Metabolism of Dehydroepiandrosterone Sulfate (DS) in Normal Women and Women with High DS Concentrations*
RAY V. HANING, Jr.,
IAN H. CARLSON,
CHARLES A. FLOOD,
RICHARD J. HACKETT and
CHRISTOPHER LONGCOPE
Brown University and Women and Infants Hospital Providence, Rhode Island 02905
University Hospital Clinical Laboratories and University of Wisconsin Madison Wisconsin
Departments of Obstetrics and Gynecology and Medicine, University of Massachusetts Medical School Worcester, Massachusetts 01605
Address all correspondence and requests for reprints to: Ray V. Haning, Jr., M.D. Department of Obstetrics and Gynecology, Women and Infants Hospital, 101 Dudley Street, Providence, Rhode Island 02905.
In order to determine the contribution of serum dehydroepiandrosteronesulfate (DS) to estrone (E1) production in normal women andthe effect of chronic elevation of the serum DS concentrationon DS metabolism, four normal women and four women with highendogenous serum DS were infused with [3H]DS and [14C]E1 or[14C]testosterone for 6 h. Blood samples were analyzed for radioactivityas DS, dehydroepiandrosterone (D), androstenedione, testosterone,and dihydrotestosterone. Urine was collected for analysis ofcreatinine, 17- ketosteroids (17–KS), and radioactivityas estrone (E1). The serum DS of 12.4 ± 1.44 µmol/L(mean ± SE) in the group with high DS was higher thanthat of 3.96 ± 1.0 /nmol/L (1.46 ± 0.37 Mg/mL)in the normals (P < 0.005). Those with high DS also had increased17-KS (13.2 ± 2.0 vs. 5.68 ± 0.68 mg/day, P <0.025) and a higher blood production rate of DS () (126 ± 21 (n = 3) vs. 54.3 ±13.8 mmol/day, P < 0.05) but a lower MCRDS (10.94 ±0.61 (n = 3) vs. 13.8 ± 0.27 L/day, P < 0.01) thanthat in normals. In the four normal women the fraction of infusedDS converted to estrone was 0.00078 ± 0.00018, the amount of E1 produced fromserum DS was 41.3 ± 15 nmol/day, the basal plasma E1was 102 ± 18 pmol/L, the MCREl was 1340 ± 181L/day, the value for blood production of E1 was 129 ± 12 nmol/day, and the portionof E1 derived from DS was 30.4 ± 9.4%. Correlation analysisof the data from these eight subjects showed that 17-KS, , and the serum DS were all correlated with bodysurface area, body weight, and ponderal index and that 17-KSexcretion, , and serumDS were all correlated with one another. The most importantpredictors of 17-KS excretion were serum DS (P < 0.001) andthe ponderal index (P < 0.05).
* This work was supported in part by NIH Grants R01-HD-21280 and5-M01-RR-02038.
Received March 15, 1991.
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