Role of testosterone binding to the androgen receptor in male sexual differentiation of patients with 5α-reductase deficiency

1979; Pergamon Press; Volume: 11; Issue: 4 Linguagem: Inglês

10.1016/0022-4731(79)90110-9

ISSN

1878-2353

Autores

Marc Maes, Charles Sultan, Nadia Zerhouni, Stephen W. Rothwell, Claude J. Migeon,

Tópico(s)

Urological Disorders and Treatments

Resumo

Abstract Testosterone (T) and dihydrotestosterone (DHT) were found to bind to a specific protein in genital skin fibroblasts of a patient with 5α-reductase deficiency. While maximum number of binding sites ( B max ) were similar for both androgens, the apparent dissociation constant ( K D ) of the androgen receptor for T was somewhat greater than for DHT. In competition studies of [ 3 H]-T bound to the receptor with unlabeled T or DHT, the inhibitor constant ( K i ) for T was two to three fold greater than the K i for DHT. Also, the dissociation rate constant ( k D ) for [ 3 H]-T bound to the receptor was greater than for [ 3 H]-DHT ( t 1 2 for T = 10 h and t 1 2 for DHT = 74.5 h). These results suggest that T may play a role in the sexual differentiation of male patients with 5α-reductase deficiency during their fetal life and at puberty. The low degree of masculinization during fetal life would be explained by the lower affinity and faster turnover rate of the T-reeeptor complex relative to the DHT-receptor complex. The relatively greater masculinization observed at puberty would be explained by the higher plasma T levels attained in the adult when compared to the fetus.

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