Serum steroid metabolome dynamics in infancy: a longitudinal cohort study of healthy infants

Eur J EndocrinolPublished Prospective longitudinal birth cohort study

Authors' conclusion

These findings offer a comprehensive characterization of the serum steroid metabolome in healthy infants throughout the first year of life. The resulting age-specific reference curves may serve as valuable tools to support the clinical diagnosis and therapeutic monitoring of rare disorders of steroidogenesis.

Study context

Population
Healthy, term, singleton newborns followed during the first year of life (Copenhagen Minipuberty Study, 2016–2018)446 longitudinal samples
Participants
88 vs 101
Exposure
Girls vs boys
  • Girlsn = 88
  • Boysn = 101
Outcome
Temporal dynamics of serum steroid metabolome (16 steroid hormones by LC-MS/MS) and sex- and age-specific reference curves
Follow-up
First year of life
Methodological detailsrepeated assessments during first year of life
  • Repeated assessments during first year of life

Main finding

As reported in the abstract

Serum steroid metabolome during infancy
  • Increasing concentrations of cortisol and 11-deoxycorticosterone; decreasing levels eg, progesterone, 11-deoxycortisol, 17-hydroxyprogesterone and androstenedione
  • These trends were largely independent of sex

Observational data: associations, not effects.

Further findings

OutcomeP value
Estimated activities of key steroidogenic enzymes, boys vs girlsP < 0.001
  • Estimated activities of key steroidogenic enzymes, boys vs girls: 17β-hydroxysteroid dehydrogenase activity significantly higher in boys

Estimated activities of key steroidogenic enzymes, boys vs girls

Estimated activities of key steroidogenic enzymes did not differ significantly between sexes, except for sex steroid-related conversion

Original publication

Serum steroid metabolome dynamics in infancy: a longitudinal cohort study of healthy infants. Eur J Endocrinol. Published 17 September 2025. doi:10.1093/ejendo/lvaf193

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