Vnitr Lek 2008, 54(11):1059-1062
Place of inhibin B investigation in clinical andrological praxis
- Šilinkův nadační fond Praha, vedoucí prof. MUDr. RNDr. Luboslav Stárka, DrSc.
Inhibin B is a gonadal dimeric peptide, produced in men in testicular Sertolli cells. Inhibin B blood level knowledge can be a useful tool in the management of difficult diagnostic problems, such as ambiguous genitalia, the distinction between cryptorchidism and anorchidism and the hypogonadotrophic hypogonadism/delayed puberty differential diagnosis. Inhibin B measurements can help in gonadal dysgenesis evaluation, androgen insensitivity management and also in the diagnosis of some gonadal tumors. In adult men, inhibin B evaluation is helpful in the investigation of male infertility, especially in the judgment of the pro-gnosis of testicular biopsy in in-vitro fertilization programs. Although commercial kits for inhibin B measurement are available at present, its evaluation is accessible in the Czech Republic for the time being in only very limited number of laboratory centers.
Keywords: inhibin; ambiguous genitalia; cryptorchidism; puberty; gonadal tumors; infertility
Received: May 2, 2008; Accepted: July 7, 2008; Published: November 1, 2008 Show citation
References
- Adan L, Couto-Silva AC, Trivin C et al. Congenital gonadotropin deficiency in boys: management during childhood. J Pediatr Endocrinol Metab 2004; 17: 149-155.
Go to original source...
Go to PubMed...
- Andersson AM, Toppari J, Haavisto AM et al. Longitudinal reproductive hormone profiles in infants: peak of inhibin B levels in infant boys exceeds levels in adult men. J Clin Endocrinol Metab 1998; 83: 675-661.
Go to original source...
- Arrigo T, Pirazzoli P, De Sanctis L et al. McCune-Albright syndrome in a boy may present with a monolateral macroorchidism as an early and isolated clinical manifestation. Horm Res 2006; 65: 114-119.
Go to original source...
Go to PubMed...
- Babčová K, Ulčová-Gallová Z, Červenková Z et al. Inhibin B and intraacrosomal proteins in men from the couples with fertility disorders. Čes Gynekol 2006; 71: 111-117.
- Bauer J, Blumenthal S, Reuber M et al. Epilepsy syndrome, focus location, and treatment choice affect testicular function in men with epilepsy. Neurology 2004; 62: 243-246.
Go to original source...
Go to PubMed...
- Bohring C, Schroeder-Printzen I, Weidner W et al. Serum levels of inhibin B and follicle-stimulating hormone may predict successful sperm retrieval in men with azoo-spermia who are undergoing testicular sperm extraction. Fertil Steril 2002; 78: 1195-1198.
Go to original source...
Go to PubMed...
- Bouvattier C, Carel JC, Lecointre C et al. Postnatal changes of T, LH, and FSH in 46,XY infants with mutations in the AR gene. J Clin Endocrinol Metab 2002; 87: 29-32.
Go to original source...
Go to PubMed...
- Cortes D, Thorup J, Hogdall E et al. The relation of germ cells per tubule in testes, serum inhibin B and FSH in cryptorchid boys. Pediatr Surg Int 2007; 23: 163-169.
Go to original source...
Go to PubMed...
- Coutant R, Lumbroso S, Rey R et al. Macroorchidism due to autonomous hyperfunction of Sertoli cells and G(s)alpha gene mutation: an unusual expression of McCune-Albright syndrome in a prepubertal boy. J Clin Endocrinol Metab 2001; 86: 1778-1781.
Go to original source...
- Červenková Z, Ulčová-Gallová Z, Babcová K et al. Present knowledge on inhibins B and A. Čes gynekol 2006; 71: 79-82.
- Gray PC, Greenwald J, Blount AL et al. Identification of a binding site on the type II activin receptor for activin and inhibin. J Biol Chem 2000; 275: 3206-3212.
Go to original source...
Go to PubMed...
- Groome NP, Tsigou A, Cranfield M et al. Enzyme immunossays for inhibins, activins and follistations. Mol Cell Endocrinol 2001; 180: 73-77.
