TY - JOUR
T1 - Age in men does not determine gonadotropin-releasing hormone's dose-dependent stimulation of luteinizing hormone secretion under an exogenous testosterone clamp
AU - Iranmanesh, Ali
AU - Mulligan, Thomas
AU - Veldhuis, Johannes D.
N1 - Funding Information:
These studies were supported in part by Grant M01 RR00585 from the National Center for Research Resources (Rockville, MD) to the Clinical Translational-Research Unit of Mayo Clinic and Foundation and by Grants RO1 AG31763 and R21 AG23777 from the National Institutes of Health (Bethesda, MD).
PY - 2010/6
Y1 - 2010/6
N2 - Background: Aging is associated with a decline in incremental LH pulse amplitude, which could be due to decreased GnRH secretion or impaired GnRH action. Hypothesis: Inconsistent published studies of GnRH action in older men may be due to disparate sex-steroid milieus. Facility: This study was conducted at a clinical translational-research unit. Subjects: We studied 16 healthy men (8 young men and 8 older men). Methods: An overnight transdermal testosterone (T) clamp was implemented before randomly ordered injections of 0, 2.5, 10, 25, 250, and 750 ng GnRH on separate days (96 study sessions). Outcomes: LH responses were quantified by variable-waveform deconvolution analysis. Results: The T clamp maintained age-invariant mean concentrations of total, bioavailable, and free T, SHBG, LH, FSH, and prolactin. By two-way analysis of covariance, GnRH dose (P<0.001) but not age (0.15≤ P≤0.83) determined mean, peak, incremental, and pulsatile LH responses. Statistical power (median) was 95, 98, 90, and 99% to detect a 30% or greater age contrast at P≤0.05 in mean, peak, incremental, and pulsatile LH responses, and greater than 99% to detect a 30% or greater age contrast in bioavailable or total T concentrations. Higher GnRH doses (P<0.001) abbreviated LH secretory bursts in both age groups. Conclusion: In the face of eugonadal concentrations of total, bioavailable, and free T, young and older men exhibit remarkably similar LH responses to a 300-fold dose range of exogenous GnRH. Accordingly, previously reported disparate effects of age on GnRH action may reflect in part age-discrepant sex-steroid milieus.
AB - Background: Aging is associated with a decline in incremental LH pulse amplitude, which could be due to decreased GnRH secretion or impaired GnRH action. Hypothesis: Inconsistent published studies of GnRH action in older men may be due to disparate sex-steroid milieus. Facility: This study was conducted at a clinical translational-research unit. Subjects: We studied 16 healthy men (8 young men and 8 older men). Methods: An overnight transdermal testosterone (T) clamp was implemented before randomly ordered injections of 0, 2.5, 10, 25, 250, and 750 ng GnRH on separate days (96 study sessions). Outcomes: LH responses were quantified by variable-waveform deconvolution analysis. Results: The T clamp maintained age-invariant mean concentrations of total, bioavailable, and free T, SHBG, LH, FSH, and prolactin. By two-way analysis of covariance, GnRH dose (P<0.001) but not age (0.15≤ P≤0.83) determined mean, peak, incremental, and pulsatile LH responses. Statistical power (median) was 95, 98, 90, and 99% to detect a 30% or greater age contrast at P≤0.05 in mean, peak, incremental, and pulsatile LH responses, and greater than 99% to detect a 30% or greater age contrast in bioavailable or total T concentrations. Higher GnRH doses (P<0.001) abbreviated LH secretory bursts in both age groups. Conclusion: In the face of eugonadal concentrations of total, bioavailable, and free T, young and older men exhibit remarkably similar LH responses to a 300-fold dose range of exogenous GnRH. Accordingly, previously reported disparate effects of age on GnRH action may reflect in part age-discrepant sex-steroid milieus.
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U2 - 10.1210/jc.2009-2581
DO - 10.1210/jc.2009-2581
M3 - Article
C2 - 20357176
AN - SCOPUS:77954463584
SN - 0021-972X
VL - 95
SP - 2877
EP - 2884
JO - Journal of Clinical Endocrinology and Metabolism
JF - Journal of Clinical Endocrinology and Metabolism
IS - 6
ER -