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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
-dihydrotestosterone catabolism suppress T lymphocyte functions in males after trauma-hemorrhage
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-
dihydrotestosterone for the immunosuppressive effects. 5
-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
-dihydrotestosterone. We, therefore, hypothesized that the basis for high 5
-dihydrotestosterone activity in T lymphocytes of males following trauma-hemorrhage is due to decreased catabolism. Accordingly, catabolism of 5
-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
-dihydroteststerone in intact male T lymphocytes following trauma-hemorrhage. In contrast, reduced 5
-reductase activity and increased expression of 17ß-hydroxysteroid dehydrogenase (17ß-HSD) oxidative isomers suggest inactivation of 5
-dihydrotestosterone in pre-castrated males. Thus, our study establishes increased synthesis and decreased catabolism of 5
-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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