Loading…
Estradiol Induction of Spermatogenesis Is Mediated via an Estrogen Receptor-α Mechanism Involving Neuroendocrine Activation of Follicle-Stimulating Hormone Secretion
Both testosterone and its nonaromatizable metabolite dihydrotestosterone (DHT) induce spermatogenesis in gonadotropin-deficient hpg mice. Surprisingly, because aromatization is not required, estradiol (E2) also induces spermatogenesis and increases circulating FSH in hpg mice, but the mechanism rema...
Saved in:
Published in: | Endocrinology (Philadelphia) 2010-06, Vol.151 (6), p.2800-2810 |
---|---|
Main Authors: | , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c462t-97a437b45b7c5e0f74eba51b4d62dd1a945f1d04b9bfab33c591aed9d18c1df13 |
---|---|
cites | |
container_end_page | 2810 |
container_issue | 6 |
container_start_page | 2800 |
container_title | Endocrinology (Philadelphia) |
container_volume | 151 |
creator | Allan, Charles M Couse, John F Simanainen, Ulla Spaliviero, Jenny Jimenez, Mark Rodriguez, Karina Korach, Kenneth S Handelsman, David J |
description | Both testosterone and its nonaromatizable metabolite dihydrotestosterone (DHT) induce spermatogenesis in gonadotropin-deficient hpg mice. Surprisingly, because aromatization is not required, estradiol (E2) also induces spermatogenesis and increases circulating FSH in hpg mice, but the mechanism remains unclear. We studied E2-induced spermatogenesis in hpg mice on an estrogen receptor (ER)-α (hpg/αERKO) or ERβ (hpg/βERKO) knockout or wild-type ER (hpg/WT) background treated with subdermal E2 or DHT implants for 6 wk. In hpg/WT and hpg/βERKO, but not hpg/αERKO mice, E2 increased testis and epididymal weight, whereas DHT-induced increases were unaffected by ERα or ERβ inactivation. E2 but not DHT treatment increased serum FSH (but not LH) in hpg/WT and hpg/βERKO but not hpg/αERKO hpg mice. DHT or E2 alone increased (premeiotic) spermatogonia and (meiotic) spermatocytes without significant change in Sertoli cell numbers. DHT alone increased postmeiotic spermatids, regardless of ER presence, compared with variable ERα-dependent E2 postmeiotic responses. An ERα-mediated effect was confirmed by treating hpg mice for 6 wk by subdermal selective ER-α (16α-LE2) or ERβ (8β-VE2) agonist implants. ERα (but not ERβ) agonist increased testis and epididymal weight, Sertoli cell, spermatogonia, meiotic, and postmeiotic germ cell numbers. Only ERα agonist markedly increased serum FSH, whereas either agonist induced small rises in serum LH. Administration of ERα agonist or E2 in the presence of functional ERα induced prominent gene expression of specific Sertoli (Eppin, Rhox5) and Leydig cell (Cyp11a1, Hsd3b1) markers. We conclude that E2-induced spermatogenesis in hpg mice involves an ERα-dependent neuroendocrine mechanism increasing blood FSH and Sertoli cell function.
