Handbuch der experimentellen Pharmakologie Vol. 43 Heffter-Heubner New Series Handbook of Experimental Pharmacology H erausgeber Editorial Board G. V. R. Born, Cambridge· O. Eichler, Heidelberg A. Farah, Rensselaer, NY . H. Herken, Berlin A. D. Weleh, Memphis, TN Beirat Advisory Board E. J. Ariens . Z. M. Bacq . P. Calabresi . S. Ebashi . E. G. Erdos V. Erspamer . U. S. von Euler· w. S. Feldberg· G. B. Koelle· O. Krayer T. A. Loomis . H.Raskova· M.Rocha e Silva· F.Sakai· J.R. Vane P.G. Waser· W. Wilbrandt Anabolic-Androgenic Steroids Contributors N.Arimasa· A.Arnold· D.L.Bennett . A.L.Beyler W. A.Daniel . J. A. Friedland· G. S. Gordan C. W. Gurney· R. Hilf . A. B. Houssay . C. D. Kochakian H.Kopera· R.L.Landau· I. Lewin . T.W.Perry G.O.Potts· A.J.Ryan· H.Spencer Editor Charles D. Kochakian With 38 Figures Springer-Verlag Berlin Heidelberg New York 1976 CHARLES D. KOCHAKIAN, Ph. D., Director and Professor, Experimental Endocrinol ogy, The University of Alabama in Birmingham, Medical Center, 1919 Seventh Avenue South, Birmingham, AL 35294jUSA ISBN-13: 978-3-642-66355-0 e-ISBN-13: 978-3-642-66353-6 DOl: 10.1007/978-3-642-66353-6 Library of Congress Cataloging in Publication Data. Main entry under title: Anabolic-androgenic steroids. (Handbook of experimental pharmacology: New series; v. 43). Includes bibliographies and indexes. 1. Androgens. 2. Anabolic steroids. 3. Androgens-Therapeutic use. 4. Anabolic steroids-Therapeutic use. I. Arimasa, N. II. Kochakian, Charles D., 1908-'- III. Series: Handbuch der experirnentellen Pharmakologie: New series; v. 43. QP905.H3 vol. 43 [QP572.A5] 615'.1'08s [599'.01'927]76-12989 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned specifically those of translation, reprinting, fe-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 of the German Law where copies are made for other than private use, a fee is payable to the publisher, the amount of the fee to be determined by agreement with the publisher. © by Springer-Verlag Berlin· Heidelberg 1976. Sof'tcover reprint of the hardcover I st edition 1976 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Preface This volume was planned to provide a comprehensive survey of the role of the anabolic-androgenic steroids in the vital economy exclusive of the androgenic (sexual) functions. It seemed appropriate to bring together all of this information in an organized fashion in one volume at this time not only to serve as a source of information but also to indicate and suggest areas that need further exploration. The anabolic action of the steroid hormones has gone through a period of great activity in both basic and clinical research. A complete understanding of the manifold anabolic effects still remains to be elucidated and the art of clinical application is only gradually becoming apparent. This volume should be useful not only to the experienced investigator in both basic and clinical research but also for the novice. Furthermore, it should serve as a source of information for the careful use of these steroids in certain metabolic diseases. These steroids have had wide clinical application with variable results. In many instances further careful exploration is suggested. Other instances have demonstrated varying degrees of usefulness. The editor has chosen to write most of the chapters related to the basic aspects of the action of the anabolic-androgenic steroids and for the clinical areas has selected contributors who have been active not only in research but in the clinical application of these steroids. Since the material for these chapters could readily overlap with consequent duplication and also possible serious omissions, a con ference of these contributors was held on January 27, 1975. A detailed review was presented by each contributor with active informal discussion. The conference proved of great value. Changes were made and hopefully overlap and omissions have been minimized. I would like to thank the many contributors for their enthusiastic interest and cooperation. I wish to especially thank Richard Landau for his many constructive suggestions and Allan Kenyon for his interest and suggestions. Finally, I wish