Reproductive endocrinology

Serum Insulin-like Factor 3, Testosterone, and LH in Experimental and Therapeutic Testicular Suppression

J Clin Endocrinol MetabPublished Mechanistic study

An erratum to this article was published (J Clin Endocrinol Metab, 15 Mar 2024 ↗)

Authors' conclusion

INSL3 resembles testosterone as a sensitive marker of testicular suppression and reflects Leydig cell function, also during exposure to exogenous testosterone. Serum INSL3 measurements may complement testosterone as a Leydig cell marker in male reproductive disorders, during therapeutic testicular suppression as well as in surveillance of illicit use of androgens.

Study context

Population
Subjects before and after experimental or therapeutic testicular suppression: healthy young men, transgender girls (male sex assigned at birth) and patients with prostate cancer3 cohorts
Participants
6 / 10 / 55
Comparison
Serum INSL3, testosterone and LH before vs after testicular suppression
  • Healthy young menn = 6
  • Transgender girlsn = 10
  • Prostate cancern = 55
Outcome
Concomitant changes in serum INSL3, testosterone and LH during testicular suppression
Methodological details3 cohorts, before and after testicular suppression, INSL3 and testosterone by LC-MS/MS; LH by ultrasensitive immunoassay
  • 3 cohorts
  • Before and after testicular suppression
  • INSL3 and testosterone by LC-MS/MS; LH by ultrasensitive immunoassay

Main finding

As reported in the abstract

Serum INSL3, testosterone and LH
  • Healthy young men: INSL3, testosterone and LH decreased during Sustanon suppression and returned to baseline after release of suppression
  • Transgender girls and prostate cancer: all 3 hormones decreased during therapeutic suppression

Original publication

Serum Insulin-like Factor 3, Testosterone, and LH in Experimental and Therapeutic Testicular Suppression. J Clin Endocrinol Metab. Published 26 May 2023. doi:10.1210/clinem/dgad291

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