Sample records for 17-ketosteroids

  1. Radioimmunoassay for serum 11-deoxy-17-ketosteroids

    International Nuclear Information System (INIS)

    A simplified method for evaluating serum 11-deoxy-17-ketosteroids (11-deoxy-17-KS) equivalent to dehydroepiandrosterone sulfate (DHEAS) has been developed without solvolysis and chromatography. Blood serum or plasma (5 mu l) was added to 1 ml of ethanol, mixed, and centrifuged, and 10 or 20 mu l of the supernatant was evaporated to dryness and incubated with anti-11-deoxy-17-KS antiserum obtained by immunizing a rabbit with DHEA-3.O. CO-BSA which was prepared from DHEA-3.O.COCl and containing DHEAS-7α3H, pepsin-treated human immune serum globulin and bovine serum albumin. Ammonium sulfate was used to separate free from bound DHEAS-7α3H. The accuracy, precision and sensitivity were satisfactory. The blank values could not be differentiated from zero. As the antiserum reacted not only on DHEAS but also on androsterone sulfate and etiocholanolone sulfate, serum 11-deoxy-17KS obtained by the radioimmunoassay expressed nearly the sum of 100 percent of DHEAS, 45 percent of androsterone sulfate and 35 percent of etiocholanolone sulfate in the serum. A good correlation was found between serum 11-deoxy-17-KS and DHEAS obtained by the radioimmunoassay described in a previous paper. The present radioimmunoassay is the simplest method for the evaluation of the concentrations of C19 steroids in the serum. (auth)

  2. 21 CFR 862.1430 - 17-Ketosteroids test system. (United States)


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false 17-Ketosteroids test system. 862.1430 Section 862.1430 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CLINICAL CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES Clinical Chemistry Test Systems §...

  3. Biosynthesis of a steroid metabolite by an engineered Rhodococcus erythropolis strain expressing a mutant cytochrome P450 BM3 enzyme

    NARCIS (Netherlands)

    Venkataraman, Harini; Te Poele, Evelien M; Rosłoniec, Kamila Z; Vermeulen, Nico; Commandeur, Jan N M; van der Geize, Robert; Dijkhuizen, Lubbert


    In the present study, the use of Rhodococcus erythropolis mutant strain RG9 expressing the cytochrome P450 BM3 mutant M02 enzyme has been evaluated for whole-cell biotransformation of a 17-ketosteroid, norandrostenedione, as a model substrate. Purified P450 BM3 mutant M02 enzyme hydroxylated the ste

  4. Radioimmunological determination of plasma androstenione and dehydroepiandrosterone levels in hirsute women before and during therapy using cyproterone acetate and ethinyl estradiol

    International Nuclear Information System (INIS)

    Plasma androstendione and dehydroepiandrosterone levels were determined in 54 hirsute women before and after treatment with cyproterone acetate and ethinyl estradiol. Anderostenione levels were, on an average, significantly higher than in normal control persons (1.97+-0.97 ng/ml as compared to 1.54+-0.46 ng/ml) while the dehydroepiandrosterone levels were nearly twice as high (9.99+-5.71 ng/ml as compared to 5.17+-1.98 ng/ml). Increased cortisol and 17-ketosteroid levels were recorded only in a few women with raised androgen levels. The improved clinical picture after therapy was not in all cases accompanied by lower hormone levels. On the other hand, lower hormone levels were measured also in women who did not improve. There appears to be no close correlation between the clinical picture and the plasma androstendione and dehydroepiandrosterone levels. (orig./MG)

  5. Sperm count suppression without endocrine dysfunction in lead-exposed men

    Energy Technology Data Exchange (ETDEWEB)

    Assennato, G.; Paci, C.; Baser, M.E.; Molinini, R.; Candela, R.G.; Altamura, B.M.; Giorgino, R.

