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[Associated role of surgery and antimitotic o, p'-DDD treatment in hyperfunctioning adrenal cancers with diffuse metastases].

The observation of two cases of hyperworking corticosuprarenal carcinomata with diffuse metastases, has induced the authors to examine this problem on the base of the most actual bibliography of the last years. They explain in detail the 2 cases, that are a feminizing tumor in a 55 years old man and a Cushing syndrome with hypertension in a 18 years old women. The peculiar characteristic are in the first case the clinical rareness of feminizing syndrome from suprarenal carcinoma and in the second case the histopathological particularity of splenic metastases. In regard to therapy for this particular tumor, the AA. incline for the surgical removal of tumor, that can induce, in the most favourable cases, a partial or total reduction of endocrine symptomatology and for the giving in great doses of o,p'-DDD from the immediate post-operating period.

Adolescent↗

[Adrenal adenoma secreting exclusively estrogens in a woman during her reproductive period. 11-year follow-up].

Feminizing tumours are rare, most are malignant, and they are usually seen in children and male adults. We report an 11-year follow-up of a feminizing adrenal tumour which was unusual on three accounts: it was a benign adenoma, it secreted estrogens only and the patient was an female in her active reproductive years. To our knowledge, similar cases have not yet been published.

Adenoma↗

[Testicular tumors in male pseudohermaphroditism].

The data are summarized on the incidence and morphofunctional characteristics of gonadal tumors in different varieties of false male hermaphroditism, namely the testicular feminization syndrome (marked and unmarked forms), demonstrable masculinization and dysgenesis and compared with the disease clinical manifestations. The two syndromes--testicular feminization (marked form) and dysgenesis were found to be associated with a high risk of cancer development. In the first case there develop sertolioma-like tumors and in the second one, tumors similar to gonocytoma and dysgerminoma. These tumors became malignant in rare cases, they did not recur or metastasize. The treatment schedule for such patients has been developed. It includes the removal of the tumor-affected gonads and transfer of the tumor-free gonads into subcutaneous abdominal or scrotal areas and administration (during castration) of continuous substitution hormonotherapy according to the sex chosen.

Adenoma↗

Effect of estrogens and progesterone on gonadotropin and prolactin release in a patient with androgen insensitivity.

Response of serum levels of gonadotropins and prolactin to doses of estrogen and progesterone was measured in a patient with the complete form of androgen insensitivity, ie, testicular feminization. Before gonadectomy a single 2.5-mg dose of estradiol benzoate (E2B) produced a decrease in gonadotropin levels. Gonadectomy resulted in a rise of serum levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) but had no effect on levels of prolactin. The following results were obtained after gonadectomy: During low-dosage therapy with ethinyl estradiol (EE) a single 2.5-mg dose of E2B produced a decrease in FSH and LH levels, no LH surge, and a small rise in prolactin levels. With a tenfold higher EE priming, the same dose of E2B provoked an LH surge; progesterone administration produced FSH, LH, and prolactin release. However, progesterone priming blocked the positive feedback of estradiol and enhanced its negative feedback. Pituitary sensitivity ot nonandrogenic steroids appears to be normal in cases of testicular feminization. Under this condition, after gonadectomy, the dynamics of gonadotropins and prolactin in response to estrogens or progesterone administration are similar to those in normal women and suggest that aromatization products of testosterone do not produce any irreversible effects on neuroendocrine differentiation of androgen-insensitive patients

Adult↗

Sex differentiation in bilaterally allophenic animals produced by cloning of two bipartite male/female chimaeras of Lineus sanguineus.

Two bipartite chimaeras were constructed in Lineus sanguineus by grafting the lateral halves from a phenotypically dark-brown male onto the anatomically complementary halves from a phenotypically light-brown female. Regeneration of a large number of pieces transected from these two bilaterally allogeneic chimaeras produced two clones of bilaterally allophenic nemertines (male/female and female/male). Sex differentiation in the cloned worms started with a transitory stage of gonad developmental autonomy, termed the primary gynandromorphous state; at this stage there were young testes in the originally male lateral halves and juvenile ovaries in the originally female ones, the only abnormality then was that the ovarian development was more advanced than the testicular development relative to those in male and female controls. Then, unilateral sex reversal occurred, with feminization of the testes, i.e. oogenesis took the place of spermatogenesis in the many male gonads located in either the right or the left side of allophenic worms according to the symmetry patterns of the two clones. Finally, when the gonads reached maturity, both sides allophenic L. sanguineus contained only ovaries with ripe oocytes. The complete feminization of these allophenic worms and the previously observed masculinization of 'heterosexual' chimaeras in L. ruber suggest that a diffusible factor controls gonadal differentiation in worms of the prevailing sex, which is the female sex in L. sanguineus and the male sex in L. ruber.

