Elevated Plasma Concentration of Asymmetric Dimethylarginine That Is Reduced by Single Dose Testosterone Administration in Idiopathic Hypogonadotropic Hypogonadism Patients

• Published in: The journal of clinical endocrinology and metabolism Vol. 90; no. 3; pp. 1651 - 1654
• Main Authors: Cakir, Erdinc, Ozcan, Omer, Yaman, Halil, Akgul, Emin Ozgur, Bilgi, Cumhur, Erbil, M. Kemal, Yesilova, Zeki
• Format: Journal Article
• Language: English
• Published: Bethesda, MD Endocrine Society 01.03.2005
• Subjects: Adult; Androgens - administration & dosage; Arginine - analogs & derivatives; Arginine - blood; Biological and medical sciences; Endocrinopathies; Fundamental and applied biological sciences. Psychology; Humans; Hypogonadism - blood; Hypogonadism - drug therapy; Hypothalamus. Hypophysis. Epiphysis (diseases); Male; Medical sciences; Nitrates - blood; Nitric Oxide - metabolism; Nitrites - blood; Non tumoral diseases. Target tissue resistance. Benign neoplasms; Testosterone - administration & dosage; Vertebrates: endocrinology; Endocrinopathy; Human; Hypogonadotropic hypogonadism; Androgen; Hypothalamic diseases; Low dose; Single dose; Idiopathic; Genital diseases; Blood plasma; Testosterone; Testicular hormone; Sex steroid hormone; Endocrinology
• ISSN: 0021-972X; 1945-7197
• DOI: 10.1210/jc.2004-2045

Our aim was to investigate whether plasma l-arginine and asymmetric dimethylarginine (ADMA) concentrations and nitric oxide (NO) production are altered in male idiopathic hypogonadotropic hypogonadism (IHH) patients in the hypogonadal state and after single dose testosterone administration compared with those in control subjects. Eighteen newly diagnosed male patients with IHH and 20 healthy volunteer controls matched by age and body mass index were enrolled in the study. Single dose testosterone was administrated im. Initially, pretreatment blood samples were collected after overnight fasting. Posttreatment blood samples were drawn 10 d after the injection. ADMA, l-arginine, and NO were measured in pre- and posttreatment blood samples. The pretreatment ADMA and l-arginine levels were significantly higher, and plasma nitrite plus nitrate (NOx) levels were lower than those in the control group. After 10 d of treatment, ADMA and l-arginine levels were significantly reduced, and NOx levels were significantly increased. There was a significant positive correlation (P < 0.01) between ADMA and l-arginine and a negative correlation between ADMA and NOx levels in patients and controls. In conclusion, the patients with IHH showed elevated plasma ADMA levels associated with a reduction in NO production. Single dose parenteral T administration lowered ADMA concentrations and increased NO production to the control group values.