    To determine if increased lead absorption was associated with sperm count suppression or perterbation of the hypothalamopituitary system, the authors compared battery workers (N = 18), who were exposed to high airborne lead levels, with cement workers (N = 18), who were exposed to ambient lead levels. Blood lead, urinary lead, semen lead, and zinc protoporphyrin concentrations were markedly elevated (p < .001) in battery workers. Battery workers had a significantly shifted (p < .025) frequency distribution of sperm count (median count, 45 vs. 73 x 10/sup 6/ cells/cc, respectively). There were no significant differences between the two groups in mean follicle-stimulating hormone, testosterone, prolactin, luteinizing hormone, or total neutral 17-ketosteroid levels. Potential confounding factors (alcohol, cigarette, and coffee consumption, frequency of intercourse, and days of abstinence prior to semen donation) were not significantly different between the two groups. These results suggest a direct toxic effect of increased lead absorption on sperm production or transport in man.

  6. Giant adrenal cyst: case study. (United States)

    Poiana, Catalina; Carsote, Mara; Chirita, Corina; Terzea, Dana; Paun, S; Beuran, M


    One of the rarest situations regarding an adrenal incidentaloma is an adrenal cyst. We present the case of a 61-year-old male patient diagnosed with peritonitis. During surgery, a right adrenal tumor of 2 cm is discovered. The patient was referred to endocrinology. 6 months later the diameter of the tumor is 7 times bigger than the initial stage. It has no secretory phenotype, except for the small increase of serum aldosterone and the 24-h 17-ketosteroids. Open right adrenalectomy is performed and a cyst of 15 cm is removed. The evolution after surgery is good. The pathological exam reveals an adrenal cyst with calcifications and osteoid metaplasia. The immunohistochemistry showed a positive reaction for CD34 and ACT in the vessels and VIM in the stroma. The adrenal cysts are not frequent and represent a challenge regarding the preoperative diagnostic and surgical procedure of resection. The pathological exam highlights the major aspects. PMID:20945822

  7. Congenital adrenal hyperplasia due to 21 hydroxylase deficiency: Case report

    Directory of Open Access Journals (Sweden)

    Vlaški Jovan


    Full Text Available A girl with congenital adrenal hyperplasia due to 21 hydroxylase (CYP 21, p450c2l deficiency is the reviewed case. The clinical features (virilisation, clitoromegaly, rapid somatic growth, accelerated skeletal maturation and laboratory find­ings (high levels of plasma 17hydroxyprogesterone, corticotrophin - ACTH, testosterone and dehydroepiandrostenedione -DHEA, low level of plasma cortisol, high level of urine 17- ketosteroids, synacthen and luteinising hormone releasing hor­mone - LHRH test and the response to hydrocortisone therapy pointed at heterosexual gonadotrophin independent puberty due to irregular production of cortisol caused by 21 hydroxylase deficiency that leads to elevated ACTH and 17-hydroxy progesterone secretion and makes congenital adrenal hyper­plasia as entity. The six-month therapy resulted in the clinical and laboratory findings improvement, such as the decreased annual growth of body height and the stagnation in the devel­opment of the secondary sexual features.

