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Journal of Andrology, Vol 2, Issue 4 181-189, Copyright © 1981 by The American Society of Andrology

The Aging Leydig Cell: III. Gonadotropin Stimulation in Men

H. R. NANKIN 1, T. LIN 1, E. P. MURONO 1, AND J. OSTERMAN 1

1 Medical Service, Wm. Jennings Bryan Dorn Veterans' Hospital and Department of Medicine, University of South Carolina School of Medicine, Columbia, South Carolina

To assess the capacity of aging human Leydig cells to respond to intramuscular injection of hCG, six healthy men, 68 to 86 years old, and eight healthy younger subjects, 25 to 42 years old, were studied. After two control specimens, each subject was given hCG (40 IU/kg of body weight intramuscularly) at 0900 hours. Blood specimens were then obtained hourly for 6 hours and at 24, 48, and 72 hours.

The younger men had higher control concentrations of testosterone (P < 0.05). Both groups demonstrated biphasic elevations of circulating testosterone and 17OH-progesterone with a nadir at 5 hours and 6 hours separating the rises. The early (1-6 hours) and late (24, 48, and 72 hours) testosterone and 17OH-progesterone responses to hCG were significantly lower in older men. The older men demonstrated significant estradiol increases at 3, 4, and 6 hours, while the younger group had a significant 2-hour rise. However, the peak (24-hour) estradiol rises were significantly greater in the younger men.

We conclude that the aged Leydig cell demonstrates altered early (1-6 hours) and late (24, 48, and 72 hours) responses to intramuscular injection of hCG, as assessed by circulating concentrations of testosterone, 17OH-progesterone, and estradiol.

     Key words: human, aging, Leydig cells, testosterone, 17OH-progesterone, estradiol, human chorionic gonadotropin

Submitted on December 1, 1980
Revised on January 21, 1981
Accepted on February 3, 1981




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