Chimera↗

Altered sex differentiation of hepatic ethylmorphine N-demethylation in the male rat following neonatal methadone exposure.

Since acute methadone treatment reduces serum androgen levels in adult male rats, we have investigated the effect of exposure of neonatal rats to methadone (M) on the "neonatal imprinting" of hepatic monooxygenase by testosterone. The kinetic constants for ethylmorphine N-demethylation (ED) in hepatic microsomes of adult rats are sex-related (female Km greater than male Km and male Vmax greater than female Vmax). Treatment of male neonates with M (2.5 mg/kg, sc) during the first 5 postnatal days resulted in an elevation of the Km, but no significant changes in the Vmax for ED in adult life. The M-induced "feminization" of the Km for ED could be prevented by a single dose of testosterone propionate (TP) given to the neonates on day 2 following birth. M treatment also reduced in a reversible manner neonatal serum androgen levels: Decreased androgen levels were not observed beyond the fifth postnatal day. These data suggest that the feminizing effect of M may be related to a reversible chemical castration effect during a critical neonatal period. Our studies also show that the imprinting of the Km and Vmax for ED do not occur during the identical period.

Animals↗

Permanent tooth sizes in 46,XY females.

The teeth of seven Finnish patients with complete testicular-feminization syndrome (46,XY females) were studied to obtain further information about their growth and possible somatic determinants on the Y chromosome. The sizes of the permanent teeth of the 46,XY females were found to be as large as those of control males and definitely larger than those of control females. Testicular feminization is caused by androgen insensitivity, and persons affected are phenotypically females. Hence, these results also indicate the influence of the Y chromosome on dental determination.

Adolescent↗

Genetics of sexual differentiation and anomalies in dogs and cats.

Normal mammalian sexual differentiation is dependent upon the successful completion of a series of steps that are under genetic control. These steps are marked by three consecutive events-establishment of chromosomal sex, gonadal sex and phenotypic sex. Chromosomal sex is normally established at fertilization. A gene located on the Y chromosome (Tdy) encodes a protein, the testis-determining factor, that is the genetic switch for male development. Testicular development establishes male gonadal sex. Two testicular secretions are responsible for masculinization of the phenotype: Müllerian inhibiting substance causes the Müllerian duct system to regress; testosterone allows development of the vas deferens and epididymides from the Wolffian ducts. Testosterone is metabolized to dihydrotestosterone in cells of the urogenital sinus, genital tubercle, and genital swellings, stimulating formation of the prostate and urethra, the penis, and the scrotum, respectively. In the absence of the Y chromosome and the Tdy gene, the default pathway to female gonadal sex is initiated. The gonadal anlagen develops into an ovary, establishing female gonadal and phenotypic sex. Abnormalities in sexual differentiation are classified by the initial step, as far as is known, at which development differs from normal. Anomalies are categorized as errors in chromosomal, gonadal or phenotypic sex. Reported abnormalities of genetic sex in the dog and cat include abnormalities in chromosomal number or structure, such as the XXY and XO syndromes, chimaeras and mosaics. Abnormalities of gonadal sex include XX sex reversal in the dog, which is inherited as an autosomal recessive trait with phenotypic expression limited to dogs with an XX chromosome constitution. Abnormalities of phenotypic sex include testicular feminization syndrome (TFM) in the cat and persistent Müllerian duct syndrome (PMDS) in the dog. In complete testicular feminization, the androgen receptor is absent or non-functional. Affected individuals have a normal male karyotype (XY) and bilateral testes, but androgen-dependent masculinization is completely absent. As in other species, TFM in the cat is likely to be inherited as an X-linked trait. PMDS in the miniature schnauzer is inherited as an autosomal recessive trait with expression limited to homozygous males. PMDS-affected male dogs have a normal male karyotype (78,XY), bilateral testes, and a complete Müllerian duct system (oviducts, uterus, cervix and cranial vagina). Current studies support the hypothesis that target organ resistance, possibly a mutation in the gene for the MIS receptor, is responsible.

Animals↗

Cyclophosphamide modulates rat hepatic cytochrome P450 2C11 and steroid 5 alpha-reductase activity and messenger RNA levels through the combined action of acrolein and phosphoramide mustard.

