605
THE EFFECT OF A RABBIT ACTH PREPARATION
ON
ADRENAL STEROID BIOSYNTHESIS
Howard B. Drummond and H. Richard Fevold Department of Chemistry University of Montana Missoula, Montana 59801 Received
12/2/71 ABSTRACT
Adrenocorticotropic hormone (ACTH) fractions were prepared from both rabbit and steer pituitaries. The preparations assayed at 48 and 25 Units per mg, respectively, by the in vitro rat adrenal slice assay procedure using an Armour ACTHar standard. Each preparation showed one major band on acrylamide gel electrophoresis. The mobilities of these major bands at pH 9.3, when compared with a highly purified commercial pig-ACTH preparation, were in the relative order of rabbit>steer>pig. Comparison of the rabbit-ACTH preparation and pig-ACTH with regard to their ability to stimulate cortisol production by rabbit adrenal tissue homogenates after 2-days injection (26-40 Units, IM, twice daily) showed that the rabbit-ACTH preparation markedly increased cortisol production, but only to the extent of 10% t h a t observed in tissue stimulated with pig-ACTH. In separate experiments the steer-ACTH preparation appeared to stimulate cortisol production to approximately the same degree as observed for the pig-ACTH. These results suggest that although rabbitand steer-ACTH have similar electrophoretic mobilities, both of which are significantly greater than pig-ACTH at pH 9.3, the ability of the rabbitACTH preparation to stimulate 17~-hydroxylation is much less than either the steer- or pig-ACTH preparations. INTRODUCTION Daily injection of rabbits with pig adrenocorticotropin day periods has been demonstrated
to result in a decrease
of corticosterone
in the amount of cortisol
and an increase
the adrenal vein blood of the stimulated are of interest since cortisol by rabbit adrenals,
rabbits
is normally produced
but is the predominant
pig, the source of the adrenocorticotropin. of ACTH from a predominantly
(1,2,3).
corticosterone
for 21-28
in the amount secreted in These results
only in trace amounts
corticosteroid produced by the Determination secreting
of the ability
species
to
S T E R O ID S
606 stimulate
17~-hydroxylation
and, hence,
19:5
cortisol production,
adrenal tissue might indicate whether a species ACTH molecule significance. is identical shown
Synthetic
8
1-24
-corticotropin,
to the amino-terminal
from similarly stimulated
a primarily
of the preparation species.
whose amino acid sequence
24 residues of porcine ACTH, has been synthesis by adrenal tissue
animals.
In the present studies,
producing
exists in the
and whether this action of ACTH may be of physiological
(4) to cause an increased cortisol
rabbits,
specificity
by rabbit
ACTH was isolated from pituitaries
corticosterone-producing
procedure,
from the steer,
A comparison
species,
of
and for a control
a primarily
cortisol-
of in vitro corticosteroid
biosynthesis
by adrenal tissue from rabbits stimulated by rabbit, pig, and steer adrenocorticotropin
is presented.
MATERIALS AND METHODS ISOLATION OF ACTH. ACTH fractions were prepared by published procedures (5,6,7). After ion exchange chromatography on carboxymethyl cellulose (CMC) (7), the resultant fractions from the steer pituitaries were assayed using quartered rat adrenals (8,9). The porcine ACTH and the CMC-fractions from the rabbit pituitaries were also assayed using quartered rat adrenals by the method of Rerup (i0) as modified by Camiener and Tree (ii). In the latter assays, each test material including an Armour ACTHar standard was evaluated at five different dose levels extending over a 100-fold concentration range, and a log doseresponse curve was drawn for the standard. The optical densities of the extracts of the test samples were converted into IU and these test values (averages of duplicates) were plotted on log-log paper against the respective concentrations of the test material used. The activity of the test material in milliunits per ~g was determined at the point where the straight line of best fit intercepted a line corresponding to a concentration of 1 ~g per flask. ELECTROPHORESIS OF ACTH. Disc electrophoresis using 7.5% polyacrylamide gel was carried out on the pig-, steer-, and rabbit-ACTH preparations using a temperature-regulated Buchler Polyanalyst apparatus and the method of Ornstein (12) and Davis (13). Samples were layered on top of the large-pore gel in sucrose solution. Runs were carried out at pH 9.3 with 2.5 ma per tube. Gels were stained one hour with Amido Schwarz in 7% acetic acid. After destaining, the gels were scanned at 660 nm by means of a Gilford Model 2410 Linear Transport at a speed of
