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Am J Physiol Endocrinol Metab (September 14, 2004). doi:10.1152/ajpendo.00305.2004
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Submitted on July 12, 2004
Accepted on August 26, 2004

Inhibition of 5-alpha reductase blocks prostate effects of testosterone without blocking anabolic effects

Stephen E. Borst1*, Jun Hak Lee2, and Christine F. Conover3

1 Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida, USA; Geriatric Research, Education and Clinical Center, Malcom Randall VA Medical Center, Gainesville, Florida, USA
2 Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida, USA
3 Geriatric Research, Education and Clinical Center, Malcom Randall VA Medical Center, Gainesville, Florida, USA

* To whom correspondence should be addressed. E-mail: seborst{at}ufl.edu.

We studied the effect of the 5-{alpha} reductase inhibitor MK-434 on responses to testosterone (T) in orchiectomized (ORX) male Brown Norway (BN) rats aged 13 months. At 4 weeks after ORX or SHAM surgery, a second surgery was performed to implant pellets delivering 1 mg T/day or placebo pellets. During the second 4 weeks of the study, rats received injections of MK-434 (0.75 mg/day) or vehicle injections. Treatment with T elevated serum T to 75% above that for SHAM animals (p = 0.002) and did not affect serum dihydrotestosterone (DHT) or serum estradiol. T-treatment also caused an elevation of prostate T and a marked elevation of prostate DHT. During the second half of the study, ORX rats lost an average of 18.86 ± 4.62 g of body weight. T completely prevented weight loss, and the effect was not inhibited by MK-434 (p < 0.001). ORX produced a non significant trend toward a small (5%) decrease in the mass of the gastrocnemius muscle (p = 0.0819). This trend was also reversed by T and the effect of T was not blocked by MK-434. T caused a significant 16% decrease in subcutaneous fat which was not blocked by MK-434 (p < 0.05). Finally, T caused a 65% decrease in urine excretion of deoxypyridinoline, a marker of bone resorption, and again the effect was not blocked by MK-434 (p < 0.0001). In contrast, T caused a greater than 5-fold increase in prostate mass and the effect was almost completely blocked by MK-434 (p < 0.0001). This study demonstrates that 5-{alpha} reductase inhibitors may block the undesirable effects of T on the prostate, without blocking the desirable anabolic effects of T on muscle, bone, and fat.




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Am. J. Physiol. Endocrinol. Metab.Home page
S. E. Borst, C. F. Conover, C. S. Carter, C. M. Gregory, E. Marzetti, C. Leeuwenburgh, K. Vandenborne, and T. J. Wronski
Anabolic effects of testosterone are preserved during inhibition of 5{alpha}-reductase
Am J Physiol Endocrinol Metab, August 1, 2007; 293(2): E507 - E514.
[Abstract] [Full Text] [PDF]




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