PLASMA ANDROGENS IN WOMEN WITH HYPERPROLACTINAEMIC AMENORRHOES

BASSI, F.; GIUSTI, G.; BORSI, L.; CATTANEO, S.; GIANNOTTI, P.; FORTI, G.; PAZZAGLI, M.; VIGIANI, C.; SERIO, M.

doi:10.1111/j.1365-2265.1977.tb01990.x

Cited by 96Adrenal Hormones and DisordersHypothalamic control of reproductive hormonesPituitary Gland Disorders and Treatments

PLASMA ANDROGENS IN WOMEN WITH HYPERPROLACTINAEMIC AMENORRHOES

BASSI, F., GIUSTI, G., BORSI, L., CATTANEO, S., GIANNOTTI, P., FORTI, G., PAZZAGLI, M., VIGIANI, C. +1 more·1977·Clinical Endocrinology

DOI 10.1111/j.1365-2265.1977.tb01990.x

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Abstract

Cortisol, androstenedione, testosterone, dehydroepiandrosterone sulphate (DHAS) and free dehydroepiandrosterone (DHA) were measured in plasma of ten women affected by amenorrhoea with hyperprolactinaemia and eleven women affected by secondary hypothalamic amenorrhoea; twelve normal women at the second day of the menstrual cycle were used as controls. All subjects were hospitalized and 17-ketosteroids, 17OH-corticosteroids and total dehydroepiandrosterone were also measured in urine. Plasma DHAS was increased in all subjects affected by amenorrhoea with hyperprolactinaemia, while plasma DHA and urinary DHA were significantly increased in this group in comparison to other groups. Plasma cortisol, androstenedione and testosterone and urinary 17-oxosteroids and 17OH-corticosteroids were not significantly differnt in the three groups. In subjects affected by amenorrhoea with hyperprolactinaemia treated with bromocriptine a clear decrease of DHAS correlating with a decrease of plasma prolactin was observed. Since in wome DHAS sems to be almost exclusively secreted by the adrenal gland and most of the circulating DHA is dervied from adrenal secretion, these data suggest that human prolactin can stimulate DHAS production by the adrenal cortex.

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In vivo studies show that PRL has a selective stimulatory effect on adrenal androgen production.
“These data are also consistent with the in vivo studies cited before showing that PRL has a selective stimulatory effect on adrenal androgen production 12,23-29 .”
From ACTH and prolactin synergistically and selectively regulate CYP17 expression and adrenal androgen production in human foetal adrenal organ cultures (2023) · cites this paper as [24]
A number of studies have described an association of hyperprolactinemia with increased adrenal androgen levels and an increased adrenocortical response to ACTH in patients with high circulating PRL levels.
“A number of studies have described the association of hyperprolactinemia with increased adrenal androgen levels and an increased adrenocortical response to ACTH in patients with high circulating PRL levels 12,23-29 .”
From ACTH and prolactin synergistically and selectively regulate CYP17 expression and adrenal androgen production in human foetal adrenal organ cultures (2023) · cites this paper as [24]

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Authors: BASSI, F., GIUSTI, G., BORSI, L., CATTANEO, S., GIANNOTTI, P., FORTI, G., PAZZAGLI, M., VIGIANI, C., & SERIO, M.
Affiliations: University of Florence (IT)
Corresponding author: BASSI, F.
ORCID: PAZZAGLI, M.
SERIO, M.
Venue: Clinical Endocrinology
Publisher: Wiley
Published: 1977-01
Volume: 6
Issue: 1
Pages: 5-10
ISSN: 0300-0664 (ISSN-L)
1365-2265
DOI: 10.1111/j.1365-2265.1977.tb01990.x
OpenAlex: W2129602165
Cited by: 96
References: 14
Citations by year: 2025: 2 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2016: 1
FWCI: 15.06
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 11398 d)
Locations: Clinical Endocrinology (publishedVersion)
PubMed (publishedVersion)
Florence Research (University of Florence) (submittedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
Keywords: plasma androgens, dehydroepiandrosterone sulfate, adrenal androgen secretion, prolactin, bromocriptine, cortisol, androstenedione, testosterone, urinary 17-ketosteroids, urinary 17-hydroxycorticosteroids
MeSH terms: Adrenal Cortex, Amenorrhea, Androgens, Androstenedione, Dehydroepiandrosterone, Female, Humans, Prolactin, Testosterone

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PLASMA ANDROGENS IN WOMEN WITH HYPERPROLACTINAEMIC AMENORRHOES

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