Go to original source...
Go to PubMed...
- Hemminki A, Markie D, Tomlinson I et al. A serine/threonine kinase gene defective in Peutz-Jeghers syndrome. Nature 1998; 391: 184-187.
Go to original source...
Go to PubMed...
- Hurwitz JM, Santoro N. Inhibins, activins, and follistatin in the aging female and male. Semin Reprod Med 2004; 22: 209-217.
Go to original source...
Go to PubMed...
- Chada M, Průša R, Bronský J et al. Inhibin B, follicle stimulating hormone, luteinizing hormone and testosterone during childhood and puberty in males: changes in serum concentrations inrelation to age and stage of puberty. Physiol Res 2003; 52: 45-51.
Go to original source...
- Christiansen P, Andersson AM, Skakkebaek NE et al. Serum inhibin B, FSH, LH and testosterone levels before and after human chronic gonadotropin stimulation in prepubertal boys with cryptorchidism. Eur J Endocrinol 2002; 147: 95-101.
Go to original source...
Go to PubMed...
- Christiansen P, Andersson AM, Skakkebaek NE. Longitudinal studies of inhibin B levels in boys and young adults with Klinefelter syndrome. J Clin Endocrinol Metab 2003; 88: 888-891.
Go to original source...
Go to PubMed...
- Iczkowski KA, Bostwick DG, Roche PC et al. Inhibin A is a sensitive and specific marker for testicular sex cord-stromal tumors. Mod Pathol 1998; 11: 774-779.
- Illingworth PJ, Groome NP, Byrd W et al. Inhibin-B: a likely candidate for the physiologically important form of inhibin in men. J Clin Endocrinol Metab 1996; 81: 1321-1325.
Go to original source...
- Kubini K, Zachmann M, Albers N et al. Basal inhibin B and the testosterone response to human chorionic gonadotropin correlate in prepubertal boys. J Clin Endocrinol Metab 2000; 85: 134-138.
Go to original source...
- Lahlou N, Fennoy I, Carel JC et al. Inhibin B and anti-Müllerian hormone, but not testosterone levels, are normal in infants with nonmosaic Klinefelter syndrome. J Clin Endocrinol Metab 2004; 894: 1864-1868.
Go to original source...
Go to PubMed...
- Lahlou N, Roger M. Inhibin B in pubertal development and pubertal disorders. Semin Reprod Med 2004; 22: 165-176.
Go to original source...
Go to PubMed...
- Lefevre H, Bouvattier C, Lahlou N et al. Prepubertal gynecomastia in Peutz-Jeghers syndrome: incomplete penetrance in a familial case and management with an aromatase inhibitor. Eur J Endocrinol 2006; 154: 221-227.
Go to original source...
Go to PubMed...
- Lockwood G. The diagnostic value of inhibin in infertility evaluation. Semin Reprod Med 2004; 22: 195-208.
Go to original source...
Go to PubMed...
- Meachem SJ, Nieschlag E, Simoni M. Inhibin B in male reproduction: pathophysiology and clinical relevance. Eur J Endocrinol 2001; 145: 561-571.
Go to original source...
Go to PubMed...
- Meikle AW. The interrelationships between thyroid dysfunction and hypogonadism in men and boys. Thyroid 2004; 14 (Suppl 1): S17-S25.
Go to original source...
Go to PubMed...
- McCullagh DR. Dual endocrine activity of the testes. Science 1932; 76: 19-20.
Go to original source...
Go to PubMed...
- Misra M, MacLaughlin DT, Donahoe PK et al. Measurement of Mullerian inhibiting substance facilitates management of boys with microphallus and cryptorchidism. J Clin Endocrinol Metab 2002; 87: 3598-3602.
Go to original source...
Go to PubMed...
- O'Connor AE, de Kretser DM. Inhibins in normal male physiology. Semin Reprod Med 2004; 22: 177-185.
Go to original source...
Go to PubMed...
- Pauli EM, Legro RS, Demers LM et al. Diminished paternity and gonadal function with increasing obesity in men. Fertil Steril 2008; Epub Feb 19.
