Adrenal disease

Human Gonads Do Not Contribute to the Circulating Pool of 11-Oxygenated Androgens

J Clin Endocrinol MetabPublished Mechanistic study

Authors' conclusion

Despite producing substantial amounts of A4 and T, human gonads are not relevant sources of 11-oxyandrogens.

Study context

Population
11 patients (7 women) undergoing gonadal venograms, median age 37 (range, 31–51 years); 17 women, median age 57 (range, 41–81 years), undergoing bilateral salpingo-oophorectomy (BSO)11 venogram + 17 BSO pts
Participants
11 / 11 / 17 / 17
Comparison
Gonadal vs peripheral vein steroids; before vs after bilateral salpingo-oophorectomy (BSO)
  • Gonadal veinn = 11
  • Peripheral veinn = 11reference
  • Before BSOn = 17reference
  • After BSOn = 17
Outcome
Gonadal contribution to the circulating pool of 11-oxyandrogens (13 steroids measured by LC-MS/MS)
Methodological detailspaired gonadal and peripheral vein sampling, before-after BSO comparison, LC-MS/MS steroid profiling
  • Paired gonadal and peripheral vein sampling
  • Before-after BSO comparison
  • LC-MS/MS steroid profiling

Main finding

As reported in the abstract

11-oxyandrogens
  • Four 11-oxyandrogens were similar between matched gonadal and peripheral vein samples
  • 11-oxyandrogens remained stable after BSO

Further findings

OutcomeP value
Traditional steroids in gonadal vs peripheral veinsP < 0.05 for all
  • Traditional steroids in gonadal vs peripheral veins: A4, T, estradiol, estrone, progesterone, 17α- and 16α-hydroxyprogesterone all higher in gonadal veins

A4 and T after BSO

A4 declined after BSO
P < 0.001
T declined after BSO
P < 0.001

CYP11B1 mRNA expression in gonadal tissue

Gonadal tissue displayed negligible CYP11B1 mRNA

Original publication

Human Gonads Do Not Contribute to the Circulating Pool of 11-Oxygenated Androgens. J Clin Endocrinol Metab. Published 17 June 2024. doi:10.1210/clinem/dgae420

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