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基于夜间连续采样对正常女孩青春期促性腺激素和抑制素分泌的个体发生情况及其与正常男孩的比较。

Ontogeny of gonadotrophin and inhibin secretion in normal girls through puberty based on overnight serial sampling and a comparison with normal boys.

作者信息

Manasco P K, Umbach D M, Muly S M, Godwin D C, Negro-Vilar A, Culler M D, Underwood L E

机构信息

Laboratory of Molecular and Integrative Neurosciences, National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709-2233, USA.

出版信息

Hum Reprod. 1997 Oct;12(10):2108-14. doi: 10.1093/humrep/12.10.2108.

Abstract

We measured luteinizing hormone (LH) and follicle stimulating hormone (FSH) by immunofluorometric assays and alpha-inhibin by radioimmunoassay in serum sampled every 10 min throughout the night (2100-0500 h) from 44 normal girls. Mean overnight LH values rose log-linearly from a mean of 0.2 IU/l in prepubertal girls to 3.0 IU/l in late pubertal girls. Log2 mean overnight FSH rose rapidly through early puberty and then remained constant; mean FSH rose from 1.0 IU/l in prepubertal girls to approximately 2.8 IU/l in Tanner III-V girls. Mean overnight inhibin increased through puberty, rising from 151 ng/l in prepubertal girls to 432 ng/l in fully pubescent girls. Within each of the first three Tanner stages, LH differed approximately 100-fold between the smallest and largest mean concentrations but differed <10-fold within stages IV or V. Such within-pubertal stage variability was less pronounced for FSH, which differed approximately 16-fold among Tanner I subjects and 4-10-fold at later stages, and for inhibin, which varied approximately 4-fold within each Tanner stage. The frequency of LH pulses during overnight sampling increased significantly during puberty, but the frequency of FSH and inhibin pulses remained constant. We compared the results from girls to those from 50 normal boys [Manasco et al. (1995) J. Clin. Endocrinol. Metab., 80, 20462052]. At each pubertal stage, girls had approximately the same mean overnight LH values as boys; girls had higher mean overnight FSH, particularly during Tanner stages II-IV; and boys had mean overnight alpha-inhibin immunoreactivity approximately 1.5 times that of girls at each pubertal stage. Still, hormone concentrations for individuals of both sexes intergraded at each pubertal stage.

摘要

我们采用免疫荧光分析法测定了44名正常女孩整个夜间(21:00至05:00)每隔10分钟采集的血清中的促黄体生成素(LH)和促卵泡激素(FSH),并采用放射免疫分析法测定了α-抑制素。青春期前女孩的夜间LH平均水平从0.2 IU/L呈对数线性上升至青春期后期女孩的3.0 IU/L。log2平均夜间FSH在青春期早期迅速上升,然后保持稳定;平均FSH从青春期前女孩的1.0 IU/L升至坦纳III - V期女孩的约2.8 IU/L。夜间平均抑制素在青春期升高,从青春期前女孩的151 ng/L升至完全青春期女孩的432 ng/L。在前三个坦纳阶段中,每个阶段内最小和最大平均浓度之间的LH差异约为100倍,但在IV期或V期内差异小于10倍。这种青春期内阶段变异性在FSH中不太明显,在坦纳I期受试者中FSH差异约为16倍,在后期阶段差异为4 - 10倍,在抑制素中也不太明显,在每个坦纳阶段内抑制素变化约为4倍。夜间采样期间LH脉冲频率在青春期显著增加,但FSH和抑制素脉冲频率保持不变。我们将女孩的结果与50名正常男孩的结果进行了比较[马纳斯科等人(1995年)《临床内分泌与代谢杂志》,80,2046 - 2052]。在每个青春期阶段,女孩的夜间LH平均水平与男孩大致相同;女孩的夜间FSH平均水平较高,尤其是在坦纳II - IV期;在每个青春期阶段,男孩的夜间α-抑制素免疫反应性约为女孩的1.5倍。然而,在每个青春期阶段,两性个体的激素浓度相互交错。

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