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Human adrenal cortex hyperfunction due to LH/hCG.

Harold E Carlson1

  • 1Department of Medicine, Endocrinology Division, HSC T15-060, Stony Brook University, Stony Brook, NY 11794-8154, United States. hcarlson@notes.cc.sunysb.edu

Molecular and Cellular Endocrinology
|March 17, 2007
PubMed
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Luteinizing hormone/human chorionic gonadotropin (LH/hCG) receptors in the adrenal cortex explain some cases of hyperfunction. This finding suggests potential for spontaneous remission or treatment with GnRH-agonists for adrenal disorders.

Area of Science:

  • Endocrinology
  • Reproductive Biology
  • Oncology

Background:

  • Adrenal cortex hyperfunction can be linked to luteinizing hormone/human chorionic gonadotropin (LH/hCG) stimulation of steroid hormone production.
  • The presence of LH/hCG receptors in human adrenal tissues offers a new understanding of these clinical conditions.

Purpose of the Study:

  • To investigate the role of LH/hCG receptors in the adrenal cortex.
  • To explore the implications of these receptors for conditions like Cushing's syndrome and androgen excess.

Main Methods:

  • Demonstration of LH/hCG receptor presence in normal and abnormal human adrenal tissues.

Main Results:

  • LH/hCG receptors are present in various human adrenal tissues.

Related Experiment Videos

  • This receptor presence provides a novel explanation for adrenal hyperfunction.
  • Conclusions:

    • Adrenal LH/hCG receptor involvement should be considered in pregnant or post-menopausal patients with ACTH-independent Cushing's syndrome or androgen excess.
    • This discovery opens possibilities for spontaneous remission or GnRH-agonist therapy.
    • Further research is needed to define the receptor's role in normal and fetal adrenals and its activation in disease.