|
|
||||||||
Testosterone administration to male athletes can be safely detected in the vast majority of cases by the urinary excretion ratio of testosterone to epitestosterone glucuronides (TG/EG), which may not exceed 6. Some rare cases of physiologically high TG/EG ratios (between 6 and 12) are encountered; these may be attributed to a dysregulation of the testicular secretions of epitestosterone which is decreased, and of epitestosterone sulphate (ES) which is normal or increased. Impaired hydrolysis of circulating epitestosterone sulphate by deficiency of a specific sulphatase acting on 17
-sulphates must also be considered as a possible reason for the decreased availability of epitestosterone for hepatic glucuronidation. Urinary excretions of conjugates and metabolites of testosterone and epitestosterone (expressed in nmol/mmol creatinine) have been determined by gas chromatography-mass spectrometry associated with stable isotope dilution, in a reference population of 90 healthy male subjects and in 12 subjects with chronic TG/EG>4. Urinary excretion ratios such as TG/(EG+ES), EG/ES and TG/5-androstene-3β,17
-diol glucuronide are shown to be efficient criteria which allow discrimination between physiologically high and pharmacologically high TG/EG ratios. A simple oral loading test with deuterium-labelled epitestosterone demonstrates the difference between hepatic and total epitestosterone metabolism clearly, particularly in subjects with physiologically high TG/EG in comparison with subjects with normal TG/EG.
Journal of Endocrinology (1994) 142, 353–360
This article has been cited by other articles:
![]() |
D. H. Catlin, C. K. Hatton, and S. H. Starcevic Issues in detecting abuse of xenobiotic anabolic steroids and testosterone by analysis of athletes' urine Clin. Chem., July 1, 1997; 43(7): 1280 - 1288. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. J. Perry, J. H. MacIndoe, W. R. Yates, S. D. Scott, and T. L. Holman Detection of anabolic steroid administration: ratio of urinary testosterone to epitestosterone vs the ratio of urinary testosterone to luteinizing hormone Clin. Chem., May 1, 1997; 43(5): 731 - 735. [Abstract] [Full Text] [PDF] |
||||
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |