Since 50 to 70% of the secreted cortisol is excreted in the urine as conjugated metabolites within 24 hrs., determination of urinary total 17-OH-CS as PorterSilber chromogen does not always indicate the true rate of adrenal cortisol secretion. Adrenal cortisol secretion in hyperthyroidism and Cushing's syndrome has been reported to be greater than in normal. (Gray et al., 1962; Hellmann et al.,...

AIM To identify the most informative predictors of delirium tremens severity. MATERIAL AND METHODS A total of 105 patients from a department of urgent drug addiction help of the Chelyabinsk regional addiction hospital were examined. To find the most informative predictors of delirium tremens severity, we studied a relationship between biogenic amine metabolism and changes in cortisol levels i...

Cortisol, 11-deoxycorticosterone, progesterone, 17 alpha-hydroxy-progesterone, 17 alpha-hydroxy-20 beta-dihydroprogesterone, or a combination of the last 2 steroids, were injected into different groups of immature female Epinephelus. None of the steroids tested had significant effects on serum electrolyte level, and hepatosomatic and gonadosomatic indices. Serum glucose concentration was elevat...

BACKGROUND Isolated, primary synovial fibroblasts generate active glucocorticoids through expression of 11beta-hydroxysteroid dehydrogenase type 1 (11beta-HSD1). This enzyme produces cortisol from inactive cortisone (and prednisolone from prednisone). OBJECTIVE To determine how intact synovial tissue metabolises glucocorticoids and to identify the local and systemic consequences of this activ...

Eight dogs underwent combined hepatic/portal vein catheterization and infusion of D4-cortisol in order to determine the relative contributions of the viscera and liver to splanchnic cortisol production. D4-cortisol concentrations progressively decreased from 2.6 +/- 0.1 to 2.4 +/- 0.1 to 1.7 +/- 0.1 microg/dl (P < 0.001 by ANOVA) from hepatic artery to portal vein to hepatic vein, respectively,...

11 beta-hydroxysteroid dehydrogenase type 1 (11beta-HSD1) functions as a net reductase converting cortisone to cortisol. GH inhibits 11beta-HSD1, resulting in a shift in cortisol metabolism favoring cortisone, an observation that may have significance in patients with ACTH deficiency who are unable to compensate for such changes. We have studied the effect of three doses of GH replacement (0.17...

The urinary excretion rates of free cortisol and cortisone as well as of their 20-dihydroisomers have been studied in normal subjects under different physiological or pharmacological conditions. For the estimation of steroid excretion rates, a fully automated, liquid-chromatographic method was used. In normal subjects, the median steroid excretion rates of free cortisol, cortisone, 20-alpha-dih...

To further understand the hormonal mechanisms linking behavior pattern and coronary artery disease (CAD), we investigated the relationship between 0930-hour plasma cortisol and cholesterol in relatively young males who had undergone coronary angiography and in a subgroup of individuals who had undergone the structured interview for classification of behavior pattern. A statistically significant...

The hormone cortisol is likely to be a key mediator of the stress response that influences multiple physiologic systems that are involved in common chronic disease, including the cardiovascular system, the immune system, and metabolism. In this paper, a candidate gene approach was used to investigate genetic contributions to variability in multiple correlated features of the daily cortisol prof...

CONTEXT Conventional glucocorticoid replacement therapy fails to mimic the physiological cortisol rhythm, which may have implications for morbidity and mortality in patients with Addison's disease. OBJECTIVE The objective of the study was to compare the effects of continuous sc hydrocortisone infusion (CSHI) with conventional oral hydrocortisone (OHC) replacement therapy. DESIGN, PATIENTS, ...