Cyclophosphamide treatment of adult male rats leads to sustained decreases in several liver microsomal cytochrome P450 (CYP) activities, including CYP 2C11-catalyzed cyclophosphamide activation, via a process that is associated with a feminization of the overall pattern of liver enzyme expression (G. A. LeBlanc and D. J. Waxman, Cancer Res., 50:5720-5726, 1990). The present study compares the effects of cyclophosphamide and its isomeric analogue ifosphamide on the gender-dependent expression of hepatic CYP 2C11 and steroid 5 alpha-reductase in adult male rats and also examines the role of the cyclophosphamide metabolites acrolein and phosphoramide mustard in feminizing the expression of these liver enzymes. Ifosphamide (a) suppressed the male-specific CYP 2C11 mRNA and CYP 2C11-catalyzed liver microsomal testosterone 2 alpha-hydroxylation and cyclophosphamide and ifosphamide 4-hydroxylation and (b) elevated the female-dominant liver enzyme steroid 5 alpha-reductase and its mRNA 7-9 days after drug treatment, both occurring in a manner similar to that of cyclophosphamide, but requiring a 50% higher dose (180 mg/kg, single i.p. injection) to achieve these effects. This pattern of response could not be achieved by treatment of rats with acrolein or with cyclophosphamide analogues that decompose to acrolein without formation of phosphoramide mustard. In contrast, phosphoramide mustard treatment (100 mg/kg) did modulate microsomal CYP 2C11 and steroid 5 alpha-reductase activities. Treatment with a lower dose (50 mg/kg) of phosphoramide mustard or with the acrolein precursor 4-hydroperoxydechlorocyclophosphamide (200 mg/kg) alone did not affect liver enzyme expression, whereas the combination of these agents produced an overall pattern of response that was similar to that conferred by cyclophosphamide. These studies establish that ifosphamide is less potent than cyclophosphamide in modulating the pattern of cytochrome P450 and steroid 5 alpha-reductase expression and that phosphoramide mustard is responsible for the modulation of liver enzyme expression by cyclophosphamide, with acrolein potentiating the modulating activity of the mustard.

3-Oxo-5-alpha-Steroid 4-Dehydrogenase↗

Male pseudohermaphroditism: diagnosis in cell culture.

Testicular feminization is a classic form of complete male pseudohermaphroditism. The individuals have a normal XY karyotype but unambiguously female external genitalia. They have congenital complete insensitivity to androgen due to an X-linked mutation. In four patients (from tow families with several affected members) with the typical phenotype of testicular feminization, a severe deficit of specific androgen-binding activity was detected in cultured fibroblasts from labium majus skin. Measurement of this activity in genital skin fibroblasts improves the differential diagnosis in patients with complete or imcomplete male pseudohermaphroditism before puberty.

Adolescent↗

Effects of juvenile hormones I, II and III, in single and fractionated dosage in Melipona bees.

Applications of Juvenile Hormones JH I, II and III in single or fractionated doses to larvae of Melipona compressipes, Melipona quadrifasciata, Melipona rufiventris and Melipona scutellaris at the L3 and beginning of cocoon-spinning phase (pre-defecating larvae - LPD) activated feminizing genes, inducing differentiation of female larvae into queens. The technique of fractionated treatment proved to be highly efficient in Melipona species for producing of queens. It is difficult to obtain 100% queens with single dosage of JH in some species which implies in a mechanism of JH degradation by specific esterases. One hundred per cent of queen production occurs only when an adequate amount of Juvenile Hormone is administered within the period that is critical for caste determination. The threshold dosage of JH I for Melipona compressipes (below which it is not possible to obtain 100% queens) was 0.1mu JH I 4 applications of 0.25mu g each. For Melipona quadrifaciata the threshold dose for obtaining the highest proportion of queens was 0.2mu g JH I in 4 applications of 0.05mu g each. For Melipona scutellaris 0.025mu g JH I/mj 1 in single dosage induced 100% of queens. No 100% production of queens in Melipona Rufiventris treated larvae were obtained; the highest proportion was 86% of queens with 0.2mg g JH I/mu 1. In order to obtain expression of the feminizing genes in Melipona species, JH I was the most efficient followed by JH III. Each species respond differentialy to JH dosage, and this dosage must be tested before use.

Animals↗

The role of estrogen receptors and androgen receptors in sex steroid regulation of B lymphopoiesis.

