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At least 19 recordsLinked to original sources

Short time kinetics of deoxycorticosterone, deoxycortisol, corticosterone and cortisol during single dose metyrapone test.

In 4 young healthy males, serum levels of 11-deoxycortisol (S), cortisol (F), 11-deoxycorticosterone (DOC) and corticosterone (B) were determined at short intervals after oral administration of 30 mg/kg of metyrapone (M) at midnight. 11-hydroxylase blockade was calculated from the formula (formula: see text). Significant blockade was demonstrable 15 to 30 min after drug administration. Maximum blockade (greater than 90%) was found between 2 and 4 a.m., and fell to 60-70% at 8 a.m. The profile of blockade was very similar in all the subjects, although the absolute early rise in steroid levels showed large inter-individual differences. The F level at 8 a.m. (only slightly suppressed under these conditions) is not a safe indicator of adequate 11-hydroxylase blockade.

Administration, Oral

Plasma adrenocorticosteroid levels in protein and energy restricted pigs.

Pigs (Yorkshire) were subjected to protein-energy malnutrition in the following manner: 3- or 4-week-old pigs from control dams were fed a control diet (18% protein), an energy-restricted diet (18% protein), or a low protein diet (6% and 3% protein) for 8 weeks. Energy restriction was achieved by feeding the control diet in amounts that allowed some growth, but only to an extent equal to the low protein diet being matched. After the restriction period, all pigs were fed the control diet for another 8 weeks. Blood samples were collected at intervals from the superior vena cava. Plasma samples were analyzed for corticosteroids in all groups and for free cortisol in the controls and 3% protein groups. No significant differences were found for total plasma corticosteroids among all groups. Free cortisol was found significantly higher in the 3% group compared to the controls. An ACTH test was performed with depleted and recovered pigs of the 3% protein group and controls. No differences were found among controls, depleted and recovered pigs.

Adrenal Cortex

Menopause related changes of adrenocortical steroid production.

To elucidate changes of adrenocortical steroid production with age, reproductive age (n = 14), peri-menopausal (n = 12) and post-menopausal (n = 13) women were studied using basal hormone levels and the results of a rapid ACTH stimulation test. Peripheral serum levels of pregnenolone, 17 alpha-hydroxypregnenolone, 17 alpha-hydroxyprogesterone, dehydroepiandrosterone and androstenedione were measured by RIA. The basal levels of all steroids except pregnenolone decreased with age. A significant increase in the levels of all steroids after ACTH stimulation was observed in all subjects. Although, there was an age related decrease in the response of C19-steroids to ACTH, the response of pregnenolone and 17 alpha-hydroxyprogesterone to ACTH did not alter with age. The preserved response of 17 alpha-hydroxyprogesterone to ACTH in post-menopausal women suggests that 17 alpha-hydroxyprogesterone production plays a role in the age independency of cortisol. In the present paper, the changes in the capacity of the post-menopausal adrenal cortex to produce androgens and C21-steroids were demonstrated.

17-alpha-Hydroxypregnenolone

Triamcinolone acetonide aerosols for asthma. I. Effective replacement of systemic corticosteroid therapy.

Triamcinolone acetonide, a water-insoluble corticosteroid preparation in a Freon-propelled metered-dose aerosol, was administered via a specially designed nebulizer to 22 adult patients with severe, chronic asthma. All patients had required oral corticosteroid therapy, daily, for several years, in order to control their incapacitating obstructive airways disease. During 4 wk of treatment with triamcinolone acetonide, taken in 4 daily doses totaling 8 to 28 inhalations (400-1,400 mcg) per day: (1) asthma remained under satisfactory control; (2) oral corticosteroids were stopped in 19 patients and reduced in 2, and 1 patient withdrew from the study; (3) adrenal cortical function returned to normal or near normal levels; (4) spirometric and plethysmographic measurements improved significantly; (5) daily self-measurements of peak expiratory flow showed a marked improvement in median weekly levels, as well as a reduction in daily variability. No immediate undesirable side effects were noted. These observations indicated that more extensive applications of topical corticosteroid therapy are justified as an effective, convenient, and relatively safe method for the preventive management of severe, persistent asthma.

Administration, Intranasal

Changes of adrenal hormones in goats with experimentally induced arthritis.

An experiment was carried out to clarify the mechanism of occurrence of arthritis in goats. In it changes of the adrenal hormones in blood and urine were examined in goats with experimentally induced arthritis. Four groups of goats were used. A goat of group B was inoculated with anaerobic Corynebacterium organisms isolated from a joint of a field case. Group H was treated with hormones (deoxycorticosterone acetate and adrenalin). Group BH was inoculated with those organisms and treated with these hormones. The other group served as an untreated control. Arthirits was induced to three of the four goats of group BH. The blood level of 11-hydroxycorticosteroids and the urine level of 17-hydroxycorticosteroids were higher in group BH than in any other group at the time of appearance of clinical signs. The hypofunction of the adrenal cortex was seen in two of three goats with induced arthritis. Serotonin increased transitorily in group BH around the time of appearance of clinical signs, but there was finally no difference in its level among goats with or without induced arthritis. There was no definite tendency in the fluctuation of level of adrenalin or noadrenalin.

11-Hydroxycorticosteroids

[Mechanism of action of tetracycline on the functional state of the adrenal cortex].

The mechanism of stimulation of the adrenal cortex function by tetracycline was studied on albino rats. It was shown that tetracycline administered orally in a dose of 200 mg/kg regularly induced an increase in the corticosterone levels in the peripheral blood of the animals by the 15th day of the antibiotic use. It was shown on the animals with an experimentally suppressed function of the hypophysis by prolonged administration of hydrocortisone acetate that tetracycline primarily stimulated the hypophysis function resulting in production and excretion of increased amounts of the adrenocorticotropic hormone into the blood. The hormone increased the production of corticosterone in the adrenal glands which resulted in its higher levels in the peripheral blood.

Adrenal Cortex

[Adrenomyeloneuropathy: an adult form of adrenoleukodystrophy spastic paraparesis, and chronic adrenal insufficiency (concerning 3 cases) (author's transl)].

Three cases of adult males with spastic paraparesis and adrenal insufficiency are reported. The adrenal insufficiency is primary and in one case associated with Leydig cell insufficiency. Ultrastructural examination of peripheral nerve revealed abnormal cytoplasmic inclusions in Schwann cells. A decrease in the percentage of linoleate to total fatty acids was found in the sera. A child with adrenoleucodystrophy and an adult with adreno myeloneuropathy were observed in the same family. It allows adrenomyeloneuropathy to be considered as an adult form of adrenoleucodystrophy.

Addison Disease

[Combination of a hormonally active adrenal tumor with hypertensive disease of the kidneys].

The author observed 230 patients with hormone-active tumor of the adrenal attended with arterial hypertension. In 90 patients there were concomitant hypertensive diseases of the kidneys. The diagnosis of the concomitant disease was verified during roentgenography, aortography included. In 66 of 90 patients (73.3%) arterial hypertension followed a malignant course. The presence of adrenal tumor was verified morphologically after the operation in 208 patients and during autopsy in 22. The concomitant renal disease was confirmed histologically on autopsy in 7 fatal cases and by kidney biopsy in 36. The clinical characteristics of the variants of combined lesions of the kidneys and adrenals and the methods of their diagnosis are discussed. The author recommends examining the adrenals in all patients suffering from malignant arterial hypertension.

Adrenal Cortex Function Tests