Although not necessary, estradiol is sufficient to induce spermatogenesis in the gonadotropin-deficient hpg mouse by an ERα-dependent mechanism that increases blood FSH and activates Sertoli cell function. |
doi_str_mv | 10.1210/en.2009-1477 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2875821</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1210/en.2009-1477</oup_id><sourcerecordid>3130605070</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-97a437b45b7c5e0f74eba51b4d62dd1a945f1d04b9bfab33c591aed9d18c1df13</originalsourceid><addsrcrecordid>eNp1kcFu1DAQhi0EotuWGw9gCSEuTbEdJ04uSFXV0pUKSGw5W4492bpK7GAnkXih3vsiPBOOdlmEBCfLnm--GflH6DUl55RR8h7cOSOkzigX4hla0ZoXmaCCPEcrQmieCcbEETqO8SFdOef5S3TECKeE1mKFHq_iGJSxvsNrZyY9Wu-wb_FmgNCr0W_BQbQRryP-BMaqEQyercLK4aVzqeOvoGEYfch-PiVI3ytnY590s-9m67b4M0zBgzNeB-sAX6Qhs_o96Np3ndUdZJvR9lOX3lPHjQ-9T-gGdICFPEUvWtVFeLU_T9C366u7y5vs9svH9eXFbaZ5ycasFornouFFI3QBpBUcGlXQhpuSGUNV-puWGsKbumlVk-e6qKkCUxtaaWpamp-gDzvvMDU9GA0u_U4nh2B7FX5Ir6z8u-Lsvdz6WbJKFBVbBG_2guC_TxBH-eCn4NLOMqc5KUlBBEnU2Y7SwccYoD1MoEQuqUpwcklVLqkm_O1eqqJWXRuU0zYeehirqqJkZeLe7Tg_Df8zZntjviMPsQwBYvyz7D_3-AX-8cPF</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3130605070</pqid></control><display><type>article</type><title>Estradiol Induction of Spermatogenesis Is Mediated via an Estrogen Receptor-α Mechanism Involving Neuroendocrine Activation of Follicle-Stimulating Hormone Secretion</title><source>Oxford Journals Online</source><creator>Allan, Charles M ; Couse, John F ; Simanainen, Ulla ; Spaliviero, Jenny ; Jimenez, Mark ; Rodriguez, Karina ; Korach, Kenneth S ; Handelsman, David J</creator><creatorcontrib>Allan, Charles M ; Couse, John F ; Simanainen, Ulla ; Spaliviero, Jenny ; Jimenez, Mark ; Rodriguez, Karina ; Korach, Kenneth S ; Handelsman, David J</creatorcontrib><description>Both testosterone and its nonaromatizable metabolite dihydrotestosterone (DHT) induce spermatogenesis in gonadotropin-deficient hpg mice. Surprisingly, because aromatization is not required, estradiol (E2) also induces spermatogenesis and increases circulating FSH in hpg mice, but the mechanism remains unclear. We studied E2-induced spermatogenesis in hpg mice on an estrogen receptor (ER)-α (hpg/αERKO) or ERβ (hpg/βERKO) knockout or wild-type ER (hpg/WT) background treated with subdermal E2 or DHT implants for 6 wk. In hpg/WT and hpg/βERKO, but not hpg/αERKO mice, E2 increased testis and epididymal weight, whereas DHT-induced increases were unaffected by ERα or ERβ inactivation. E2 but not DHT treatment increased serum FSH (but not LH) in hpg/WT and hpg/βERKO but not hpg/αERKO hpg mice. DHT or E2 alone increased (premeiotic) spermatogonia and (meiotic) spermatocytes without significant change in Sertoli cell numbers. DHT alone increased postmeiotic spermatids, regardless of ER presence, compared with variable ERα-dependent E2 postmeiotic responses. An ERα-mediated effect was confirmed by treating hpg mice for 6 wk by subdermal selective ER-α (16α-LE2) or ERβ (8β-VE2) agonist implants. ERα (but not ERβ) agonist increased testis and epididymal weight, Sertoli cell, spermatogonia, meiotic, and postmeiotic germ cell numbers. Only ERα agonist markedly increased serum FSH, whereas either agonist induced small rises in serum LH. Administration of ERα agonist or E2 in the presence of functional ERα induced prominent gene expression of specific Sertoli (Eppin, Rhox5) and Leydig cell (Cyp11a1, Hsd3b1) markers. We conclude that E2-induced spermatogenesis in hpg mice involves an ERα-dependent neuroendocrine mechanism increasing blood FSH and Sertoli cell function.
