The determination of urinary 17-ketosteroids has limited applications in the understanding and diagnosis of the nature of endocrine disorders associated with mild hirsutism and virilism in the female, because a very large number of these patients excretes 17-ketosteroids well within the normal range. Recent experience of Finkelstein, Forchielli and Dorfman (1) suggests that in these cases the blood levels and nature of the circulating androgens may be very important. Earlier indirect evidence (2-12) and the more recent isolation and partial identification of sulfates of dehydroisoandrosterone, androsterone, and etiocholanolone by Baulieu (13) indicate that 17-ketosteroids are present in plasma mainly in the form of esters. Direct estimation of these conjugated steroids in plasma offers distinct advantages: the alteration of the steroid molecule which occurs with certain types of hydrolysis as well as possible problems of incomplete hydrolysis can be circumvented. Also, information concerning the physiological significance of the steroid conjugating mechanisms may be gained through direct qualitative and quantitative estimation of these conjugates. The present paper describes a convenient method, using quantitative paper chromatography, for the estimation of dehydroisoandrosterone and androsterone sulfates (DHIA-SO and Andro-SO4) in plasma.
MATERIALS AND METHODAll reagents and solvents used were of analytical grade, and all solvents, except absolute ethanol, were redistilled prior to use. Florisil was purified as described earlier (14). M-dinitrobenzene was purified by sublimation, using a modification of the "cold finger" technique, and stored in the dark at room temperature. Collection of plasm1ia. Blood from fasting subjects was drawn into heparinized syringes between 8:30 and 9: 30 a.m. The blood was then transferred to a glass centrifuge bottle containing 1 ml of heparin per 100 ml of blood and centrifuged at 2,500 rpm for 30 minutes. The plasma was removed with a syringe equipped with a long spinal needle and transferred to a clean glass vessel.Extraction of steroid con jngates. All analyses were run in triplicate. Fifteen-ml aliquots 1 of the plasma were placed in three 250-ml Erlenmeyer flasks and 45 ml of absolute ethanol was added to each flask. The flasks were swirled several times and placed in an ice bath for 10 to 15 minutes. After filtering the mixture, under vacuum, through two discs of Whatman no. 1 filter paper, the flasks were rinsed three times with 10 ml of absolute ethanol, and these washings were then used to wash the precipitate. The filtrate was transferred quantitatively to a 1 L round-bottomed flask with further washings of absolute ethanol and evaporated to near dryness (1 to 2 drops) on a flash evaporator (Laboratory Glass and Instruments Corp., model FE-2) under vacuum, using dry ice in ethylene glycol for refrigeration. Secondary butanol (15 ml) was then added to effect a partial separation of steroid conjugates from inorganic salts. The steroid conjugates, which dissolve quantita...