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Am J Physiol Cell Physiol (February 6, 2002). doi:10.1152/ajpcell.00560.2001
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Articles in PresS, published online ahead of print February 6, 2002
Am J Physiol Cell Physiol, 10.1152/ajpcell.00560.2001
Submitted on November 20, 2001
Accepted on January 24, 2002

Decreased 5{alpha}-dihydrotestosterone catabolism suppress T lymphocyte functions in males after trauma-hemorrhage

Rui Zheng1, Anantha T Samy1, Christian P Schneider1, Loring W Rue Jr.1, Kirby I Bland1, and Irshad H Chaudry1*

1 Surgery, University of Alabama School of Medicine, Birmingham, AL, USA

* To whom correspondence should be addressed. E-mail: irshad.chaudry{at}ccc.uab.edu.

Trauma-hemorrhage produces profound immunosuppression in males but not in proestrus females. Prior castration or Flutamide treatment of males following trauma-hemorrhage prevents immunosuppression, implicating 5-{alpha}dihydrotestosterone for the immunosuppressive effects. 5{alpha}-dihydrotestosterone, a high-affinity androgen receptor-binding steroid, is synthesized in tissues as needed and seldom accumulates. The presence of steroidogenic enzymes in T lymphocytes suggests both synthesis and catabolism of 5{alpha}-dihydrotestosterone. We, therefore, hypothesized that the basis for high 5{alpha}-dihydrotestosterone activity in T lymphocytes of males following trauma-hemorrhage is due to decreased catabolism. Accordingly, catabolism of 5{alpha}-dihydrotestosterone was assessed in splenic T lymphocytes by examining the activity and expression of enzymes involved. Analysis showed increased synthesis and decreased catabolism of 5{alpha}-dihydroteststerone in intact male T lymphocytes following trauma-hemorrhage. In contrast, reduced 5{alpha}-reductase activity and increased expression of 17ß-hydroxysteroid dehydrogenase (17ß-HSD) oxidative isomers suggest inactivation of 5{alpha}-dihydrotestosterone in pre-castrated males. Thus, our study establishes increased synthesis and decreased catabolism of 5{alpha}-dihydrotestosterone as a reason for loss of T lymphocyte functions in intact males following trauma-hemorrhage, as evidenced by decreased release of IL-2 and IL-6.




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