人绒毛膜促性腺激素重复注射对人睾酮合成的影响

Effects of Repeated Administration of Human Chorionic Gonadotropin(hCG) on Human Testosterone Biosynthesis

  • 摘要: 8例正常成年男子间隔6天先后两次注射人绒毛膜促性腺激素2000IU,每次注射分别于0、2、4、6、48、72和(或)96、120小时采集外周血测定孕酮(P)、17-OH孕酮(17-OHP)、雄稀二酮(△4A)、去氢表雄酮(DHEA)、睾酮(T)和雌二醇(E2)。结果第2次注射后,17-OHP的迟发分泌峰显著高于△4A者,提示17,20-裂解酶受阻滞。两次注射的E2迟发分泌峰都显著高于△4A或T的相应分泌峰,表明睾丸内的芳香化酶被人绒毛膜促性腺激素激活。有证据表明,17,20裂解酶的受抑制与E2有关。本文资料还提示,在T生物合成过程中的△4途径和△5途径同等重要。

     

    Abstract: Eight normal adult males were accepted two injections of 2, 000 IU of hGG in an interval of 6 days. During each injection peripheral blood was collected at 0, 2, 4, 6, 48, 72 and/or 06, 120 (h) for meassuring progesterone (p), 17-OHprogesterone (17-OHP), androstanedione(△4A), dehydroepiandrosterone(DHEA), testosterone (T) and estradiol (E 2). It was found that after the second injection, the delayed secretion peak (DSP) of 17-OHP in response to hCG was significantly higher than that of △4A, suggesting the blockage of 17, 20-lyase. The DSP of E2 in each of two injections was significantly higher than that of △4A or T, indicating that the aromatese in testes was activated by hCG. Some evidences showed that the blockage of 17, 20-lyase was related to the level of E2. Our data also prompted that the △4 and △5 pathways were equal importance in the biosynthesis of T.

     

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