May 1972
ST ER O ID S
607
1 cm per min and an aperture width of 0.05 mm. TISSUE PREPARATION. Male New Zealand white rabbits weighing 2.3 4.2 kg were injected twice daily for two days with approximately 26 Units purified porcine-ACTH (Upjohn, Lot No. 7275) or the equivalent of 26 U steer- or 40 U rabbit-ACTH in 0.2 ml of 5% beeswax in peanut oil containing 0.5% phenol. Control animals were injected with beeswax - peanut oil vehicle. Animals under light pentabarbital anesthesia were exsanguinated and the adrenals were removed, trimmed, and weighed. Adrenal glands from each of four similarly treated rabbits were pooled and homogenized at 0 ° in sufficient Krebs-Ringer phosphate buffer (pH 7.35) to give a tissue concentration of i00 mg/ml. The buffer also contained i00 mg each of E-D-glucose and glucose-6-phosphate per i00 ml, 40 mM nicotinamide, 0.i mM sodium fumarate, and 0.4 mM each of NAD, NADP, and ATP. INCUBATION PROCEDURE. Pregnenolone-4-14C, 55.7 mCi/mM (NuclearChicago), was chromatographically purified prior to use. The specific activity was adjusted to 1.8 ~Ci/vmole with nonradioactive pregnenolone (Sigma), and 0.165 ~mole of this material was added to 25-mi incubation flasks in 0.2 ml of ethanol-propylene glycol (I:i, v/v). The ethanol was evaporated at 40 ° under nitrogen. Approximately two units of glucose-6phosphate dehydrogenase (Sigma Type VI) were included in each flask with 2 ml of adrenal homogenate. The flasks were gassed with 95% 02-5% CO2, stoppered, and placed in a constant temperature, shaking water bath at 37.5 ° All incubations were performed either in triplicate or duplicate, as indicated in the results, and terminated after three hours by the addition of 5 ml dichloromethane-ethyl acetate (i:i, v/v). The contents of each flask were mixed thoroughly and kept at -20 ° until analyzed. EXTRACTION AND PRODUCT ISOLATION. Approximately 0.05 ~Ci each of chromatographically purified 3H-labeled cortisol, 82.8 ~Ci/~g (NuclearChicago), corticosterone, 158 ~Ci/~g (Tracer Lab.), and ll-deoxycorticosterone, Ii0 ~Ci/~g (Tracer Lab.), were added to each flask to permit the estimation of percent recoveries of these compounds. The incubation media were extracted four times with double volumes of dichloromethane-ethyl acetate (i:i, v/v). The combined extracts were evaporated and the residue was initially separated into four major fractions by paper chromatography in the heptane-formamide system (14), developed for 1 hour after the mobile phase had reached the end of the strip, followed by redevelopment in the benzene-formamide system. Each of the three fractions from these initial chromatograms was recovered by elution with 15.0 ml of ethanol. The recovered fractions were further purified and separated into their components as follows. All chromatographic separations were performed on Whatman No. 1 filter paper. Fraction I (cortisol) was acetylated and chromatographed in chloroform-formamide. The area corresponding to cortisol-21-acetate was eluted, and the recovered material was used for mass and radioactivity determinations. Fraction II (cortisone) was acetylated and chromatographed in benzene-formamide for a period of four hours after the mobile phase had reached the end of the strip. The area corresponding to cortisone-21acetate was eluted, and the recovered material was used for mass and radioactivity determinations. Fraction III (corticosterone, ll-deoxy-
608
ST ER O I D S
19:5
corticosterone, ll-dehydrocorticosterone, progesterone, and pregnenolone) was chromatographed in chloroform:benzene (i:i) - formamide. The most polar area of Fraction III, corresponding to corticosterone, was eluted, and the resulting material acetylated and chromatographed in heptane: benzene (i:I) - formamide for twenty-two hours after the mobile phase had reached the end of the strip. The areas corresponding to corticosterone21-acetate and ll-deoxycortisol-21-acetate were eluted and the resulting materials analyzed for mass and radioactivity. The center area of Fraction III, corresponding to ll-deoxycorticosterone and ll-dehydrocorticosterone, was acetylated and