1981
DOI: 10.1530/acta.0.0970145
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Direct evidence in men for a role of endogenous oestrogens on gonadotrophin release

Abstract: Abstract. In six healthy subjects serum oestradiol was selectively decreased by administering an aromatase activity inhibitor, hydrotestolactone (HT). After HT administration serum oestradiol (Oe2) decreased from 18.7 ± 2.3 (sem) to 6.7 ± 0.6 pg/ml whereas testosterone (T) and dihydrotestosterone (DHT) blood levels were not modified. These oestradiol changes were associated with a significant increase in serum LH and FSH concentrations (P < 0.001). The administration of tamoxifen, an oestrogen antagonist, t… Show more

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Cited by 21 publications
(7 citation statements)
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“…Recently, a neural deficiency in P450 AROM activity was found in long-term castrated monkey that was shown to be associated with T-insensitivity (Resko et al, 2000b). Taken together, these data are consistent with experimental studies performed on human subjects, which have also suggested that endogenous estrogen inhibits gonadotropin release in men (Santen, 1981;D'Agata et al, 1981). Moreover, the endocrine evaluation of men that are either P450 AROM deficient (Morishima et al, 1995;Carani et al, 1997) or estrogen resistant (Smith et al, 1994) due to genetic mutations reveals the presence of chronically elevated gonadotropins in these individuals, a finding that is indicative of a disrupted negative feedback mechanism.…”
supporting
confidence: 83%
“…Recently, a neural deficiency in P450 AROM activity was found in long-term castrated monkey that was shown to be associated with T-insensitivity (Resko et al, 2000b). Taken together, these data are consistent with experimental studies performed on human subjects, which have also suggested that endogenous estrogen inhibits gonadotropin release in men (Santen, 1981;D'Agata et al, 1981). Moreover, the endocrine evaluation of men that are either P450 AROM deficient (Morishima et al, 1995;Carani et al, 1997) or estrogen resistant (Smith et al, 1994) due to genetic mutations reveals the presence of chronically elevated gonadotropins in these individuals, a finding that is indicative of a disrupted negative feedback mechanism.…”
supporting
confidence: 83%
“…The estimated MCRonRit under normal conditions agree well with the results of Tharandt et al [2], Under tamoxifen, in men the MCR decreased significantly, but serum lev els of LH and testosterone changed slightly, in contrast to D'Agata et al [20] and Vermeulen and Comhaire [21] who found more pronounced increases in gonadotropin, tes tosterone and also estradiol levels after ta moxifen administration. Whereas changes of testosterone may be caused by tamoxifen in fluence on serum sex-hormonc-binding glob ulin, the free fraction of testosterone in our study excludes that the tamoxifen-induced decrease in the MCR is related to an increase in testosterone levels.…”
Section: Discussionsupporting
confidence: 88%
“…Our data -increased basal values of LH under tamoxifen in 7 of 9 men and in women -and the augmented gonadotropin secretion after GnRH in men [20,21 ] and in women [16] may be related to a decrease in the MCR(lnRH as a consequence of estrogen blockade; thus, GnRH concentrations are in creased and pituitary' gonadotropin secretion is stimulated. Furthermore, it seems to be conceivable that an enhanced metabolism of GnRH may contribute to the known nega tive estrogenic feedback on the secretion of gonadotropins [19,22,23].…”
Section: Discussionmentioning
confidence: 56%
See 1 more Smart Citation
“…D'Aga'te et a1. 6 reported that a fall in estrogen levels after hydrotestolactone induced a significant increase in serum LH and FSH.…”
Section: Discussionmentioning
confidence: 99%