Although not necessary, estradiol is sufficient to induce spermatogenesis in the gonadotropin-deficient hpg mouse by an ERα-dependent mechanism that increases blood FSH and activates Sertoli cell function.</description><identifier>ISSN: 0013-7227</identifier><identifier>EISSN: 1945-7170</identifier><identifier>DOI: 10.1210/en.2009-1477</identifier><identifier>PMID: 20410197</identifier><identifier>CODEN: ENDOAO</identifier><language>eng</language><publisher>Chevy Chase, MD: Endocrine Society</publisher><subject>17β-Estradiol ; Agonists ; Biological and medical sciences ; Dihydrotestosterone ; Estrogen receptors ; Estrogens ; Follicle-stimulating hormone ; Fundamental and applied biological sciences. Psychology ; Gametocytes ; Gene expression ; Gonadotropins ; Implants ; Inactivation ; Luteinizing hormone ; Meiosis ; Metabolites ; Pituitary (anterior) ; Receptors ; Sex hormones ; Spermatids ; Spermatocytes ; Spermatogenesis ; Spermatogonia ; Testes ; Testosterone ; Vertebrates: endocrinology</subject><ispartof>Endocrinology (Philadelphia), 2010-06, Vol.151 (6), p.2800-2810</ispartof><rights>Copyright © 2010 by the Endocrine Society 2010</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 by the Endocrine Society</rights><rights>Copyright © 2010 by The Endocrine Society 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-97a437b45b7c5e0f74eba51b4d62dd1a945f1d04b9bfab33c591aed9d18c1df13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22885626$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>Allan, Charles M</creatorcontrib><creatorcontrib>Couse, John F</creatorcontrib><creatorcontrib>Simanainen, Ulla</creatorcontrib><creatorcontrib>Spaliviero, Jenny</creatorcontrib><creatorcontrib>Jimenez, Mark</creatorcontrib><creatorcontrib>Rodriguez, Karina</creatorcontrib><creatorcontrib>Korach, Kenneth S</creatorcontrib><creatorcontrib>Handelsman, David J</creatorcontrib><title>Estradiol Induction of Spermatogenesis Is Mediated via an Estrogen Receptor-α Mechanism Involving Neuroendocrine Activation of Follicle-Stimulating Hormone Secretion</title><title>Endocrinology (Philadelphia)</title><description>Both testosterone and its nonaromatizable metabolite dihydrotestosterone (DHT) induce spermatogenesis in gonadotropin-deficient hpg mice. Surprisingly, because aromatization is not required, estradiol (E2) also induces spermatogenesis and increases circulating FSH in hpg mice, but the mechanism remains unclear. We studied E2-induced spermatogenesis in hpg mice on an estrogen receptor (ER)-α (hpg/αERKO) or ERβ (hpg/βERKO) knockout or wild-type ER (hpg/WT) background treated with subdermal E2 or DHT implants for 6 wk. In hpg/WT and hpg/βERKO, but not hpg/αERKO mice, E2 increased testis and epididymal weight, whereas DHT-induced increases were unaffected by ERα or ERβ inactivation. E2 but not DHT treatment increased serum FSH (but not LH) in hpg/WT and hpg/βERKO but not hpg/αERKO hpg mice. DHT or E2 alone increased (premeiotic) spermatogonia and (meiotic) spermatocytes without significant change in Sertoli cell numbers. DHT alone increased postmeiotic spermatids, regardless of ER presence, compared with variable ERα-dependent E2 postmeiotic responses. An ERα-mediated effect was confirmed by treating hpg mice for 6 wk by subdermal selective ER-α (16α-LE2) or ERβ (8β-VE2) agonist implants. ERα (but not ERβ) agonist increased testis and epididymal weight, Sertoli cell, spermatogonia, meiotic, and postmeiotic germ cell numbers. Only ERα agonist markedly increased serum FSH, whereas either agonist induced small rises in serum LH. Administration of ERα agonist or E2 in the presence of functional ERα induced prominent gene expression of specific Sertoli (Eppin, Rhox5) and Leydig cell (Cyp11a1, Hsd3b1) markers. We conclude that E2-induced spermatogenesis in hpg mice involves an ERα-dependent neuroendocrine mechanism increasing blood FSH and Sertoli cell function.
