在检测男孩青春期启动方面可能具有临床意义。