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Original Studies |
Department of Pediatrics, Asahikawa Medical College, Asahikawa 078-8510, Japan
Address all correspondence and requests for reprints to: Ryo Mitamura, M.D., Shimizu Red Cross Hospital, Minami 22, Shimizu-cho, Kamikawa-gun, Hokkaido 089-0195, Japan.
To investigate hormonal change before the onset of male puberty, we measured LH and FSH in serum samples drawn every 20 min for 24 h and measured testosterone hourly for 24 h. Forty-six boys (32 prepubertal and 14 pubertal) of short stature, between 4.419.3 yr of age, participated in this study. LH and FSH were measured using a time-resolved immunofluorometric assay, and testosterone was measured using high sensitivity RIA capable of detecting a testosterone concentration of 0.01 ng/mL.
Diurnal rhythms of LH, FSH, and testosterone were apparent in all subjects, including those aged 45 yr. Serum LH and FSH concentrations showed night-day variation in a pulsatile fashion. The serum testosterone concentration was elevated at early morning in all subjects. Mean 24-h LH, FSH, and testosterone concentrations of prepubertal subjects who did not attain puberty for at least 3 yr were 0.10 U/L, 0.63 U/L, and 0.06 ng/mL, respectively, whereas those of prepubertal subjects who attained puberty within 1 yr (0.54 U/L, 1.68 U/L, and 0.10 ng/mL, respectively) were significantly higher. Furthermore, mean 24-h LH, FSH, and testosterone concentrations increased with developing puberty. All of the 46 subjects showed positive cross-correlation between the LH and testosterone time series. The mean lag time from the LH to the testosterone time series in the prepubertal subjects who attained puberty within 1 yr (4.7 ± 2.4 h, mean ± SD) was shorter than that in the prepubertal subjects who attained puberty after at least 3 yr (7.3 ± 2.2 h). This lag time decreased with developing puberty, plateauing at 1.4 ± 0.9 h at midpuberty.
Thus, the diurnal rhythms of LH, FSH, and testosterone already exist at 45 yr of age; serum LH, FSH, and testosterone levels increase before the onset of puberty; and a time delay is observed between the LH and testosterone time series that decreases before the onset of puberty.
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