Concentrations of aldosterone, corticosterone, 11-deoxycorticosterone, progesterone, 17-hydroxyprogesterone, 11-deoxycortisol, cortisol, and cortisone determined …

WG SIPPELL, W MÜLLER-HOLVE… - The Journal of …, 1981 - academic.oup.com
WG SIPPELL, W MÜLLER-HOLVE, HG DÖRR, F BIDLINGMAIER, D KNORR
The Journal of Clinical Endocrinology & Metabolism, 1981academic.oup.com
Corticosteroids (CS) are essential for fetal organ maturation; yet, knowledge of
endogeneous CS and precursor levels throughout fetal life is limited. Therefore,
unconjugated aldosterone (Aldo), corticosterone (B), 11-deoxycorticosterone (DOC),
progesterone (P), 17ahydroxyprogesterone (17-OHP), 11-deoxycortisol (S), cortisol (F), and
cortisone (E) were simultaneously determined by RIA after automated Sephadex LH-20
chromatography in 70 control samples of amniotic fluid (AF) obtained at all gestational ages …
Abstract
Corticosteroids (CS) are essential for fetal organ maturation; yet, knowledge of endogeneous CS and precursor levels throughout fetal life is limited. Therefore, unconjugated aldosterone (Aldo), corticosterone (B), 11-deoxycorticosterone (DOC), progesterone (P), 17ahydroxyprogesterone (17-OHP), 11-deoxycortisol (S), cortisol (F), and cortisone (E) were simultaneously determined by RIA after automated Sephadex LH-20 chromatography in 70 control samples of amniotic fluid (AF) obtained at all gestational ages between 14–42 weeks. Levels of the progestins P and 17-OHP slowly increased from means (±SE) of 14.7 ± 2.8 and 1.63 ± 0.21 ng/ml, respectively, in early gestation to maximum levels of 32.4 ± 3.5 and 3.80 ± 0.74 ng/ml at 36–38 weeks (P < 0.005), then dropped significantly (P < 0.01) to 19.2 ± 2.2 and 1.58 ± 0.22 ng/ml at term. All CS levels except E rose very markedly by 3-to 12-fold (P < 0.0001) from the weeks 14–16 (DOC, 0.44 ± 0.08; B, 1.49 ± 0.23; Aldo, 0.043 ± 0.012; S, 0.51 ± 0.10; F, 5.96 ± 0.93 ng/ml) until the 36–38th weeks (DOC, 3.50 ± 0.66; B, 4.60 ± 0.78; Aldo, 0.530 ± 0.109; S, 6.00 ± 0.75; F, 60.8 ± 8.9 ng/ml). Term levels were significantly reduced (P < 0.01) in the less active CS DOC (0.51 ± 0.07 ng/ml),B (2.35 ± 0.35 ng/ml), and S (1.14 ± 0.14 ng/ml), whereas those of thebiologically most potent CS Aldo and F declined less markedly (0.272 ± 0.053 and 23.0 ± 0.75 ng/ml, respectively, at 39–42 weeks). Levels of the inactive glucocorticoid E rose from 8.83 ± 1.08 ng/ml at 14–16 weeks to 16.8 ± 2.6 ng/ml at 31–35 weeks (P < 0.01), then remained rather constant around 11.5 ng/ml until term. It is concluded that afterthe 25th week, largeamounts of biologically active CS areavailable in AF which probably directly inducethe final epithelial maturation of fetal lungs and intestinal tract.
Oxford University Press