Measurement of urinary androgen sulfates without previous hydrolysis: a tool to investigate adrenarche. Determination of total 17-ketosteroid sulfates

Steroids. 1994 Jan;59(1):16-21. doi: 10.1016/0039-128x(94)90039-6.

Abstract

According to published data the group of urinary total 17-ketosteroid sulfates appears to represent an index of overall adrenal androgen production, at least before the onset of puberty. To quantify total 17-ketosteroid sulfates a modified colorimetric assay based on the Zimmermann reaction was validated. 17-ketosteroid sulfates were measured without previous hydrolysis (as conjugated Zimmermann chromogens against authentic dehydroepiandrosterone sulfate (DHEAS) as assay standard) after C18 reversed-phase extraction and LH-20 chromatography. Intra- and inter-assay coefficients of variation were 8.4% (15.0%) and 5.9% (17.6%), respectively, at urinary 17-ketosteroid sulfate concentrations of 10.8 (1.9) nmol/ml. Recoveries observed in spiking and parallelism experiments varied between 88 and 102%. In a group of 4-year-old children showing a renal DHEAS output of less than 0.1 mumol/d/1.73 m2 (measured by radioimmunoassay) a relatively high median 17-ketosteroid sulfate excretion of 1.29 mumol/d/1.73 m2 was found. Older children aged 8 years as well as a group aged 12-14 years demonstrated only moderately higher urinary 17-ketosteroid sulfates whereas excretion of DHEAS/d/1.73 m2 more than tripled from age group to age group. For children from 8 years onwards, adolescents, and adults, linear regression analysis indicated that urinary DHEAS elevations seem to contribute with a constant proportion of approximately 70% to the increments of total urinary 17-ketosteroid sulfates. These findings suggest that the attainment of such a constant relationship (between the total 17-ketosteroid sulfates and their major component) from about 8 years of age onwards could represent the hormonal correlate of the completion of the continuous zona reticularis in the adrenal gland (developing around this age from a focal reticularis zone).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 17-Ketosteroids / urine*
  • Adolescent
  • Adrenal Glands / growth & development
  • Adrenal Glands / metabolism*
  • Adult
  • Androgens / metabolism*
  • Child
  • Child, Preschool
  • Colorimetry / statistics & numerical data
  • Dehydroepiandrosterone / analogs & derivatives
  • Dehydroepiandrosterone / urine
  • Dehydroepiandrosterone Sulfate
  • Female
  • Humans
  • Hydrolysis
  • Male
  • Reference Values
  • Regression Analysis
  • Sensitivity and Specificity
  • Sulfates / urine*

Substances

  • 17-Ketosteroids
  • Androgens
  • Sulfates
  • Dehydroepiandrosterone
  • Dehydroepiandrosterone Sulfate