Several observations suggest that sex steroids might participate in steady state regulation of B lymphopoiesis. B cell precursors decline dramatically in bone marrow of pregnant or estrogen-treated mice. Reciprocally, the same cell populations are increased in hypogonadal mice or male castrates. Estrogen treatment of hypogonadal mice reduced precursors to normal. However, questions remain about which hormones and receptors are the most important. Furthermore, these observations need to be reconciled with advances regarding new sex steroid receptors. We have now characterized B lymphopoiesis in androgen receptor-deficient testicular feminization (Tfm) mice. Testicular feminization mice had substantially elevated numbers of B cell precursors in the bone marrow and B cells in the spleen as compared with wild-type mice. The importance of one estrogen receptor (ER alpha) was evaluated in gene-targeted mice, and B cell precursors were found to be within the normal range. Our previous studies indicated that hormone receptors in stromal cells may be important for estrogen-mediated suppression of B lymphopoiesis. We now show that estrogen-mediated inhibition of B cell precursor expansion in culture was blocked by a specific estrogen receptor antagonist (ICI 182,780). Stromal cells derived from ER alpha-targeted bone marrow were fully estrogen responsive. RT-PCR analyses of these stromal cells revealed splice-variant transcripts of ER alpha, as well as message for a recently discovered estrogen-binding receptor, ER beta. Thus, androgens may normally inhibit B lymphopoiesis through the androgen receptor, whereas estrogens might utilize one or more receptors to achieve the same physiologic response.

Androgen-Insensitivity Syndrome↗

Restrained eating among vegetarians: does a vegetarian eating style mask concerns about weight?

The present study explored the relationships among dietary style (ranging from meat eating to veganism), cognitive restraint and feminist values. Two-hundred and twenty-seven participants with varying dietary styles completed the restraint subscale of the Three Factor Eating Questionnaire (TFEQ) and Attitudes Towards Feminism Scale (ATFS). Results indicated that among males, those who are high in cognitive restraint are more likely to exhibit a vegetarian dietary style than those low in cognitive restraint. Among women who are high in feminist values, those with high cognitive restraint are more likely to exhibit a vegetarian dietary style than those with low cognitive restraint, whereas for women low in feminist values those with high and low cognitive restraint are equally likely to exhibit vegetarian and non-vegetarian dietary styles. It is suggested that for some individuals, adoption of a vegetarian dietary style is an attempt to mask their dieting behaviour from others.

Adolescent↗

Action of estradiol and tamoxifen on the Müllero-regressive activity of the chick embryonic testis assayed in vivo by organotypic grafting.

In the chick, the implantation of a testis graft from a 13-day-old male donor embryo into the extra-embryonic coelom of 3-day-old female embryos induces the total regression of their Müllerian ducts because of the anti-Müllerian hormone (AMH or MIS) secreted by the implant. Pre-treatment of the donors with estradiol (E2), between day 12 and day 13, counteracts in a significant way the Müllero-regressive activity of the implant. Co-treatment of donors at the same stage with both Tamoxifen (TAM) and E2 restores the initially observed activity, thus demonstrating the presence of Tamoxifen-sensitive estrogen receptors at the late stage of treatment in the Sertoli cells responsible for AMH secretion. The treatment of 3-day-old male donor embryos with E2 causes the differentiation of their left gonad into an ovotestis which provides implants totally devoid of Müllero-regressive activity. The additional treatment with TAM of the grafted host embryos, does not modify the results obtained when E2-treated male gonads are grafted to host embryos not treated with TAM. This shows that the lack of Müllero-regressive activity exhibited by the E2-treated male gonads does not depend on the estrogens they may secrete during the time of the assay, i.e., it cannot be attributed to a protecting action of estrogens on the MDs of the host. Our results therefore favor the idea that E2 down-regulates AMH. The relevance of such a regulation to the phenomenon of Müllerian duct maintenance, either in the E2-feminized male or in the female chick embryo, is discussed.

Animals↗

Androgen resistance and deficiency have different effects on the growing skeleton of the rat.

Mature male, female, and androgen-resistant testicular feminized (Tfm) male rats of the same strain were sacrificed at the age of 120 days. Young male and Tfm rats were orchidectomized (orch) at 1 month of age and sacrificed at 120 days. The right femora were dissected, cleaned, defatted, and scanned with the Hologic QDR-1000. Orch and Tfm rats had similar body weights that were intermediate between body weights of their normal male and female littermates. Serum IGF-I concentrations were lowest in Tfm rats; IGF-1 concentrations in orch rats were not lower than in males. Dual-energy X-ray absorptiometry yielded the following results: Total femoral mass and area were lower in female, Tfm rats and in both orch groups compared with intact male rats. Femoral bone density was, however, only decreased in orch rats. Bone density measured in an area containing only cortical bone was not different between groups. However, the density was lower in orch rats in an area containing both cancellous and cortical bone. This finding is consistent with a +/- 50% decrease of cancellous bone volume in orch rats compared with all other groups at the proximal tibial metaphysis (an area containing mainly cancellous bone). These data show that Tfm rats, despite having lower IGF-I levels in serum, low body weight, and decreased femoral areas, manage--in contrast with orchidectomized rats--to maintain similar trabecular bone densities and volumes during growth. We conclude that trabecular bone densities can be preserved in androgen-resistant male rats independent of bone or body growth velocity or IGF-I secretion.(ABSTRACT TRUNCATED AT 250 WORDS)

