Influence of methyltestosterone and cyproterone acetate on Wolffian duct differentiation in female rat foetuses

Congenital adrenal hyperplasia secondary to 11beta-hydroxylase deficiency in a domestic cat

A calico-colored domestic shorthair cat was examined because of possible cryptorchidism. The cat had a fully formed penis, prepuce, and scrotum, but no descended testes, and exploratory laparotomy revealed a grossly normal female internal genital tract (ie, 2 ovaries, 2 uterine horns, and uterine body). Chromosomal analysis revealed a normal female (38,XX) karyotype. Four months later, the cat was examined because of polyuria, polydipsia, and inappropriate urination. Serum cortisol and aldosterone concentrations were low, and results of an ACTH stimulation test were suggestive of decreased adrenal gland function. Serum ACTH, testosterone, androstenedione, progesterone, 17-hydroxyprogesterone, 11-deoxycortisol, and deoxycorticosterone concentrations were high, and a diagnosis of congenital adrenal hyperplasia secondary to 11beta-hydroxylase deficiency was made. Treatment with prednisone diminished clinical signs but had a variable effect on corticosteroids hormone concentrations. To the author's knowledge, this is the first report of congenital adrenal hyperplasia in a cat.

Autoregulation of androgen receptor protein and messenger RNA in rat ventral prostate is protein synthesis dependent

In order to investigate the role of protein synthesis in the testosterone regulation of androgen receptor (AR) levels, in vivo studies were undertaken using the ventral prostate gland from adult male rats castrated 24 h previously. Our results showed that testosterone (400 microg/100 g body weight) increased nuclear AR binding 1 h after administration, whereas the protein synthesis inhibitor cycloheximide (400 microg/100 g body weight) by itself did not alter AR binding. However, concomitant administration of testosterone and cycloheximide blocked the testosterone-induced nuclear AR accumulation after 1 h. To determine if changes in AR binding reflected changes in AR protein levels, immunocytochemical studies were conducted on individually dissected ventral prostatic ducts. Castration 24 h previously induced a decrease in nuclear AR immunostaining when compared to intact animals. Testosterone treatment restored the nuclear staining, particularly at the distal tips of the prostatic ducts. Cycloheximide alone did not change AR immunostaining when compared to castrated vehicle-treated rats, yet it significantly decreased the nuclear AR staining induced by testosterone. Our results suggest that AR is being newly synthesized during testosterone treatment. To determine if the effect of testosterone in the regulation of the AR protein was ultimately due to changes at the messenger RNA (mRNA) levels, steady-state AR mRNA levels were measured. Northern blot analysis of poly A+ mRNA preparations revealed that androgen withdrawal for 24 h increased AR mRNA and that testosterone treatment for 1 h did not alter these increased AR mRNA levels. The inhibition of protein synthesis by cycloheximide did not change AR mRNA, but, when cycloheximide was administered in conjunction with testosterone, AR mRNA levels were significantly decreased. In an attempt to relate these responses to changes in transcriptional activity, the transcription inhibitor actinomycin D was administered in vivo. Whereas simultaneous administration of testosterone and cycloheximide modified AR mRNA and AR protein levels, concomitant administration of testosterone with actinomycin D did not alter these levels. It is therefore unlikely that testosterone modifies the transcription of AR mRNA within 1 h after its administration. Collectively, these results suggest that protein synthesis is involved in the mechanism of testosterone-promoted AR regulation. This protein synthesis-dependent mechanism may be involved in the regulation of the stability and/or the translation of AR mRNA in the prostate.

Effect of cyproterone acetate in comparison to flutamide and megestrol acetate on the ventral prostate, seminal vesicle, and adrenal glands of adult male rats

Cyproterone acetate (CPA) has a stronger inhibitory effect than megestrol acetate (MGA) and flutamide (FL) on the prostate and seminal vesicle of intact adult rats. Only in the clinically irrelevant regimen of castration and simultaneous androgen substitution is FL as a competitive androgen antagonist more potent than CPA and MGA. The latter inhibit complete involution of the ventral prostate but not of the seminal vesicle of castrated adult rats. This effect is very small in magnitude, cannot be increased by the use of higher doses, and is only reduced but not blocked by simultaneous treatment with high doses of FL. Further, CPA is unable to stimulate proliferation or restore the function of the involuted rat prostate. CPA and MGA inhibit adrenal weight in rats, thus indicating a glucocorticoidlike activity in this species. A critical review of all available data on the antiandrogenic, glucocorticoidlike, and possible paradoxical androgenlike activities of CPA in different animal experiments has no important bearing on the clinical effectiveness of CPA in the treatment of prostatic cancer.