Pituitary-Leydig Cell Function in Uremic Males
Jeffrey C. Chen, Donald G. Vidt, Elinor M. Zorn, Marvin C. Hallberg, Ralph G. Wieland
Abstract
Jeffrey C. Chen, Donald G. Vidt, Elinor M. Zorn, Marvin C. Hallberg, Ralph G. Wieland
Abstract
Serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone and testosterone binding affinity (TBA) were measured in 15 uremic males. The mean control serum testosterone level was 262 ng/100 ml. The testosterone value doubled during acute stimulation with human chorionic gonadotropin (HCG) 4000 U daily, a normal percentage increase. Although LH was significantly elevated, the elevation was inadequate to promote normal Leydig cell function in most instances. This impaired pituitary-Leydig cell mechanism was found in association with a normal TBA. Acute increases in serum testosterone produced by HCG did not alter TBA from control values.
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Serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone and testosterone binding affinity (TBA) were measured in 15 uremic males. The mean control serum testosterone level was 262 ng/100 ml. The testosterone value doubled during acute stimulation with human chorionic gonadotropin (HCG) 4000 U daily, a normal percentage increase. Although LH was significantly elevated, the elevation was inadequate to promote normal Leydig cell function in most instances. This impaired pituitary-Leydig cell mechanism was found in association with a normal TBA. Acute increases in serum testosterone produced by HCG did not alter TBA from control values.
Key concepts: Internal medicine, Endocrinology, Leydig cell, Testosterone (patch), Luteinizing hormone, Human chorionic gonadotropin, Follicle-stimulating hormone, Gonadotropin