  8. The Important Roles of Steroid Sulfatase and Sulfotransferases in Gynecological Diseases. (United States)

    Rižner, Tea Lanišnik


    Gynecological diseases such as endometriosis, adenomyosis and uterine fibroids, and gynecological cancers including endometrial cancer and ovarian cancer, affect a large proportion of women. These diseases are estrogen dependent, and their progression often depends on local estrogen formation. In peripheral tissues, estrogens can be formed from the inactive precursors dehydroepiandrosterone sulfate and estrone sulfate. Sulfatase and sulfotransferases have pivotal roles in these processes, where sulfatase hydrolyzes estrone sulfate to estrone, and dehydroepiandrosterone sulfate to dehydroepiandrosterone, and sulfotransferases catalyze the reverse reactions. Further activation of estrone to the most potent estrogen, estradiol, is catalyzed by 17-ketosteroid reductases, while estradiol can also be formed from dehydroepiandrosterone by the sequential actions of 3β-hydroxysteroid dehydrogenase-Δ(4)-isomerase, aromatase, and 17-ketosteroid reductase. This review introduces the sulfatase and sulfotransferase enzymes, in terms of their structures and reaction mechanisms, and the regulation and different transcripts of their genes, together with the importance of their currently known single nucleotide polymorphisms. Data on expression of sulfatase and sulfotransferases in gynecological diseases are also reviewed. There are often unchanged mRNA and protein levels in diseased tissue, with higher sulfatase activities in cancerous endometrium, ovarian cancer cell lines, and adenomyosis. This can be indicative of a disturbed balance between the sulfatase and sulfotransferases enzymes, defining the potential for sulfatase as a drug target for treatment of gynecological diseases. Finally, clinical trials with sulfatase inhibitors are discussed, where two inhibitors have already concluded phase II trials, although so far with no convincing clinical outcomes for patients with endometrial cancer and endometriosis. PMID:26924986

  9. Testosterone-secreting adrenal adenoma in a peripubertal girl

    International Nuclear Information System (INIS)

    A 15-year-old girl who presented with primary amenorrhea and virilization had an adrenocortical adenoma that secreted predominantly testosterone. To the authors' knowledge, she is the first peripubertal and second youngest patient with a testosterone-secreting adrenal tumor described. Serum dehydroepiandrosterone sulfate and urinary 17-ketosteroid an 17-hydroxycorticosteroid levels were normal. A tumor was located by a computed tomographic (CT) scan and by uptake of 6-β-[75Se] selenomethylnorcholesterol. Microscopic examination of the tumor showed typical features of an adrenocortical adenoma with no histologic features characteristic of Leydig cells. Postoperatively, her hirsutism regressed, she rapidly went through puberty, and regular monthly menstruation started four months later. Finding the source of testosterone in a virilized patient can be difficult. Eleven of the 14 previously described patients with testosterone-secreting adrenal tumors initially underwent misdirected surgery on the ovaries. Review of these cases revealed that results of hormone stimulation and suppression tests are unreliable and that these tumors are usually large. Therefore, CT scanning of the adrenal glands is recommended in all patients suspected of having a testosterone-secreting tumor

  10. Studies of transformer repair workers exposed to PCBs. II. Results of clinical laboratory investigations

    Energy Technology Data Exchange (ETDEWEB)

    Emmett, E.A.; Maroni, M.; Jefferys, J.; Schmith, J.; Levin, B.K.; Alvares, A.


    Thirty-eight transformer repairmen currently exposed to polychlorinated biphenyls (PCBs), 17 former transformer repairmen, and 56 comparison workers not known to be exposed to PCBs were studied. Measurements were made of serum liver function tests, gamma-glutamyl transpeptidase (GGT), lipid profile, thyroid function tests, and other serum biochemistry; hemoglobin; white cell count; 24-hour excretion of delta-aminolevulinic acid, porphyrins, 17-hydroxycorticosteriods and 17-ketosteroids; sperm count; spirometry; and antipyrine half-life to evaluate microsomal mixed function oxidase induction. The total exposed group differed significantly from the comparison group in albumin, LDH, T4, T4-RT3 index, and actual/predicted FEV1. Significant differences among all three exposure groups were seen for albumin, T4, T4-RT3 index, and 17-hydroxycorticosteroid excretion. Differences in FEV1 were attributable to smoking. Significant correlations between serum PCBs and serum lipids were removed by adjustment for confounding variables. After adjustment for confounding variables, there was a statistically significant positive correlation between serum PCBs and GGT and a negative correlation between adipose PCBs and 17-hydroxycorticosteroid excretion. These may reflect subtle metabolic effects of PCBs.

