Pediatric endocrinology

Determination of Androgen Bioactivity by an In Vitro Assay During Pubertal Transition in Healthy Boys

Clin Endocrinol (Oxf)Published Longitudinal cohort study

Authors' conclusion

Androgen bioactivity was undetectable before pubertal onset but measurable after in most boys, reflecting both the bioassay's lower sensitivity and potential physiological changes in androgen bioactivity during early puberty. Further studies are needed to clarify these observations.

Study context

Population
Healthy boys from the Copenhagen Puberty Study II (2006–2011) during pubertal transition; pubertal onset = testicular enlargement ≥ 4 mL by palpation
Participants
10 participants
Exposure
Androgen bioactivity by in vitro androgen receptor (AR) bioassay vs total T and free T
Outcome
Androgen bioactivity and serum total T

Main finding

As reported in the abstract

Measurability of androgens across pubertal onset
Androgen bioactivity unmeasurable before puberty; measurable 0.8-1.7 years after pubertal onset
9 of 10 boys
Total T and free T measurable prepubertally
all boys
Total T and free T increased before pubertal onset
2 boys
Correlation of androgen bioactivity with total T
r = 0.93, p < 0.001
Correlation of androgen bioactivity with free T
r = 0.93, p < 0.001

Observational data: associations, not effects.

Further findings

ROC accuracy

Original publication

Determination of Androgen Bioactivity by an In Vitro Assay During Pubertal Transition in Healthy Boys. Clin Endocrinol (Oxf). Published 4 April 2025. doi:10.1111/cen.15249

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