作者
C Richard Parker Jr, Scott M Slayden, Ricardo Azziz, S Lolita Crabbe, Gene A Hines, Larry R Boots, Sejong Bae
发表日期
2000/1/1
期刊
The Journal of Clinical Endocrinology & Metabolism
卷号
85
期号
1
页码范围
48-54
出版商
Oxford University Press
简介
We sought to determine the effects of aging on several aspects of adrenal steroidogenesis in the hopes of characterizing the possible causes of adrenal androgen deficiency in elderly women. To this end, we quantified basal morning concentrations of cortisol (F), dehydroepiandrosterone (DHEA), dehydroepiandrosterone sulfate (DS), and androstenedione (A4) and then evaluated the effects of overnight dexamethasone (DEX) suppression followed by adrenal responses to graded hourly infusions of ACTH, ranging from 20–1280 ng/1.5 m2·h. Finally, we performed a standard 0.25-mg ACTH bolus stimulation test, with sampling at 1 h thereafter. Basal serum levels of DHEA, DS, and A4 were significantly reduced (∼50% each) in a group of 35 healthy postmenopausal women, 55–68 yr old, compared to those in 30 healthy, regularly menstruating women, 20–25 yr old. Post-DEX levels of these C19 steroids also were …
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