  11. Adrenal Cortical and Medullar Hyperplasia-A Retrospective Analysis of 6 Cases

    Institute of Scientific and Technical Information of China (English)

    陈敏; 鲁功成; 张齐均


    Summary: The features of the symptoms, laboratory tests and pathological characteristics of a-drenal cortical and medullary hyperplasia were studied. In 6 cases of hypercatecholaminenia, plas-ma norepinephrine (NE), epinephrine (E), catecholamine (CA) and 24-h urinary vanillylmandelicacid (VMA), 17-hydroxycorticosteroid (OHCS) and 17-ketosteroid (KS) were determined. A-drenal glands were examined by CT scan and 131I-MIBG imaging. Pathological examination wasperformed after operation. The results showed that in 6 cases of hypercatecholaminenia (3 menand 3 women) aged from 34-50 years, the clinical features were just like "pheochromocytoma",for example, episodic headache, perspiration, palpitation, pallor, apprehension, nausea, tremor,anxiety and so on. Plasma levels of CA, NE and E were elevated in all 6 cases. 24-h urinary sam-ples obtained at the onset revealed elevated VMA in 1 case. 24-h urinary cortisol was obviously el-evated in all 6 cases. 24-h urinary 17-OHCS, 17-KS was normal. B-type ultrasound, CT, MRIand 13I-MIBG revealed 9 lateral adrenal gland diffuse or nodular enlargement in 6 cases. Patholog-ic examination showed adrenal cortical and medullary hyperplasia. Clinically, adrenal cortical andmedullary hyperplasia resembled "pheochromocytoma". The most significant feature of this dis-ease was both elevated plasma CA and 24-h urinary cortisol obviously. Pathologic examinationshowed adrenal cortex nodular hyperplasia and medullar diffuse or limit hyperplasia. Whether it isan independent disease or symptoms of the other disease has not final conclusion up till now

  12. Synergistic effect of carbon monoxide with other biologically active injurious factors on the organism

    Energy Technology Data Exchange (ETDEWEB)

    Pankow, D.; Ponsold, W.


    The combined effects on biological organisms are reported for carbon monoxide and carbon dioxide, nitrogen oxides, sodium nitrite, hydrocyanic acid, carbon disulfide, sulfur dioxide, ammonia, hydrogen peroxide, ethanol, trichloroethylene, carbon tetrachloride, methane, benzene, iodine acetate, cholesterol, benzpyrene, hexobarbitol, zoxazolamine, nembutal, luminal, morphine, adrenalin, persantin, cytochrome c, aldrin, carbaryl, cyclodiene epoxide; and physical influences such as ambient temperature, atmospheric pressure, ionizing radiation, noise, and vibration. A literature review shows that with increasing CO/sub 2/ and decreasing oxygen concentration in the inhalation air, the toxicity of CO increased in experiments with mice and canaries. Oxides of nitrogen enhance the toxic effect of CO in an additive way and at times synergistically. At 500 m from a metallurgical plant in the USSR the maximum allowable immission concentrations for CO and SO/sub 2/ were exceeded. In children residing there a higher normal erythrocyte number, hemoglobin content, and catalase activity were found in the blood along with higher concentrations of coproporphyrin and 17-ketosteroids. All values returned to normal after an 8-week stay of these children away from the metallurgical plant.

  13. Sympathoadrenal and hypophyseal-adrenal systems in preoperative irradiation of patients with esophageal and cardiac cancer

    Energy Technology Data Exchange (ETDEWEB)

    Tarutinov, V.I.; Starosel' skij, I.V.; Gol' dshmidt, B.Ya.; Shmal' ko, Yu.P.; Levchenko, A.M. (Nauchno-Issledovatel' skij Rentgeno-Radiologicheskij i Onkologicheskij Inst., Kiev (Ukrainian SSR))


    A study was made of 74 patients with esophageal and cardiac cancer, Stages 3 and 4. The excretion of catecholamines, corticosteroids and their precursors was studied, tests with adrenalin before and after preoperative irradiation at a summary dose of 30 Gy were done. It has been shown that before the start of radiation therapy the excretion of catecholamines and corticosteroids is lowered, the reaction to adrenalin administration is negative in most patients, the phase syndrome of cardiac hypodynamics associated with disturbed function of the sympathoadrenal system was revealed. Preoperative irradiation in patients with esophageal and cardiac cancer results in an increased excretion of 17-ketosteroids (17-KS) and 17-ketogenic steroids, however 17-KS excretion does not reach the normal level. For better tolerance of irradiation and for a radiosensitization effect testenate is administered to patients before and during radiation therapy. The administration of testenate 7-10 days before the start and during radiotherapy proved to be effective which was confirmed by noticeable necrobiotic and necrotic changes of cancer cells.

