Adrenal cortical hyperplasia which is known to occur during infection and after trauma (1,2) suggests the occurrence of a corresponding increase in the physiological activity of the gland. Scant information is available, however, bearing directly on the functional status of the adrenal cortex during conditions of stress. It would be important to know not only whether periods of stress are accompanied by increased cortical function, but also whether recovery might be influenced by the functional state of the adrenal cortex, and whether such conditions as post-infectious asthenia might be attributable to adrenal exhaustion resulting from extreme stimulation during the active phase of the-disease.Although the excretion of neutral 17-ketosteroids is influenced by adrenal cortical function, the chemical determination of these steroids affords a poor measure of the activity of the gland, inasmuch as the adrenal is not the sole source of the compounds in this fraction. Moreover, information as to the precursors of urinary 17-ketosteroids is far from complete. The one classical precursor, testosterone, has insignificant cortinlike activity.Browne and coworkers demonstrated the presence of cortin-like activity in the urine of postoperative patients and patients suffering infection or other types of stress, but were not able to detect the material in normal urine (3a and b). Evidence has recently been adduced that the substance is present in the urine of normal men and women who have not been subjected to stress, and that it possesses the physiological properties of cortical hormone when tested by a great variety of methods (4 to 9). Furthermore, the material has been ob- served to disappear from the urine of monkeys after adrenalectomy, but not after gonadectomy (10), and activity has not been detectable in the urine of patients with Addison's disease (11). It may therefore be assumed with justification that the urinary substance has its origin in the adrenal cortex, and that its rate of excretion should be influenced by variations in cortical function.The intent of the work herein reported was to determine the urinary cortin output of human subjects in the normal state, during stress, and during recovery from stress. It was considered desirable to employ methods which would allow expression of cortin values in terms of a pure cortical hormone, rather than as arbitrary biological units. These studies are a part of a broader investigation of the physiology and chemistry of active urinary cortical hormones.
METHODSPreparation of extracts. Urine samples were collected in 48-hour lots, and were preserved with toluene. The pH varied from approximately 5.5 to 6.5. One-fourth volume of ethylene dichloride was added, and after being shaken for 2 minutes in a mechanical shaker, the ethylene dichloride was separated from the urine with a Sharples centrifuge. The urine was extracted twice more with the same volume of ethylene dichloride and the 3 extracts pooled and evaporated in vacuo at an internal temperature below 400 C. After ...