chromatographed in the benzene-formamide system. The areas corresponding to ll-deoxycorticosterone-21-acetate and ll-dehydrocorticosterone-21-acetate were eluted and analyzed for mass and radioactivity. The third area of Fraction III, corresponding to progesterone and pregnenolone, was eluted, acetylated, and chromatographed in the heptane:benzene (i:i) - formamide system. The areas corresponding to progesterone and pregnenolone-3~-acetate were eluted and analyzed for radioactivity. ANALYSIS. All final paper chromatograms were run on 2-cm strips of filter paper that had been previously washed for 5 days with deionized water and for 5 days with freshly redistiiled absolute methanol. Chromatographic fractions were recovered by elution with 15 ml of redistilled absolute ethanol, and one tenth of each eluted sample was taken in duplicate for the determinations of 14C- and 3H- content by dual-channel liquid scintillation spectrometry. The mass of the isolated metabolites was determined spectrophotometrically on a second set of duplicate aliquots by the reaction of Porter and Silber (15) for cortisol-21-acetate, and by the blue tetrazolium reaction (16) for corticosterone-21-acetate, ll-deoxycorticosterone-21-acetate, and ll-dehydrocorticosterone-21-acetate. The analytical values for cortisol, corticostercne and ll-deoxycorticosterone were corrected for the percent recovery as determined by the amount of the appropriate 3H-labeled steroid recovered from the final chromatogram. All values were corrected for zero-time controls in which the organic solvent had been added to the flask immediately after homogenate addition. Samples were counted a sufficient time to achieve less than 2% error at a 95% confidence level. Calculation of 3}{_ and 14C- content was done by programming the standard equations for dual-labeled samples (Nuclear-Chicago, Liquid Scintillation Manual) for an IBM 1620 data processing system (17). Pooled samples of the cortisol-21-acetate, and corticosterone-21acetate, cortisone-21-acetate, and ll-deoxycorticosterone-21-acetate were repeatedly crystallized to obtain constant specific activity after the addition of 25 mg of authentic compound. Crystals were weighed on a Cahn Electrobalance in aluminum foil cups, and radioactivity was determined by liquid scintillation spectrometry. When performed, acetylation reactions were carried out in 0.2 ml of pyridine-acetic anhydride (4:1, v/v) and oxidations were done in glacial acetic acid saturated with CrO 3.
May 1972
ST ER O ID S
609
RESULTS
Figure extract,
1 represents
the CMC elution pattern
which w~s similar to the elution pattern obtained w i t h the
steer pituitary extract and to that reported and Li
of the rabbit pituitary
(7).
The shaded area
the corresponding
188-200)
represented
65 mg and
peak for the steer preparation
(not shown)
represented
llO mg dry weight.
(fractions
for sheep extracts by Birk
The activity of the porcine-ACTH
d e , at±on was found to be 62 ± 2 IU/mg in two assays, 48 ± 7 IU/mg for the rabbit-ACTH,
assayed
with the standard as compared with
four times.
A representative
graph of the results from an assay of these two preparations Figure 2.
By a similar assay method,
estimated
the steer-ACTH preparation was
to contain 25 IU/mg.
Figure
3 compares
the electrophoretic
steer- and rabbit-ACTH preparations phoresed
is shown in
at the same time.
was more homogeneous accounting,
pattern
at pH 9.3 of the
with that of pig-ACTH electro-
The porcine preparation
(Figure 3a and 3c)
than either the rabbit or steer preparations,
at least in part,
for its greater activity.
The mobil±ties
of the steer- and rabbit-ACTH
appear to differ slightly
from each other,
but both are significantly used as a standard.
greater than the mobility of the pig-ACTH
The greater anodal mobility of the steer-ACTH
(Figure 3b) compared with the pig-ACTH from the previously
(Figure 3a) is to be expected
reported structures
of these molecules
Table I shows the values for cortisol production
by rabbit adrenal homogenates
stimulation with pig- or rabbit-ACTH. increase
in the formation of cortisol
corticosterone
formation
(18).
and corticosterone
after two days in vivo
Pig-ACTH
caused a large
and a concomitant
decrease in
compared with that of the non-stimulated
STEROIDS
61o
0.01 M
O.IOM
l~4,e
.6
19:5
TO O. IOM
im 4,6
_t
O~IOM
9~ 6 . 7
pH 6 . T
TO 0 . 2 0 M pH 8 . ?
