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Androgen Measurements

Methods, Interpretation, and Limitations

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Androgen Excess Disorders in Women

Part of the book series: Contemporary Endocrinology ((COE))

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Abstract

Androgens are measured primarily in serum by direct and indirect (with one or two purification steps) immunoassay methods. Direct immunoassays are seldom thoroughly validated and often lack sensitivity and specificity. Free testosterone measurements also have their limitations, but the equilibrium dialysis assay or calculated method using an algorithm is considered reliable. There is growing use of assays that combine mass spectrometry with either gas or liquid chromatography for quantifying androgens. Liquid chromatography—tandem mass spectrometry is touted to become the “gold standard” for all steroid hormone measurements.

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References

  1. Yalow RS, Berson SA. Assay of plasma insulin in human subjects by immunological methods. Nature 1959;184:1648.

    Article  PubMed  CAS  Google Scholar 

  2. Yalow RS, Berson SA. Immunoassay of endogenous plasma insulin in man. J Clin Invest 1960;38:1157–1175.

    Google Scholar 

  3. Abraham GE. Sold-phase radioimmunoassay of estradiol-17gb. J Clin Endocrinol Metab 1969;29:866

    PubMed  CAS  Google Scholar 

  4. Abraham GE, Odell WD. Solid-phase radioimmunoassay of serum estradiol-17β: a semi-automated approach. In: Peron FG, Caldwell BV, eds. Immunologic Methods in Steroid Determination. New York: Appleton-Century-Crofts, 1970:87–112.

    Google Scholar 

  5. Chard T. An introduction of radioimmunoassay and related technique. In: Van der Vliet PC, ed. Laboratory Techniques in Biochemistry and Molecular Biology. Amsterdam: Elsevier Science, 1995.

    Google Scholar 

  6. Stanczyk FZ, Cho MM, Endres DB, et al. Limitations of direct estradiol and testosterone immunoassay kits. Steroids 2003;68:1173–1178.

    Article  PubMed  CAS  Google Scholar 

  7. Taieb J, Mathian B, Millot F, et al. Testosterone measured by 10 immunoassays and by isotope-dilution gas chromatographymass spectrometry in sera from 116 men, women, and children. Clin Chem 2003;49:1381–1395.

    Article  PubMed  CAS  Google Scholar 

  8. Fitzgerald RL, Herold DA. Ciba Corning ACS: 180 direct total testosterone assay can be used on female sera. Clin Chem 1997;43:1466–1467.

    Google Scholar 

  9. Westphal U. Steroid-Protein Interactions. Berlin: Springer-Verlag, 1986.

    Google Scholar 

  10. Westphal U. Steroid-Protein Interactions II. Berlin: Springer-Verlag, 1971.

    Google Scholar 

  11. Manni A, Pardrige WM, Cefalus W, et al. Bioavailability of albumin-bound testosterone. J Clin Endocrinol Metab 1985;61:705.

    Article  PubMed  CAS  Google Scholar 

  12. Pardridge W, Landaw EM. Tracer kinetics model of blood brain barrier transport of plasma protein-bound ligands: Empiric testing of free hormone hypothesis. J Clin Invest 1984;74:74.

    Article  Google Scholar 

  13. Pardridge WM. Transport of protein bound hormones into tissues in vivo. Endocr Rev 1981;2:103.

    Article  PubMed  CAS  Google Scholar 

  14. Ekins R. Hirsutism: Free and bound testosterone. Am Clin Biochem 1990;27:91.

    Google Scholar 

  15. Vermeulen A, Verdonck L, Kaufman JM. A critical evaluation of simple methods for the estimation of free testosterone in serum. J Clin Endocrinol Metab 1999;84:3666–3672.

    Article  PubMed  CAS  Google Scholar 

  16. Winters SJ, Kelley DE, Goodpaster B. The analog free testosterone assay: are the results in man clinically useful? Clin Chem [Erratum (1999) 45:444] 1998;44:2178-2182.

    CAS  Google Scholar 

  17. Cheng RN, Reed MJ, James VHT. Plasma free testosterone: Equilibrium dialysis vs direct radioimmunoassay. Clin Chem 1986;32:1411.

    PubMed  CAS  Google Scholar 

  18. Miller KK, Rosner W, Lee H, et al. Measurement of free testosterone in normal women and women with androgen deficiency: comparison of methods. J Clin Endocrinol Metab 2004;89:525–533.

    Article  PubMed  CAS  Google Scholar 

  19. Rosner W. An extraordinary inaccurate assay for free testosterone is still with us [lett]. J Clin Endocrinol Metab 2001;86:2903.

    Article  PubMed  CAS  Google Scholar 

  20. Kapoor P, Luttrell B, Williams D. The free androgen index is not valid for adult males. J Steroid Biochem Mol Biol 1993;45:325–326.

    Article  PubMed  CAS  Google Scholar 

  21. Morley JE, Patrick P, Perry HM. III Evaluation of assays available to measure free testosterone. Metabolism 2002;51:554–559.

    Article  PubMed  CAS  Google Scholar 

  22. Emadi-Konjin P, Bain J, Bromberg IL. Evaluation of an algorithm for calculation of serum “bioavailable” testosterone (BAT). Clin Biochem 2003;36:591–596.

    Article  PubMed  CAS  Google Scholar 

  23. Bukowski C, Grigg MA, Longcope C. Sex-hormone-binding globulin concentrations: differences among commercially available methods. Clin Chem 2000;46:1415–1416.

    PubMed  CAS  Google Scholar 

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© 2006 Humana Press Inc., Totowa, NJ

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Stanczyk, F.Z. (2006). Androgen Measurements. In: Azziz, R., Nestler, J.E., Dewailly, D. (eds) Androgen Excess Disorders in Women. Contemporary Endocrinology. Humana Press. https://doi.org/10.1007/978-1-59745-179-6_5

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  • DOI: https://doi.org/10.1007/978-1-59745-179-6_5

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-663-4

  • Online ISBN: 978-1-59745-179-6

  • eBook Packages: MedicineMedicine (R0)

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