Relationship between the GH/IGF-I Axis, Insulin Sensitivity, and ...

5 downloads 0 Views 196KB Size Report
ondary to an increment in 17,20-lyase activity by a regulatory effect independent ..... puberty, gonadal dysgenesis, isolated gonadotropin deficiency and constitu-.
0013-7227/02/$15.00/0 Printed in U.S.A.

The Journal of Clinical Endocrinology & Metabolism 87(3):1162–1169 Copyright © 2002 by The Endocrine Society

Relationship between the GH/IGF-I Axis, Insulin Sensitivity, and Adrenal Androgens in Normal Prepubertal and Pubertal Boys GABRIELA GUERCIO, MARCO A. RIVAROLA, EDUARDO CHALER, MERCEDES MACEIRAS, ALICIA BELGOROSKY

AND

Endocrinology Service, Garrahan Pediatric Hospital, Buenos Aires C1245AAM, Argentina In girls, but not in boys, pronounced adrenarche and precocious pubarche along with ovarian hyperandrogenism have been related to insulin resistance and reduced fetal growth. However, insulin secretion is increased during puberty in normal boys. The aim of this study was to analyze the possible implication of changes in the GH/IGF-I axis and in insulin sensitivity for the regulation of adrenal androgen secretion of normal prepubertal and adolescent boys. Fifty-six normal boys were divided into the following groups (Gr): Gr1, prepuberty (testicular volume,