The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Age diminishes the testicular steroidogenic response to repeated intravenous pulses of recombinant human LH during acute GnRH-receptor blockade in healthy men
Abstract
Testosterone (Te) concentrations fall gradually in healthy aging men. Postulated mechanisms include relative failure of gonadotropin-releasing hormone (GnRH), luteinizing hormone (LH), and/or gonadal Te secretion. Available methods to test Leydig cell Te production include pharmacological stimulation with human chorionic gonadotropin (hCG). We reasoned that physiological lutropic signaling could be mimicked by pulsatile infusion of recombinant human (rh) LH during acute suppression of LH secretion. To this end, we studied eight young (ages 19–30 yr) and seven older (ages 61–73 yr) men in an experimental paradigm comprising 1) inhibition of overnight LH secretion with a potent selective GnRH-receptor antagonist (ganirelix, 2 mg sc), 2) intravenous infusion of consecutive pulses of rh LH (50 IU every 2 h), and 3) chemiluminometric assay of LH and Te concentrations sampled every 10 min for 26 h. Statistical analyses revealed that 1) ganirelix suppressed LH and Te equally (> 75% median inhibition) in young and older men, 2) infused LH pulse profiles did not differ by age, and 3) successive intravenous pulses of rh LH increased concentrations of free Te (ng/dl) to 4.6 ± 0.38 (young) and 2.1 ± 0.14 (older; P < 0.001) and bioavailable Te (ng/dl) to 337 ± 20 (young) and 209 ± 16 (older; P = 0.002). Thus controlled pulsatile rh LH drive that emulates physiological LH pulses unmasks significant impairment of short-term Leydig cell steroidogenesis in aging men. Whether more prolonged pulsatile LH stimulation would normalize this inferred defect is unknown.
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“That younger men are more susceptible to fasting-induced HPT axis suppression than older men is in contrast with most other evidence suggesting that older age increases the risk of HPT axis dysfunction in response to physiologic stimuli and pathogenic stressors (6,7).”
From Dysregulation of the Hypothalamic-Pituitary-Testicular Axis due to Energy Deficit (2021) · cites this paper as [6]
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Cites
Longitudinal Effects of Aging on Serum Total and Free Testosterone Levels in Healthy Men
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Self-citationAttenuated release of biologically active luteinizing hormone in healthy aging men.
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Cited by
An Ensemble Model of the Male Gonadal Axis: Illustrative Application in Aging Men
Keenan, D. M., Takahashi, P. Y., Liu, P. Y., Roebuck, P. D., Nehra, A. X., Iranmanesh, A., & Veldhuis, J. D. (2006) · Endocrinology · doi:10.1210/en.2005-1356 · Cited by 65
Self-citationVeldhuis, J. D., Liu, P. Y., Keenan, D. M., & Takahashi, P. Y. (2012) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00450.2011 · Cited by 48
Self-citationAgeing male (part I): Pathophysiology and diagnosis of functional hypogonadism
Huhtaniemi, I. T., & Wu, F. C. W. (2022) · Best Practice & Research Clinical Endocrinology & Metabolism · doi:10.1016/j.beem.2022.101622 · Cited by 31
Dysregulation of the Hypothalamic-Pituitary-Testicular Axis due to Energy Deficit
Grossmann, M., & Wittert, G. A. (2021) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgab517 · Cited by 24
Roelfsema, F., Liu, P. Y., Takahashi, P. Y., Yang, R. J., & Veldhuis, J. D. (2020) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgz246 · Cited by 20
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Metadata
- Authors
- Veldhuis, J. D., Veldhuis, N. J. D., Keenan, D. M., & Iranmanesh, A.
- Venue
- American Journal of Physiology-Endocrinology and Metabolism
- Publisher
- American Physiological Society
- Published
- 2005-04
- Volume
- 288
- Issue
- 4
- Pages
- E775-E781
- ISSN
- 0193-1849
- 1522-1555
- Cited by
- 39
- References
- 4
- Language
- en
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- Veldhuis, J. D., Veldhuis, N. J. D., Keenan, D. M., & Iranmanesh, A. (2005). Age diminishes the testicular steroidogenic response to repeated intravenous pulses of recombinant human LH during acute GnRH-receptor blockade in healthy men. American Journal of Physiology-Endocrinology and Metabolism. https://doi.org/10.1152/ajpendo.00410.2004
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