.5
m-
~.4 tLI 0 Z m .3, 0 m In .2
20
401
•
80
IO0
120
! 40
;60
J80
" 188
200
FRACTIONS ( 4 M L )
Figure
i
E l u t i o n p a t t e r n of a r a b b i t - A C T H p r e p a r a t i o n f r o m a 60 x 1 cm C a r b o x y m e t h y l C e l l u l o s e Column. Shaded area r e p r e s e n t s m o s t active fraction. F r a c t i o n size - 4.0 ml Abscissa: Fraction number Ordinate: A b s o r b a n c e , 278 n m A m o u n t of m a t e r i a l p l a c e d on column:
2 g
220
May 1972
ST ER O ID S
611
1000
100 e~
o x v
<
m
10
>.-
1.0 0.t
I
I
1.0
10
CONCENTRATION,
,ug/ASSAY FLASK
Figure 2 Typical in vitro ACTH assay results using an ACTHar standard. Activity in IU is plotted against the quantity assayed. Specific activity in mU/~g is read on the ordinate at the point where the line of best fit intersects the 1.0 ~g concentration line. o
Pig-ACTH
•
Rabbit-ACTH
i 100
6t2
ST ER O l D S
19:5
PeG
PIG
.1.0"
o.Ts.
|
~
STrEet
I~SSJT
m*
D*
I
I
I
I
3
4
5
•
i Bm
I !
~
3
•
S
•
cM
Figure
3
Disc e l e c t r o p h o r e t i c patterns o f A C T H preparations. 75-200 Vg of each p r e p a r a t i o n were run on 0.5 x 7.5 cm 7.5% p o l y a c r y l amide gel columms in Tris b u f f e r pH 9.3, w i t h a current of 2.5 ma per column for a duration of 90 rain. The p i g - A C T H was run as a standard w i t h both the steer- and rabbit-ACTH. The gels were stained with A m i d o - B l a c k and s c a n n e d at 660 nm. E l e c t r o p h o r e t i c patterns A and B, and C and D were o b t a i n e d from gels run at the same time. S h a d e d areas indicate the major p r o t e i n bands. A b s o r b a n c e at b e g i n n i n g and end of gels is due to the i r r e g u l a r i t i e s of the gels at these points, and not stained material.
May 1972
ST ER OID S
613
Table 1---Amount of Cortisol and Corticosterone Isolated and Percent Conversion of Pregnenolone-4-14C per I00 m g of Homogenate of Adrenal Tissue from Control and ACTH-Stimulated Rabbits. Values are corrected for percent recovery and zero-time incubations and are averages of triplicate incubations.
Corticosteroid
ACTH
Formed (~g/100 mg Tissue ± Is)*
Conversion of Substrate (Percent ± is) *
Cortisol
Pig Rabbit Control
32.8±4.5 3.5±0.6 0.6±0.1
16.3±0.3 4.9±1.8 1.2±0.3
Corticosterone
Pig Rabbi t Control
26.4±1.5 30.0±3.1 51.8±6.8
18.6±0.9 24.1±0.9 31.1±1.9
Corticosteroid EXPERIMENT I
EXPERIMENT
II
Cortisol
Pig Steer
10.0±1.6 7.3±1.6
Corticosterone
Pig Steer
2.1±0.1 5.4±0.1
* S = standard deviation
614
ST ER O I D S
control tissue. production steroids
The rabbit-ACTH
and a decrease
elicited
19:5
a smaller increase
in corticosterone
production.
in cortisol
The other cortico-
for which analyses were performed were present in amounts equal
to or less than 2 ~g/100 mg tissue, which approached analytical
methods.
tissue previously
In a separate
stimulated with steer-ACTH
version of the pregnenolone approached
experiment
substrate
(Table i), incubations also showed significant
to cortisol
the amount converted by pig-ACTH
the limits of the
(7.3 ± 1.6%)
stimulated
tissue
of con-
and closely (i0.0 ± 1.6%)
incubated at the same time. The corticosteroids ic mobilities acetylation In addition,
of the parent compounds
according
and their derivatives
to the scheme presented
the identities
cortisol-21-acetate, acetate,
were identified by partition paper chromatograph-
of the isolated
above for their separation.