Go to original source...
Go to PubMed...
- Pierik FH, Abdesselam SA, Vreeburg JT et al. Increased serum inhibin B levels after varicocele treatment. Clin Endocrinol (Oxf) 2001; 54: 775-780.
Go to original source...
Go to PubMed...
- Pigny P, Dewailly D, Racadot A et al. Famille des inhibines et des activines: de I'action endocrine à I'action paracrine. Ann Endocrinol (Paris) 1996; 57: 385-394.
Go to PubMed...
- Pitteloud N, Hayes FJ, Boepple PA et al. The role of prior pubertal development, biochemical markers of testicular maturation, and genetics in elucidating the phenotypic heterogeneity of idiopathic hypogonadotropic hypogonadism. J Clin Endocrinol Metab 2002; 87: 152-160.
Go to original source...
Go to PubMed...
- Poršová-Dutoit I. Male hormonal contraception. Vnitř Lék 2006; 52: 1077-1084.
Go to PubMed...
- Rajpert-De Meyts E, Jørgensen N, Graem N et al. Expression of anti-Müllerian hormone during normal and pathological gonadal development: association with differentiation of Sertoli and granulosa cells. J Clin Endocrinol Metab 1999; 84: 3836-3844.
Go to original source...
- Rey R. How to evaluate gonadal function in the cryptorchid boy. Lessons from new testicular markers. J Pediatr Endocrinol Metab 2003; 16: 357-364.
Go to original source...
Go to PubMed...
- Rey R, Mebarki F, Forest MG et al. Anti-müllerian hormone in children with androgen insensitivity. J Clin Endocrinol Metab 1994; 79: 960-964.
Go to original source...
- Risbridger GP, Schmitt JF, Robertson DM. Activins and inhibins in endocrine and other tumors. Endocr Rev 2001; 22: 836-858.
Go to original source...
Go to PubMed...
- Schmiegelow M, Lassen S, Poulsen HS et al. Gonadal status in male survivors following childhood brain tumors. J Clin Endocrinol Metab 2001; 86: 2446-2452.
Go to original source...
- Schneyer A. Inhibins: a historical perspective. Semin Reprod Med 2004; 22: 161-164.
Go to original source...
Go to PubMed...
- Shenker A, Laue L, Kosugi S et al. A constitutively activating mutation of the luteinizing hormone receptor in familial male precocious puberty. Nature 1993; 365: 652-654.
Go to original source...
Go to PubMed...
- Soriano-Guillen L, Mitchell V, Carel JC et al. Activating mutations in the LH receptor gene: a human model of non FSH-dependent inhibin production and germ cell maturation. J Clin Endocrinol Metab 2006; 91: 3041-3047.
Go to original source...
Go to PubMed...
- Vale W, Rivier C, Hsueh A et al. Chemical and biological characterization of the inhibins family of protein hormones. Recent Prog Horm Res 1988; 44: 1-34.
Go to original source...
Go to PubMed...
- Ying SY. Inhibins, activins, and follistatins: gonadal proteins modulating the secretion of follicle-stimulating hormone. Endocr Rev 1988; 9: 267-293.
Go to original source...
Go to PubMed...
- Young J, Couzinet B, Chanson P et al. Effects of human recombinant luteinizing hormone and follicle-stimulating hormone in patients with acquired hypogonadotropic hypogonadism: study of Sertoli and Leydig cell secretions and interactions. J Clin Endocrinol Metab 2000; 85: 3239-3244.
Go to original source...
Go to PubMed...
- Young J, Chanson P, Salenave S et al. Testicular anti-mullerian hormone secretion is stimulated by recombinant human FSH in patients with congenital hypogonadotropic hypogonadism. J Clin Endocrinol Metab 2005; 90: 724-728.
Go to original source...
Go to PubMed...
- Žofková I, Bubeníček P, Sotorník I. Hypogonadism, a serious complication of chronic renal insufficiency. Vnitř Lék 2007; 53: 709-14.
Go to PubMed...