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Abnormalities of sex hormones in men with systemic lupus erythematosus

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Summary

Sex hormone concentrations were studied in 10 men with systemic lupus erythematosus (SLE) before and after HCG stimulation and compared with those of 10 healthy volunteers. The SLE men had significantly lower testosterone/estradiol ratios (before HCG test) and significantly lower mean increases in testosterone after HCG stimulation than the normals. Our findings confirm that there are sexual hormone abnormalities in SLE and suggest that these abnormal patterns may be important in the modulation of immune responses in SLE.

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References

  1. Dubois, E.L. The clinical picture of systemic lupus erythematosus. In: Lupus Erythematosus, 2nd ed., Editor: Dubois, E.L., Los Angeles, University of Southern California Press, 1974, 232–242.

    Google Scholar 

  2. Roubinian, J.R., Papoian, R., Talal, N. Androgenic hormones modulate autoantibody responses and improve survival in murine lupus. J Clin Invest, 1977, 59, 1066–1070.

    Article  PubMed  CAS  Google Scholar 

  3. Melez, K.A., Reeves, J.P., Steinberg, A.D. Regulation of the expression of autoimmunity in NZB/NZW F1 mice by sex hormones. J Immunopharmacol 1978, 1, 27–42.

    Article  PubMed  Google Scholar 

  4. Inman, R.D. Immunological sex differences and the female predominance in systemic lupus erythematosus. Arthritis Rheum 1978, 21, 849–852.

    Article  PubMed  CAS  Google Scholar 

  5. Lahita, R.G., Bradlow, H.L., Kunkel, H.G., Fishman, J. Alterations of estrogen metabolism in systemic lupus erythematosus. Arthritis Rheum 1979, 22, 1195–1198.

    Article  PubMed  CAS  Google Scholar 

  6. Inman, R.D., Jovanovic, L., Dawood, M.Y., Longcope, C. Systemic lupus erythematosus in the male: a genetic and endocrine study. Arthritis Rheum 1979, 6, 624.

    Google Scholar 

  7. Talal, N. Systemic lupus erythematosus, autoimmunity, sex and inheritance. N Engl J Med 1979, 301, 838–839.

    Article  PubMed  CAS  Google Scholar 

  8. Raveche, E.S., Tjio, J.H., Steinberg, A.D. Genetic studies in NZB mice: the effect of sex hormones on the spontaneous production of anti-T cell autoantibodies. Arthritis Rheum 1980, 23, 48–56.

    Article  PubMed  CAS  Google Scholar 

  9. Garovich, M., Agudelo, C., Pisko, E. Oral contraceptives and systemic lupus erythematosus. Arthritis Rheum 1980, 23, 1396–1398.

    Article  PubMed  CAS  Google Scholar 

  10. Jungers, P., Nahoul, K., Pelissier, C., Dougados, M., Tron, F., Bach, J.F. Low plasma androgens in women with active or quiescent systemic lupus erythematosus. Arthritis Rheum 1982, 25, 454–457.

    Article  PubMed  CAS  Google Scholar 

  11. Lahita, R.G., Bradlow, L., Fishman, J., Kunkel, H.G. Estrogen metabolism in systemic lupus erythematosus: patients and family members. Arthritis Rheum 1982, 25, 843–846.

    Article  PubMed  CAS  Google Scholar 

  12. Talal, N. Sex hormones and modulation of immune response in SLE. Clin Rheum Dis 1982, 8, 23–28.

    PubMed  CAS  Google Scholar 

  13. Steinberg, A.D., Melez, K.A., Raveche, E.S., Reeves, J.P., Boegel, W.A., Smaters, D.A., Taurog, J.D., Weinlein, L., Duvic, H. Approach to the study of the role of sex hormones in autoimmunity. Arthritis Rheum 1979, 22, 1170–1176.

    Article  PubMed  CAS  Google Scholar 

  14. Terres, G., Morrison, S.L., Habicht, G.S. A quantitative difference in immune response between male and female mice. Proc Soc Exp Biol 1968, 127, 664–667.

    CAS  PubMed  Google Scholar 

  15. Kenny, J.F., Pangburn, P.C., Trail, G. Effect of estradiol on immuno competence: in vivo and in vitro studies. Infect Immunol 1976, 13, 448–456.

    CAS  Google Scholar 

  16. Eidinger, D., Garrett, T.J. Studies of the regulatory effects of sex hormones on antibody formations and stem cell differentiation. J Exp Med 1972, 136, 1098–1116.