to express my appreciation to my secretary, Frances Youngblood, for her dedicated assistance in the many details of editing such a volume and the extensive typing and literature search required in the preparation of my chapters. To my wife, lowe my special gratitude for her continuous support and laboratory assistance during the initiation of the renotrophic-androgenic and enzyme studies. Autumn, 1976 CHARLES D. KOCHAKIAN Table of Contents I. Historical Review of Anabolic-Androgenic Steroids. C. D. KOCHAKIAN References 3 II. Metabolic Effects A. Metabolic Effects of Anabolic-Androgenic Steroids in Experimental Animals. C. D. KOCHAKIAN. With 3 Figures I. Introduction. . . . . . . . . . . 5 A. Early Studies . . . . . . . . . 5 B. Establishment of Anabolic Action. 5 1. Dog. . . . . . . . . . . . 5 2. Rat . . . . . . . . . . . . 7 II. Comparison of Protein Anabolic Activity of Natural and Synthetic Steroids. . . . . . . 9 A. Assay Procedure in Rat . . . . 9 B. Comparison of Steroids. . . . 12 1. Subcutaneous Administration 13 2. Oral Administration . . . . 13 III. Effect of Castration on Protein and Energy Metabolism . 13 A. Dog. . . 13 B. Rat. . . . 14 C. Guinea Pig 15 D.Fowl. . . 15 IV. Effect of Endocrine Status on Anabolic Activity of Steroids. 15 A. Testis. . 15 1. Dog. . 15 2. Rat . . 15 3. Rabbit. 16 B. Ovary . 17 1. Rat . . 17 2. Dog. . 17 3. Monkey 18 C. Pituitary 18 1. Dog. 18 2. Rat . 18 D. Thyroid. 20 Rat . . 20 VIII Table of Contents E. Adrenals 21 Rat . . 21 F. Pancreas 22 1. Dog. 22 2~. ~ V. Effect of Nutritive State on Anabolic Activity of Steroids. 26 A. Rat . . . . . . . . 26 1. Quantity of Protein . . 26 2. Quality of Protein . . . 27 3. Depletion and Repletion 27 B. Guinea Pig . . . . . . 29 C. Dog. . . . . . . . . 29 VI. Kinetics of Protein Synthesis 29 [15NJ-Glycine Studies. . . 29 VII. Nitrogen Constituents of Urine and Blood 30 A. NPN, Urea, Amino-N and Protein 30 1. Urine . . . . . 30 2. Blood . . . . . 30 B. Creatine-Creatinine 32 1. Dog. . 32 2. Rat . . 32 3. Monkey 33 4. Rabbit . 34 5. Guinea Pig 34 C. Coproporphyrin . 35 VIII. Electrolytes and Water. 35 A. Dog. 35 B. Rat . 36 C. Mouse 36 D. Rabbit 36 IX. Energy Metabolism 37 A. Dog. 37 B. Rat . 37 X. Summary 37 References. . . 39 B. The Metabolic Effects of Anabolic Steroids in Man. R. L. LANDAU. With 10 Figures I. The Anabolic Effect of Testosterone. 45 II. Salt-Retaining Action of Testosterone 54 III. Anabolic Effects of Estrogen . . .. 54 IV. Effect of Estrogen on Salt Metabolism. 56 V. The Use of Androgen in Debilitated States. 57 VI. Effects of Androgens on Carbohydrate and Fat Metabolism. 63 VII. Synthetic Testosterone Analogues 64 VIII. Conclusions 67 References. . . . . . . . . . . . . 68 Table of Contents IX III. Sites of Tissue Formation A. Body and Organ Weights and Composition. C. D. KOCHAKIAN. With 13 Figures I. Introduction . 73 II. Body Weight and Composition 73 A. Effect of Castration. 73 1. Rat 73 2. Mouse. 74 3. Guinea Pig 75 4. Hamster. 76 B. Steroid Administration 76 1. Rat 76 2. Mouse. 86 3. Guinea Pig 88 4. Hamster 89 5. Monkey 89 6. Rabbit. 89 III. Muscle 90 Introduction . 90 1. Guinea Pig . 90 2. Rat 96 3. Mice. 102 4. Rabbit. 103 5. Other Species . 103 IV. Urinary Bladder 104 A. Mouse 104 B. Rat 104 C. Dog 105 V. Internal Organs. 105 A. Kidney. 106 1. Rat 106 2. Mouse. 112 3. Guinea Pig 120 4. Hamster 120 5. Rabbit. 120 6. Dog. 121 7. Human. 121 8. Compensatory Renal Hypertrophy. 121 B. Liver. 123 1. Rat 123 2. Mouse. 126 3. Guinea Pig 127 4. Hamster 127 5. Dog. 128 C. Heart. · 128 1. Rat · 128 2. Mouse. · 130 x Table of Contents D. Thymus and Spleen. 130 1. Rat . . . 130 2. Mouse .... 132 3. Guinea Pig. . 134 E. Lacrimal Glands. 134 1. Rat . . 134 2. Mouse ... . 136 3. Rabbit ... . 140 F. Gastrointestinal Tract. 140 1. Rat . . .... . 140 2. Mouse ..... . 142 VI. Summary and Conclusions . 143 References. . . . . . . . . . . 143 B. Effect of Anabolic-Androgenic Steroids on the Skin, Including Hair and Sebaceous Glands. A. B. HOUSSAY. With 2 Figures I. Effects upon the General Properties of the Skin. 155 A. Mechanical Properties . . 155 B. Collagen Content . . . . 156 C. Skin Mucopolysaccharides. 