Reduced serum concentrations of biomarkers reflecting Leydig and Sertoli cell function in male patients with congenital adrenal hyperplasia

Bibliographic Details
Title: Reduced serum concentrations of biomarkers reflecting Leydig and Sertoli cell function in male patients with congenital adrenal hyperplasia
Authors: Trine Holm Johannsen, Jakob Albrethsen, Vassos Neocleous, Federico Baronio, Martine Cools, Lise Aksglaede, Niels Jørgensen, Peter Christiansen, Meropi Toumba, Pavlos Fanis, Marie Lindhardt Ljubicic, Anders Juul
Source: Endocrine Connections, Vol 12, Iss 8, Pp 1-10 (2023)
Publisher Information: Bioscientifica, 2023.
Publication Year: 2023
Collection: LCC:Diseases of the endocrine glands. Clinical endocrinology
Subject Terms: lh, insl3, testosterone, fsh, inhibin b, amh, Diseases of the endocrine glands. Clinical endocrinology, RC648-665
More Details: Congenital adrenal hyperplasia (CAH) is a recessive condition t hat affects the adrenal glands. Despite life-long replacement therapy with glucocorticoids and mineralocorticoids, adult patients with CAH often experience impaired gonadal function. In pubertal boys and in men with CAH, circulating testosterone is produced by the adrenal glands as well as the testicular, steroidogenic cells. In this European two-center study, we evaluated the function of Leydig and Sertoli cells in 61 boys and men with CAH, primarily due to 21-hydroxylase deficiency. Despite conventional hormone replacement therapy, our results indicated a significant reduction in serum concentrations of both Leydig cel l-derived hormones (i.e. insulin-like factor 3 (INSL3) and testosterone) and Sertoli cell-derived hormones (i.e. inhibin B and anti-Müllerian hormone) in adult males with CAH. Serum concentrations of INSL3 were particularly reduced in those with testicular adrenal rest tumors. To our knowledge, this is the first study to evaluate circulating INSL3 as a candi date biomarker to monitor Leydig cell function in patients with CAH.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2049-3614
Relation: https://ec.bioscientifica.com/view/journals/ec/12/8/EC-23-0073.xml; https://doaj.org/toc/2049-3614
DOI: 10.1530/EC-23-0073
Access URL: https://doaj.org/article/94afbdaa96a6497a8931b4288a0245a4
Accession Number: edsdoj.94afbdaa96a6497a8931b4288a0245a4
Database: Directory of Open Access Journals
More Details
ISSN:20493614
DOI:10.1530/EC-23-0073
Published in:Endocrine Connections
Language:English