  14. Non-chromatographic radioimmunoassay for serum dehydroepiandrosterone using a mixture of antisera

    International Nuclear Information System (INIS)

    A simplified method for evaluating serum dehydroepiandrosterone (DHEA) without chromatography was developed, using mixtures of two different anti-DHEA antisera, anti-3β-hydroxy-Δ5 antiserum and anti-11-deoxy-17-ketosteroid antiserum, in which cross-reactivity of each antiserum is reduced to a negligible amount. Serum (20 μl) was extracted with 1 ml of n-hexane. One milliliter of 80 percent methanol was added to the n-hexane extract, which was stirred and centrifuged. The n-hexane layer was discarded, and the methanol layer was evaporated to dryness. The residue was incubated with an antiserum mixture containing DHEA-7α-3H, pepsin-treated human immune serum globulin and bovine serum albumin. Ammonium sulfate was used to separate free from bound DHEA-7α-3H. The accuracy, precision, sensitivity, and specificity were satisfactory. Good agreement was found between the serum DHEA levels obtained by the present radioimmunoassay and those obtained by radioimmunoassay with paper chromatography, making this method suitable for routine use. (U.S.)

  15. Adrenocortical tumors in children

    Directory of Open Access Journals (Sweden)

    R.C. Ribeiro


    Full Text Available Childhood adrenocortical tumors (ACT are rare. In the USA, only about 25 new cases occur each year. In Southern Brazil, however, approximately 10 times that many cases are diagnosed each year. Most cases occur in the contiguous states of São Paulo and Paraná. The cause of this higher rate has not been identified. Familial genetic predisposition to cancer (p53 mutations and selected genetic syndromes (Beckwith-Wiedemann syndrome have been associated with childhood ACT in general but not with the Brazilian counterpart. Most of the affected children are young girls with classic endocrine syndromes (virilizing and/or Cushing. Levels of urinary 17-ketosteroids and plasma dehydroepiandrosterone sulfate (DHEA-S, which are abnormal in approximately 90% of the cases, provide the pivotal clue to a diagnosis of ACT. Typical imaging findings of pediatric ACT consist of a large, well-defined suprarenal tumor containing calcifications with a thin capsule and central necrosis or hemorrhage. The pathologic classification of pediatric ACT is troublesome. Even an experienced pathologist can find it difficult to differentiate carcinoma from adenoma. Surgery is the single most important procedure in the successful treatment of ACT. The role of chemotherapy in the management of childhood ACT has not been established although occasional tumors are responsive to mitotane or cisplatin-containing regimens. Because of the heterogeneity and rarity of the disease, prognostic factors have been difficult to establish in pediatric ACT. Patients with incomplete tumor resection or with metastatic disease at diagnosis have a dismal prognosis. In patients with localized and completely resected tumors, the size of the tumor has predictive value. Patients with large tumors have a much higher relapse rate than those with small tumors.

  16. Hydroxysteroid (17β)-dehydrogenase 1-deficient female mice present with normal puberty onset but are severely subfertile due to a defect in luteinization and progesterone production. (United States)

    Hakkarainen, Janne; Jokela, Heli; Pakarinen, Pirjo; Heikelä, Hanna; Kätkänaho, Laura; Vandenput, Liesbeth; Ohlsson, Claes; Zhang, Fu-Ping; Poutanen, Matti