156 D. Anabolic Effects . . . . . 158 II. Metabolism of Androgens by the Skin 159 III. Effects of Androgens on Hair Growth in Experimental Animals. 161 A. Hair Growth in Waves in Rats and Mice. 161 B. Effects of Castration . . . 162 C. Effect of Steroid Hormones . . . . . . . 163 D. Effects in Other Mammals. . . . . . . . 164 IV. Metabolism of Androgens by the Rat Skin in Relation to the Hair Cycles 165 V. Effects of Androgens upon Hair Growth in Man. 165 A. Effects on Scalp Hair . . . . . . 166 B. Effects on Axillary and Pubic Hair . . . . . . 167 C. Effects on Masculine Hair. . . . . . . . . . 168 VI. Metabolism of Androgens by Isolated Human Hair Follicles. 170 VII. Effects of Androgens upon Sebaceous Glands in Experimental Animals 170 A. Effect on Sebaceous Glands of Rats 170 B. Effects on Hamster Flank Organ. . . . . . . . 172 C. Effects on Rat Preputial Glands. . . . . . . . 173 D. Effects on Sebaceous Glands of Other Mammals. 173 VIII. Effects of Androgens in Human Sebaceous Glands. . 174 Androgens and Acne. . . . . . . . . . . . . . . 175 IX. Metabolism of Androgens in the Sebaceous Glands . 176 References. . . . . . . . . . . . . . . . . . . . . . 177 C. Anabolic-Androgenic Steroids and Experimental Mammary Tumors. R. HILF I. Introduction. . . . . . . . . . . . . . . . . 191 II. Effect of Androgens on Mouse Mammary Tumors 192 Table of Contents XI III. Androgens and Rat Mammary Tumors. 195 A. Transplanted Mammary Tumors in Rats. · 196 1. Fibroadenomas. . . . . . . . . . · 196 2. Carcinomas. . . . . . . . . ... · 197 B. Carcinogen-Induced Mammary Tumors in Rats. .201 IV. Mammary Tumors in Vitro. . . . . . . . . . . .204 V. Effects of Androgens on Other Experimental Tumor Systems. .205 VI. Conclusions .206 References. . . . . . . .207 IV. Mechanism of Action A. Regulation of Protein Synthesis by Anabolic-Androgenic Steroids. C. D. KOCHAKIAN I. Introduction . 211 II. Studies in Vivo 211 A. Mouse .. 211 B. Rate ... 212 1. 4C] Amino Acids · 212 2. [14C]-Formate . . · 213 3. Anticatabolic Effects . · 214 C. Guinea Pig . . . . · 214 D. Rabbit ..... . · 215 III. Studies in Vivo/in Vitro · 216 A. Rat ...... . · 216 1. Liver and Kidney Slices. · 216 2. Kidney Cell-free System · 216 3. Heart Slices. . . . . . · 217 4. Skeletal Muscles. . . . · 217 5. Perineal Muscle ("Levator Ani") Slices · 219 B. Mouse ............ . · 219 1. Kidney, Liver, and Muscle Slices. · 219 2. Kidney Homogenate . .' .220 3. Kidney Cell-free Systems .220 C. Guinea Pig . . . . . . . .223 1. Kidney Cell-free System. · 223 2. Muscle Cell-free System. .224 IV. Studies in Vitro. . . .224 A. Liver Slices . . . .224 B. Perineal Muscles. .225 "Levator Ani" . .225 V. Summary .225 References. . . . . . . .226 B. Regulation of Nucleic Acid Synthesis by Anabolic-Androgenic Steroids. C. D. KOCHAKIAN I. Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . 229 XII Table of Contents II. Mouse ...... . .229 A. Kidney .... . .229 1. Total Changes. .229 2. Subcellular Changes · 231 3. Biosynthesis · 232 B. Liver. . . . . · 236 C. Thymus .... · 236 D. Perineal Muscle · 236 "Levator Ani" . · 236 III. Rat. . . . . . . · 236 A. Liver and Kidney. · 236 B. Muscle .. · 239 1. Skeletal · 239 2. Perineal .240 IV. Guinea Pig. . .242 Skeletal Muscle. .242 V. Rabbit. . · 243 Heart. . · 243 VI. Summary · 243 References. . . .244 C. Regulation of Tissue Enzymes. C. D. KOCHAKIAN I. Introduction. . . . . 247 II. Kidney . . . . . . . . . . . . . . . . . 247 A. Amino Acid-Related . . . . . . . . . . 247 1. Transaminases and Glutamic Acid Dehydrogenase. 247 2. D-Amino Acid Oxidase. 248 3. Arginase. . . . . 249 4. Transcarbamylases 252 5. Amidotransferases . 253 6. Histamine Methyltransferase 253 7. Histidine Decarboxylase 254 8. Ornithine Decarboxylase 254 9. Cathepsin . . . . 254 10. Acetylating Enzyme 255 11. Aminopeptidase. 255 B. Hydrolases . . 255 1. Phosphatases . 255 2. Esterases. . . 259 3. Ribonucleases. 260 4. p-Glucuronidase. 261 5. Glycosidases . . 263 C. Oxidative and Glycolytic Enzymes . 264 D. p-Hydroxybutyrate Dehydrogenase. 264 E. Alcohol Dehydrogenase. 265 III. Liver . . . . . . . . 266 A. Amino Acid-Related . . 266
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