14C-labeled metabolites,
ll-deoxycortisol-21-acetate,
ll-deoxycorticosterone-21-acetate,
terone and remaining pregnenolone-38-acetate
obtained by
corticosterone-21-
ll-dehydrocortisol,
proges-
were confirmed by crystalliza-
tion to constant specific activity after the addition of approximately 25 mg of the authentic,
non-labeled
isolated 14C-cortisol-21-acetate tissue incubations
steroid in question.
from the rabbit- and pig-ACTH
was also oxidized with CrO3,
acetate isolated and crystallized addition of 25 mg of authentic tiated the formation
to constant specific
cortisone-21-acetate.
stimulated
stimulated
the 14C-cortisone-21activity after These data substan-
of cortisol from the pregnenolone-4-
by both pig- and rabbit~ACTH
A portion of the
14
C substrate
adrenal tissue.
DISCUSSION The primary purpose of these studies was to compare
the effects of
May 1972
ST ER O ID S
stimulating
rabbits with ACTH from a corticosterone-producing
those already established experiment
species with
for ACTH from a cortisol-producing
dealing with steer-ACTH
species.
The
stimulation was carried out to deter-
mine whether an ACTH fraction prepared producing
615
in our laboratory
species would show a similar stimulation
from a cortisol-
of cortisol production
as seen with the commercial pig-ACTH preparation. Comparison
of the electrophoretic
rabbit-ACTH preparations minor components, heterogeneous.
indicated that the pig-ACTH
whereas
Since homogeneous
the biological
electrophoretic indicate
of 100-120 IU/mg,
component.
Thus, the pig-ACTH the rabbit-ACTH
and the steer-ACTH
tion of the stainable material.
dicates
mobilities
Assuming
of steer-
bilities,
to the major
activity of 48 IU/mg a purity
for this large a propor-
that the major e l e c t r o p h o r e t i c
rabbit-ACTH
(Figures 3a and 3c).
3 in-
(Figure From the
(18) it is expected that their
From these differences
appears
Figure
(Figure 3b) and rabbit-ACTH
of pig- and steer-ACTH
should differ.
to
activity of 62 IU/mg would
accounts
3d) are six to seven times that of pig-ACTH known structures
it is reasonable
the active ACTH fraction of each preparation,
that the mobilities
cortico-
activity of 25 IU/mg a purity of 20-25%.
No other component in these preparations
band represents
were quite
and synthetic
activity of the present preparations
a purity of 50-60%,
of 40-50%,
ACTH preparations
and
contained very few
the rabbit and steer preparations
tropins have specific activities ascribe
results of the pig-, steer-,
in electrophoretic
to be at least as different
mo-
from pig-ACTH as
is steer-ACTH. It is evident from the incubations imately the same ability as pig-ACTH of the rabbit adrenal cortex.
results that steer-ACTH has approx-
to activate
the 17~-hydroxylase
This is not surprising
system
since it has been
616
ST ER O I D S
previously
demonstrated
which is identical
increase
(4) that the synthetic
to the NH2-terminal
steer- and pig-ACTH,
24 amino acid residues
by the rabbit adrenal cortex,
a much lesser extent than the pig-ACTH. of stimulation
ed that proteolytic
^1-24 5 -corticotropin
has the ability under similar conditions
in cortisol production
the magnitude
19:5
enzymes
analog,
of both to cause an although
to
The reason for this difference
has not been established.
in
Landon has suggest-
attack the smaller molecule more readily
(19).
Of greater interest is the fact that ACTH from the rabbit, whose adrenals normally produce primarily of cortisol,
stimulates
rabbit adrenal cortex.
the production
this difference
in stimulating
cortisol production.
may reflect structural
differences
abilities
system in the rabbit adrenal
ACTH stimulates it appears
of 17~-hydroxylated
the synthesis of cortisol
that in the rabbit-ACTH
the total production
preparation
was
On the other hand,
in the two molecules
to induce or activate cortex.
clear.
Although
adrenal tissue incubations
was reduced approximately
stimulated
a 17~-
The mechanism by which
is not completely
stimulated
of corticosterone
same extent as in the pig-ACTH
products by the
(ii), which could account for the differences
which could affect their relative hydroxylating
with only trace amounts
It was noted that the rabbit-ACTH
less soluble than the pig-ACTH in their activities
corticosterone
to the
adrenal tissue incubations
(Table i), cortisol production was not stimulated to the same extent. This would suggest that inhibition rable from the stimulation (Fevold, unpublished and pig-ACTH
of cortisol production.
observations)
stimulated
mixtures
production
is sepa-
In other experiments
of homogenates
of unstimulated
rabbit adrenal tissue showed no evidence of either
an inhibitor of cortisol production tor of corticosterone
of corticosterone
production
in unstimulated
tissue,
in the ACTH-stimulated
or an inhibi-
tissue.