    Hydroxysteroid (17β)-dehydrogenase type 1 (HSD17B1) catalyzes the conversion of low active 17-ketosteroids, androstenedione (A-dione) and estrone (E1) to highly active 17-hydroxysteroids, testosterone (T) and E2, respectively. In this study, the importance of HSD17B1 in ovarian estrogen production was determined using Hsd17b1 knockout (HSD17B1KO) mice. In these mice, the ovarian HSD17B enzyme activity was markedly reduced, indicating a central role of HSD17B1 in ovarian physiology. The lack of Hsd17b activity resulted in increased ovarian E1:E2 and A-dione:T ratios, but we also observed reduced progesterone concentration in HSD17B1KO ovaries. Accordingly with the altered steroid production, altered expression of Star, Cyp11a1, Lhcgr, Hsd17b7, and especially Cyp17a1 was observed. The ovaries of HSD17B1KO mice presented with all stages of folliculogenesis, while the corpus luteum structure was less defined and number reduced. Surprisingly, bundles of large granular cells of unknown origin appeared in the stroma of the KO ovaries. The HSD17B1KO mice presented with severe subfertility and failed to initiate pseudopregnancy. However, the HSD17B1KO females presented with normal estrous cycle defined by vaginal smears and normal puberty appearance. This study indicates that HSD17B1 is a key enzyme in ovarian steroidogenesis and has a novel function in initiation and stabilization of pregnancy. PMID:26018678

  17. 改良微柱法检测17-OH,17-KS和VMA及其临床应用%Clinical Application of Detecting 17-OH, 17-KS and VMA by a Modified Micro Column Method

    Institute of Scientific and Technical Information of China (English)

    李继霞; 罗南萍; 公衍文; 胡成进


    目的 完善并改良微柱分光光度检测技术,探讨其在肾上腺肿瘤、心血管等疾病中的应用价值.方法 选取2010年4月~2013年3月济南军区总医院住院肾上腺肿瘤患者181例,高血压和冠心病患者168例作为实验组,同时以30例健康人作为对照组.所有研究对象均采用微柱分光光度比色法,进行24 h尿液17羟皮质类固醇(17-Hydroxycorticosteroids,17-OH)、17酮皮质类固醇(17-Ketosteroids,17-KS)和香草扁桃酸(Vanilmandelic Acid,VMA)的水平检测.在常规检测方法基础上,17-OH采用活性高岭土作为吸附剂,过柱后采用70 ml/dl的无水乙醇作为洗脱液收集待测成分;17-KS检测在加热水解后,以3 000 r/min离心5 min后再行过柱,Zimmermann显色过程稳定在4℃,60min;VMA检测则将样本pH值调至6.5~7.0时再行过柱,比色时在做样品测定的同时做试剂空白、样品空白.以蒸馏水调零测标准及其空白、样本及其空白,最后计算时将各自空白扣除,并进行回收率、精密度等方法学评价.结果 ①应用此方法检测17-OH,17-KS及VMA的平均回收率分别为76%,98.8%和90.8%;平均批内变异系数为9.5%,5.9%和3.8%;平均批间变异系数为10.0%,5.6%和8.4%.②17-OH在肾上腺良性肿瘤组、肾上腺恶性肿瘤组、嗜铬细胞瘤组、腹膜后肿瘤组、其他恶性肿瘤组、高血压组、冠心病组和对照组中的水平(μmol/24 h)分别为30.49±18.61,34.51±18.59,32.08±10.89,30.74±25.53,67.25±27.06,44.83±32.63,39.59±24.93和18.90±3.98,差异均有统计学意义(t=3.08,P<0.05;t=3.19,P<0.05;t=3.11,P<0.05;t=2.93,P<0.05,t=10.248,P<0.01;t=5.19,P<0.01;t=4.01,P<0.01);17-KS在肾上腺良性肿瘤组、嗜铬细胞瘤组、肾上腺恶性肿瘤组、其他恶性肿瘤组、高血压组、冠心病组和对照组中的水平(μmol/24 h)分别为50.66±17.28,57.62±31.51,60.78±24.78,89.20±33.29,79.21±32.45,68.57±36.22和39.46±3.74,