Parotid fluid cortisol and cortisone
Open accessAbstract
Parotid fluid corticosteroids, substantially comprised of cortisol and cortisone, were previously demonstrated to rise to far greater levels 4 hr after administration of ACTH than they did in the third trimester of pregnancy, although the plasma total corticosteroid concentrations were similar in these two states. It was therefore suggested that only nonproteinbound corticosteroid gains access to parotid fluid. In the present study parotid fluid cortisol and cortisone and plasma dialyzable cortisol concentrations have been measured in normal men before and 2 hr after 40 U ACTH, and, in another group, before and after 10 days of diethystilbestrol (5 mg daily). Total plasma cortisol rose from a mean of 6.3 to 17.9 mug/100 ml after ACTH and from 14.6 to 39.4 mg/100 ml after the estrogen. However parotid fluid cortisol plus cortisone rose from 0.8 to 2.6 mug/100 ml after ACTH and to only 2.2 after estrogen. This rise resembled that of the plasma dialyzable cortisol (control 0.4, ACTH 1.8, estrogen 1.2 mug/100 ml) rather than the increase in total plasma cortisol which was over twice as high after estrogen as after ACTH. Thus parotid fluid corticosteroids seem to be a good measure of nonprotein-bound corticosteroid, the cortisol available to the cell. The total amount of cortisol plus cortisone excreted is approximately constant, independent of parotid fluid flow rate. Cortisone exceeds cortisol in parotid fluid in the basal state, but after ACTH the situation is reversed.
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Salivary cortisol and cortisone both show a close relationship to serum cortisol and serum free cortisol.
“Salivary cortisol and cortisone both show a close relationship to serum cortisol and serum free cortisol [6,7].”
From Bioavailability of Oral Hydrocortisone Corrected for Binding Proteins and Measured by LC-MS/MS Using Serum Cortisol and Salivary Cortisone (2018) · cites this paper as [7]
The Results report close correlations between combined parotid-fluid cortisol plus cortisone and both plasma dialyzable (free) cortisol (r = 0.83) and total plasma cortisol (r = 0.75). They do not establish that salivary cortisol and cortisone each separately show those relationships, as the claim implies. No page number is available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredSalivary cortisone reflects serum free cortisol levels.
“supporting the concept that salivary cortisone reflects serum free cortisol levels”
From Bioavailability of Oral Hydrocortisone Corrected for Binding Proteins and Measured by LC-MS/MS Using Serum Cortisol and Salivary Cortisone (2018) · cites this paper as [7]
The Results and Discussion report that parotid-fluid cortisol plus cortisone tracks dialyzable (free) plasma cortisol. The Results also show that parotid-fluid cortisone rises after ACTH, but the paper does not establish the stated relationship for salivary cortisone alone. Page numbers are unavailable in our copy. (LLM, conf=0.86)
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- Authors
- Katz, F. H., & Shannon, I. L.
- Affiliations
- Loyola University Chicago (US)
- United States Department of Veterans Affairs (US)
- Venue
- Journal of Clinical Investigation
- Published
- 1969-05-01
- Volume
- 48
- Issue
- 5
- Pages
- 848-855
- ISSN
- 0021-9738 (ISSN-L)
- PMC
- PMC322292
- OpenAlex
- W2004140568
- Cited by
- 59
- References
- 34
- Citations by year
- 2026: 1 · 2024: 1 · 2020: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2014: 2 · 2013: 1 · 2012: 2
- FWCI
- 2.73
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Loyola University Chicago Stritch School of Medicine
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Physiology › Salivary Gland Disorders and Functions
- Keywords
- cortisol, cortisone, ACTH, diethylstilbestrol, corticosteroid excretion
- MeSH terms
- Adrenocorticotropic Hormone, Binding Sites, Carbon Isotopes, Cortisone, Cushing Syndrome, Dexamethasone, Diethylstilbestrol, Humans, Hydrocortisone, Parotid Gland, Periodicity, Protein Binding, Saliva
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