    Article  PubMed  CAS  Google Scholar 

  17. Roubinian, J.R., Talal, N., Siiteri, P.K., Sadakian, J. Sex hormone modulation of autoimmunity in NZB/NZW mice. Arthritis Rheum 1979, 22, 1162–1169.

    PubMed  CAS  Google Scholar 

  18. Tan, E.M., Cohen, A.S., Fries, J.F., Masi, A.T., McShane, D.J., Rothfield, N.F., Green Schalter, J., Talal, N., Winchester, R.J. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 1982, 25, 1271–1277.

    Article  PubMed  CAS  Google Scholar 

  19. Stahl, N.I., Decker, J.L. Androgenic status of males with systemic lupus erythematosus. Arthritis Rheum 1978, 21, 665–668.

    Article  PubMed  CAS  Google Scholar 

  20. Stern, R., Fishman, J., Brusman, H., Kunkel, H.G. Systemic lupus erythematosus associated with Klinefelter's syndrome. Arthritis Rheum 1977, 20, 18–22.

    Article  PubMed  CAS  Google Scholar 

  21. Yocum, M.V., Grossman, J., Waterhouse, C., Abraham, G.N., May, A.G., Condemi, G.G. Monozygotic twins discordant for systemic lupus erythematosus. Arthritis Rheum 1975, 18, 193–199.

    Article  PubMed  CAS  Google Scholar 

  22. Fishman, J., Martucci, C. Biological properties of 16-α-hydroxyestrone: implications in estrogen physiology and pathophysiology. J Clin Endocrinol Metabol 1980, 51, 611–615.

    Article  CAS  Google Scholar 

  23. Lahita, R.G., Bradlow, H.L., Kunkel, H.G., Fishman, J. Increased 16-α-hydroxylation of estradiol in systemic lupus erythematosus. J Clin Endocrinol Metabol 1981, 53, 174–178.

    CAS  Google Scholar 

  24. Lahita, R.G., Kunkel, H.G., Bradlow, H.L. Increased oxidation of testosterone in systemic lupus erythematosus. Arthritis Rheum 1983, 26, 1517–1521.

    Article  PubMed  CAS  Google Scholar 

  25. Lahita, R.G., Bradlow, H.L., Ginzier, E., Pang, S., New, M. Low androgen levels in female with active systemic lupus erythematosus. Arthritis Rheum 1984, 27 (Suppl.), 142 (Abstract).

    Google Scholar 

  26. Ivanyi, P., Hampl, R., Starka, L., Hickova, M. Genetic association between H-2 gene and testosterone metabolism in mice. Nature New Biol 1972, 238, 280–281.

    PubMed  CAS  Google Scholar 

  27. Morton, J., Weyant, D.A., Siegel, B.V., Golding, B. Androgen sensitivity and autoimmune diseases. Immunology, 1981, 44, 661–669.

    PubMed  CAS  Google Scholar 

  28. Melez, K.A., Boegel, W.A., Steinberg, A.D. Therapeutic studies in New Zealand mice: successful androgen treatment of NZB/NZW F1 females of different ages. Arthritis Rheum 1980, 23, 41–47.

    Article  PubMed  CAS  Google Scholar 

  29. Steinberg, A.D., Roths, J.B., Murphy, E.D., Steinberg, R.T., Raveche, E.S. Effects of thymectomy or androgen administration upon the autoimmune disease of MRL/Mp — 1pr/1pr mice. J Immunol 1980, 125, 871–873.

    PubMed  CAS  Google Scholar 

  30. Panser, K., Gell, J., Gelfand, J., Turksoy, N., Agnello, V. Pilot study of the use of danazol in the treatment of patients with systemic lupus erythematosus. Rev Rhum Mal Osteoartic 1981, 48 (Suppl.) 48, 483.

    Google Scholar 

  31. Morley, K.D., Parke, A., Hughes, G.R. Systemic lupus erythematosus: two patients treated with danazol. Br Med J 1982, 284, 1431–1432.

    Article  CAS  Google Scholar 

  32. Hazelton, R.A., McCruden, A.B., Sturrock, R.D., Stimson, W.H. Hormonal manipulation of the immune response in systemic lupus erythematosus: a drug trial of an anabolic steroid: 19-nortestosterone. Ann Rheum Dis 1983, 42, 155–157.

    Article  PubMed  CAS  Google Scholar 

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Carrabba, M., Giovine, C., Chevallard, M. et al. Abnormalities of sex hormones in men with systemic lupus erythematosus. Clin Rheumatol 4, 420–425 (1985). https://doi.org/10.1007/BF02031894

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