Effect of age, gender and exercise on salivary dehydroepiandrosterone circadian rhythm profile in human volunteers
STEROIDS
Authors: Al-Turk, Walid; Al-Dujaili, Emad A. S.
Abstract
There has been a lot of effort by scientists to elucidate the multi functions of the naturally occurring hormone, dehydroepiandrosterone (DHEA). However, to plan research experiments optimally, it is important first to characterize the diurnal rhythm in healthy individuals. The aim of this research was to investigate the daily circadian rhythms of DHEA among the 2 genders, and the effect of age and exercise on salivary DHEA circadian rhythms. Volunteers (20-39 and 40-60 years) were recruited for 2 studies investigating the salivary DHEA circadian rhythm. The first study looked at the effect of gender and age on DHEA levels on 2 non-consecutive days, and the second study explored the effect of exercise on DHEA circadian rhythm in males. DHEA levels were estimated by a sensitive and specific ELISA method. The results showed a clear daily circadian rhythm in salivary DHEA in all participants groups, however the profile was flatter in the older female group. There was a significant difference between age and gender groups particularly at 8.00 h. In young males DHEA reduced from 541.1 +/- 101.3 (mean sd) at 8.00 h to 198.9 +/- 90.7 pg/mL at 18.00 h; p < 0.0001, and young females from 401.6 +/- 149.5 to 215.4 +/- 95.3 pg/mL; p < 0.001. In older males DHEA reduced from 267.5 +/- 32.4 to 132.5 +/- 46.7 pg/mL; p < 0.001, and older females from 147.7 +/- 78.1 to 89.5 +/- 29.1 pg/mL; p = 0.05. DHEA levels on 2 non-consecutive days showed some variations but this was not significant. Aerobic exercise has significantly increased DHEA levels at 2 time points of the day (p = 0.05) in male subjects. In conclusion, our study showed a clear daily circadian rhythm in salivary DHEA in all participants was observed, but the profile was flatter in the older groups. (C) 2016 Published by Elsevier Inc.
Age-dependent endocrine disorders involved in the pathogenesis of refractory acne in women
MOLECULAR MEDICINE REPORTS
Authors: Ianosi, Simona; Ianosi, Gabriel; Neagoe, Daniela; Ionescu, Oana; Zlatian, Ovidiu; Docea, Anca Oana; Badiu, Corin; Sifaki, Maria; Tsoukalas, Dimitris; Tsatsakis, Aristidis M.; Spandidos, Demetrios A.; Calina, Daniela
Abstract
Acne is a disorder of the pi losebaceous unit, common among adolescents, which may be extended to adulthood. The aim of this study was to assess the prevalence of hormonal disorders in women with acne resistance to conventional therapy. We included 72 women aged between 15 and 36 years (divided in two age groups) who presented to our clinic between May and October 2014, suffering from moderate and severe forms of papulopustular and nodulocystic acne. The subjects were non-responsive to classic dermatological treatment or had clinical manifestation of hyperandrogenism. Based on age, we divided the women into two groups, group I with 40 patients aged 15-22 years and group II with 32 patients aged 23-36 years. Using ELISA, a hormonal profile was performed for each patient in days 1-3 of the menstrual cycle including, total testosterone, dehydroepiandrosterone sulfate (DHEA-S), follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol, prolactin, and plasma cortisol. For statistical analysis we used Stata 13 software. We compared the hormonal profile of the two groups and identified significant differences for: testosterone levels (mean value, 0.64 +/- 0.35 vs. 0.97 +/- 0.50 ng/ml; p<0.0001), DHEA-S levels (mean value, 0.85 +/- 0.27 vs. 1.05 +/- 0.33 mg/24 h; p=0.001), prolactin levels (mean value, 281. 85 +/- 91.113 vs. 353.969 +/- 102.841 mIU/ml; p=0.002) and LH levels (14.8 +/- 6.7 vs. 20.1 +/- 8.2 mIU/ml; p=0.002) were higher in group II. No statistically significant differences were found for estradiol (p=0.588) and cortisol (p=0.182) levels. In conclusion, refractory acne can be the first sign of systemic illness including polycystic ovary syndrome. Thus, for a correct therapeutic approach it is necessary to interpret the clinical and biochemical elements in correlation with the medical history.