The
May 1972
STEROIDS
reason for the lack of an increase the decrease rabbit-ACTH
in corticosterone stimulated
in cortisol production
production
a corticosterone-producing
cortisol production activity appears producing
However,
to with
the results
that ACTH from pituitaries
of the
species, has the ability to stimulate
by rabbit adrenal glands,
although the potency of this
to be less than that of ACTH from pituitaries
of cortisol-
species.
Whether or not the action of ACTH to stimulate in rabbit adrenal tissue is of physiological producing
species experiencing
question.
Kass a n d c o - w o r k e r s
situations
formation.
antibody production prolonged
of prolonged
stress is open to
in rabbits.
Such a response to infections
the sudden die-off seen during peak population
that
in 17~-hydroxylation
High doses of ACTH were also shown
cycles.
in corticosterone-
(20) published a report suggesting
stress more susceptible
marked population
cortisol production
significance
rabbits might respond to stress with an increase cortisol
equivalent
in the present experiments
adrenal tissue is unknown.
of these studies clearly demonstrate rabbit,
617
and
(21) to decrease
could make animals under and thus,
contribute
years of species
Secretory rates of both cortisol
to
exhibiting
and cortico-
sterone in organ culture have been shown to be higher from adrenals of small mammals such as voles and lemmings stress,
than in summer,
densities
(22).
physiological dominantly natural
in winter,
and to also correlate
a period of high
directly with population
While these types of data suggest the possibility
role of the stimulation
corticosterone-producing
animal populations
quired for a definitive
of cortisol production
species,
of a
by a pre-
more direct evidence
from
under severe stress conditions will be re-
answer.
618
ST E R O I D S
19:5
ACKNOWLEDGMENTS This work supported by U.S. Public Health Service Grant AM08386 and U . S . P . H . S . Career Development Award 9392 (H. Richard Fevold). The authors wish to thank Dr. J. W. Hinman of the Upjohn Company for generously supplying the pig-ACTH, and G. W. Camiener and P. N. Tree, of the Upjohn Company, for assaying the rabbit-ACTH preparation.
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2.
Krum, A. A., and Glenn, R. E. 255-258.
3.
Yudaev, N. A., and Anfinogenova, Gormonoter. 6 (i), 19-25.
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Pickering, B. T., Andersen, R. N., Lohmar, P., Birk, Y., and Li, C. H. (1963). Biochim. Biophys. Acta 74, 763-773.
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Birk, Y., and Li, C. H.
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Saffran,
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Saffran, M., and Schally, A. V. (1962). "Methods in Hormone Research" (R. Dorfman, ed.), p. 643. Academic Press, New York.
H. R.
(1968).
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Porter, C. C., and Silber, 201-207.
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P~ron, F. G. (1962). In "Methods in Hormone Research, Dorfmann, ed.) pp. 199-264, Academic Press, New York.
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ST ER O ID S
619
17.
University of Montana Computer Center.
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Hofmann, K.
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Landon, J., James, V. H. T., Crier, R. J., Wynn, V., and Frankland, A. W. (1964). J. Clin. Endocrinol. Metab. 2_~4 (ii), 1206-1217.
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Kass, E. H., Hechter, 0., Mou, T. W., and Lurie, M. B. Trans. Assoc. Amer. Physicians 68, 92-100.
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Andrews, R. V.
(1969).
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23.
The trivial and systematic names for the steroids referred to in the text are as follows: ll-dehydrocorticosterone, ll-deoxycorticosterone,
21-hydroxy-4-pregnene-3,11,20-trione 21-hydroxy-4-pregnene-3,20-dione
corticosterone, llS,21-dihydroxy-4-pregnene-3,20-dione cortisol, 118, 17e,21-trihydroxy-4-pregnene-3,20-dione cortisone, 17~,21-dihydroxy-4-pregnene-3,11,20-trione pregnenolone,
3~-hydroxy-5-pregneno-20-one
progesterone,
4-pregnene-3,20-dione