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Adrenocortical Function in Hyperprolactinemic Women
Abstract
To study the effects of prolactin (PRL) on adrenocortical function in humans, dehydroepiandrosterone (DHA), dehydroepiandrosterone sulfate (DHAS), androstenedione (delta) and testosterone (T) were measured in serum obtained from 35 hyperprolactinemic women with galactorrhea and amenorrhea before and after treatment with bromocriptine-induced fall in mean PRL levels from 82 +/- 8 (SE) to 14 +/- 2 ng/ml (n = 39, P less than 0.0005), DHAS fell from 322 +/- 21 to 237 +/- 21 microgram/dl (n = 39); P less than 0.0005), DHA fell from 492 +/- 47 to 378 +/- 30 ng/dl (n = 39; P less than 0.01) while T (n = 16) and delta (n = 13) levels were unchanges (44 +/- 4 vs. 49 +/- 4 ng/dl and 280 +/- 55 vs. 236 +/- 40 ng/dl, respectively). In addition, 4 women were infused iv with 25 microgram synthetic ACTH over 4 h and serial blood samples drawn while hyperprolactinemic, and again 2-4 months later following normalization of PRL levels by bromocriptine. Although pre-infusion levels of DHAS were lower when PRL levels were normalized, no significant differences in responses of circulating DHAS, DHA, T, cortisol and 17-hydroxyprogesterone concentrations were detected between the two infusions. Since DHAS is virtually an exclusive product of the adrenal cortex, and since high PRL levels appear to inhibit ovarian steroid production, the findings suggest that hyperprolactinemia selectively stimulates adrenocortical androgen production.
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“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 [26]
In the citing paper
“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 [26]
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Ylikorkala, O., Kivinen, S., Rönnberg, L., & Viinikka, L. U. (1980) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-51-1-155 · Cited by 2
Hormonal and clinic evaluation of patients with moderate body hair growth
Berta, L., Fortunati, N., Fazzari, A., Gaidano, G., & Frairia, R. (1993) · Contraception · doi:10.1016/0010-7824(93)90065-f · Cited by 2
Metadata
- Authors
- CARTER, J. N., TYSON, J. E., WARNE, G. L., McNEILLY, A. S., FAIMAN, C., & FRIESEN, H. G.
- Affiliations
- Johns Hopkins University (US)
- ORCID
- McNEILLY, A. S.
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 1977-11
- Volume
- 45
- Issue
- 5
- Pages
- 973-980
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2017313133
- Cited by
- 127
- References
- 26
- Citations by year
- 2023: 1 · 2022: 1 · 2019: 3 · 2013: 2 · 2012: 2
- FWCI
- 14.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Keywords
- hyperprolactinemia, prolactin, adrenocortical function, dehydroepiandrosterone sulfate, dehydroepiandrosterone, androstenedione, testosterone, galactorrhea, amenorrhea, bromocriptine, ACTH stimulation test, adrenal androgen production, cortisol, 17-hydroxyprogesterone
- MeSH terms
- Adrenal Cortex Hormones, Adrenocorticotropic Hormone, Amenorrhea, Androstenedione, Bromocriptine, Dehydroepiandrosterone, Female, Galactorrhea, Humans, Hydrocortisone, Pregnancy, Prolactin, Testosterone
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