AJP - Endo Fuel your research with LabChart
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Endocrinol Metab (June 8, 2004). doi:10.1152/ajpendo.00167.2004
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
287/4/E652    most recent
00167.2004v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Keenan, D. M.
Right arrow Articles by Veldhuis, J. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Keenan, D. M.
Right arrow Articles by Veldhuis, J. D.
Submitted on April 13, 2004
Accepted on June 4, 2004

Endogenous ACTH Concentration-Dependent Drive of Cortisol Secretion in the Human

Daniel M. Keenan1, Ferdinand Roelfsema2, and Johannes D. Veldhuis3*

1 Department of Statistics, University of Virginia, Charlottesville, VA, USA
2 Department of Internal Medicine, Leiden University, Leiden, The Netherlands
3 Division of Endocrinology and Metabolism, Mayo Clinic, Rochester, MN, USA

* To whom correspondence should be addressed. E-mail: veldhuis.johannes{at}mayo.edu.

According to current regulatory concepts, pulsatile ACTH concentrations (con) stimulate time-lagged cortisol secretion rates (sec) via an implicit con-sec dose-response relationship. The present analyses reconstruct nonlinear properties of this in vivo agonist-response interface noninvasively in order to investigate pulse-by-pulse coupling consistency and to obviate the need to infuse isotopes or exogenous effectors, which may disrupt pathway interactions. This approach required an ensemble strategy of: (i) measuring ACTH and cortisol con in plasma sampled every 10 min for 24 hr in 32 healthy adults; and (ii) estimating simultaneously: (a) variable-waveform ACTH and cortisol sec bursts superimposed upon fixed basal sec; (b) biexponential kinetics of ACTH and cortisol disappearance; (c) nonequilibrium exchange of cortisol among free, CBG and albumin-bound moieties; (d) two sec-burst shapes demarcated by a statistically defined day-night boundary; (e) feedforward efficacy, potency and sensitivity; and (f) stochastic variability in feedforward measures overtime. Thereby, we estimate: (i) ACTH sec (µg/L/day) of 0.27 ± 0.04 basal and 0.87 ± 0.07 pulsatile [mean ± SEM]; (ii) cortisol sec (µmol/L/day) of 0.10 ± 0.01 basal and 3.5 ± 0.20 pulsatile; (iii) free cortisol half-lives (min) of 1.8 ± 0.20 (diffusion/advection) and 4.1 ± 0.30 (elimination) and a half-life of total cortisol of 49 ± 2.4 and of ACTH of 20 ± 1.3; (iv) ACTH potency (EC50, ng/L) of 26 ± 2.4, efficacy (nmol/L/min) 10 ± 1.8, and sensitivity (slope units) 0.65 ± 0.09; (v) night/day augmentation of ACTH and cortisol sec-burst mass by 2.1- and 1.7-fold [median]; (vi) abbreviation of the modal time to maximal ACTH and cortisol sec rates by 4.4- and 4.3-fold, respectively, after a changepoint clocktime of 0205 h [median]; (vii) in vivo percentage distribution of cortisol as 6% free, 14% albumin- and 80% CBG-bound with an absolute free cortisol con (nmol/L) 11.5 ± 0.54; and (viii) significant [mean CV] stochastic variability in feedforward efficacy [140%], potency [38%] and sensitivity [56%] within the succession of paired ACTH/cortisol pulses of any given subject. In conclusion, the present composite formulation illustrates a platform for dissecting mechanisms of in vivo regulation of effector-response properties noninvasively in the corticotropic axis of the uninfused individual.




This article has been cited by other articles:


Home page
Eur J EndocrinolHome page
A. Iranmanesh and J. D Veldhuis
Hypocortisolemic clamp unmasks jointly feedforward- and feedback-dependent control of overnight ACTH secretion
Eur. J. Endocrinol., November 1, 2008; 159(5): 561 - 568.
[Abstract] [Full Text] [PDF]


Home page
Biol Res NursHome page
S. N. Jolley, S. Elmore, K. E. Barnard, and D. B. Carr
Dysregulation of the Hypothalamic-Pituitary-Adrenal Axis in Postpartum Depression
Biol Res Nurs, January 1, 2007; 8(3): 210 - 222.
[Abstract] [PDF]


Home page
Am. J. Physiol. Endocrinol. Metab.Home page
P. Y. Liu, S. M. Pincus, D. M. Keenan, F. Roelfsema, and J. D. Veldhuis
Joint synchrony of reciprocal hormonal signaling in human paradigms of both ACTH excess and cortisol depletion
Am J Physiol Endocrinol Metab, July 1, 2005; 289(1): E160 - E165.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 2004 by the American Physiological Society.