Absorptiometry, Photon↗

[Sex determination and sex differentiation].

Sex determination in mammals proceeds like a cascade from the level of the sex chromosomes to the gonads, to the genital ducts, and finally to the expression of the male or female phenotype. At the level of the genital ducts male sex organs are induced by testosterone. Its action depends on an intact cytoplasmic androgen receptor protein. The testicular feminization mutation (tfm) leads to loss of hormone binding capacity. Individuals with testes but female external phenotype develop. In the mouse the interaction of androgen insensitive Tfm cells with normal cells can be studied in mosaic individuals composed of both cell types, and in organ culture by recombination of Tfm and normal tissues. The experiments show that under the action of testosterone the normal cells express male differentiated cellular functions, whereas the Tfm cells differentiate in female direction. In respect to proliferation and expression of male or female organ structures, however, both cell types communicate via local factors. Thus, instead of irregular malformations intersex organs develop.

Animals↗

Detection of 'candidatus Cardinium' bacteria from the haploid host Brevipalpus californicus (Acari: Tenuipalpidae) and effect on the host.

Brevipalpus californicus (Banks) was infected with 'Candidatus Cardinium' bacteria (Cardinium). Tetracycline-treated females produced many male progeny even though untreated females produced only female progeny. B. californicus appears to be feminized by Cardinium. The values for net reproduction rate (R0), generation time (T) and intrinsic rate of natural increase (r(m)) calculated for B. californicus were 7.48/day, 31.45 days and 0.064/day, respectively. The comparison of infected females with uninfected males and other closely related species, indicated that Cardinium does not have a negative effect on the fitness of B. californicus.

Animals↗

The female-killing chromosome of the silkworm, Bombyx mori, was generated by translocation between the Z and W chromosomes.

Bombyx mori is a female-heterogametic organism (female, ZW; male, ZZ) that appears to have a putative feminizing gene (Fem) on the W chromosome. The paternally transmitted mutant W chromosome, Df(p ( Sa ) + ( p )W + ( od ))Fem, derived from the translocation-carrying W chromosome (p ( Sa ) + ( p )W + ( od )), is inert as femaleness determinant. Moreover, this Df(p ( Sa ) + ( p )W + ( od ))Fem chromosome has been thought to have a female-killing factor because no female larvae having the Df(p ( Sa ) + ( p )W + ( od ))Fem chromosome are produced. Initially, to investigate whether the Df(p ( Sa ) + ( p )W + ( od ))Fem chromosome contains any region of the W chromosome or not, we analyzed the presence or absence of 12 W-specific RAPD markers. The Df(p ( Sa ) + ( p )W + ( od ))Fem chromosome contained 3 of 12 W-specific RAPD markers. These results strongly indicate that the Df(p ( Sa ) + ( p )W + ( od ))Fem chromosome contains the region of the W chromosome. Moreover, by using phenotypic and molecular markers, we confirmed that the Df(p ( Sa ) + ( p )W + ( od ))Fem chromosome is connected with a partially deleted Z chromosome and that this fused chromosome behaves as a Z chromosome during male meiosis. Furthermore, we demonstrated that the ZZW-type triploid female having the Df(p ( Sa ) + ( p )W + ( od ))Fem chromosome is viable. Therefore, we concluded that the Df(p ( Sa ) + ( p )W + ( od ))Fem chromosome does not have a female-killing factor but that partial deletion of the Z chromosome causes the death of the ZW-type diploid female having the Df(p ( Sa ) + ( p )W + ( od ))Fem chromosome. Additionally, our results of detailed genetic analyses strongly indicate that the female-killing chromosome composed of the Df(p ( Sa ) + ( p )W + ( od ))Fem chromosome and deleted Z chromosome was generated by translocation between the Z chromosome and the translocation-carrying W chromosome, p ( Sa ) + ( p )W + ( od ).

Animals↗