Although not necessary, estradiol is sufficient to induce spermatogenesis in the gonadotropin-deficient hpg mouse by an ERα-dependent mechanism that increases blood FSH and activates Sertoli cell function.</description><subject>17β-Estradiol</subject><subject>Agonists</subject><subject>Biological and medical sciences</subject><subject>Dihydrotestosterone</subject><subject>Estrogen receptors</subject><subject>Estrogens</subject><subject>Follicle-stimulating hormone</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gametocytes</subject><subject>Gene expression</subject><subject>Gonadotropins</subject><subject>Implants</subject><subject>Inactivation</subject><subject>Luteinizing hormone</subject><subject>Meiosis</subject><subject>Metabolites</subject><subject>Pituitary (anterior)</subject><subject>Receptors</subject><subject>Sex hormones</subject><subject>Spermatids</subject><subject>Spermatocytes</subject><subject>Spermatogenesis</subject><subject>Spermatogonia</subject><subject>Testes</subject><subject>Testosterone</subject><subject>Vertebrates: endocrinology</subject><issn>0013-7227</issn><issn>1945-7170</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNp1kcFu1DAQhi0EotuWGw9gCSEuTbEdJ04uSFXV0pUKSGw5W4492bpK7GAnkXih3vsiPBOOdlmEBCfLnm--GflH6DUl55RR8h7cOSOkzigX4hla0ZoXmaCCPEcrQmieCcbEETqO8SFdOef5S3TECKeE1mKFHq_iGJSxvsNrZyY9Wu-wb_FmgNCr0W_BQbQRryP-BMaqEQyercLK4aVzqeOvoGEYfch-PiVI3ytnY590s-9m67b4M0zBgzNeB-sAX6Qhs_o96Np3ndUdZJvR9lOX3lPHjQ-9T-gGdICFPEUvWtVFeLU_T9C366u7y5vs9svH9eXFbaZ5ycasFornouFFI3QBpBUcGlXQhpuSGUNV-puWGsKbumlVk-e6qKkCUxtaaWpamp-gDzvvMDU9GA0u_U4nh2B7FX5Ir6z8u-Lsvdz6WbJKFBVbBG_2guC_TxBH-eCn4NLOMqc5KUlBBEnU2Y7SwccYoD1MoEQuqUpwcklVLqkm_O1eqqJWXRuU0zYeehirqqJkZeLe7Tg_Df8zZntjviMPsQwBYvyz7D_3-AX-8cPF</recordid><startdate>20100601</startdate><enddate>20100601</enddate><creator>Allan, Charles M</creator><creator>Couse, John F</creator><creator>Simanainen, Ulla</creator><creator>Spaliviero, Jenny</creator><creator>Jimenez, Mark</creator><creator>Rodriguez, Karina</creator><creator>Korach, Kenneth S</creator><creator>Handelsman, David J</creator><general>Endocrine Society</general><general>Oxford University Press</general><general>The Endocrine Society</general><scope>IQODW</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>5PM</scope></search><sort><creationdate>20100601</creationdate><title>Estradiol Induction of Spermatogenesis Is Mediated via an Estrogen Receptor-α Mechanism Involving Neuroendocrine Activation of Follicle-Stimulating Hormone Secretion</title><author>Allan, Charles M ; Couse, John F ; Simanainen, Ulla ; Spaliviero, Jenny ; Jimenez, Mark ; Rodriguez, Karina ; Korach, Kenneth S ; Handelsman, David J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-97a437b45b7c5e0f74eba51b4d62dd1a945f1d04b9bfab33c591aed9d18c1df13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>17β-Estradiol</topic><topic>Agonists</topic><topic>Biological and medical sciences</topic><topic>Dihydrotestosterone</topic><topic>Estrogen receptors</topic><topic>Estrogens</topic><topic>Follicle-stimulating hormone</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gametocytes</topic><topic>Gene expression</topic><topic>Gonadotropins</topic><topic>Implants</topic><topic>Inactivation</topic><topic>Luteinizing hormone</topic><topic>Meiosis</topic><topic>Metabolites</topic><topic>Pituitary (anterior)</topic><topic>Receptors</topic><topic>Sex hormones</topic><topic>Spermatids</topic><topic>Spermatocytes</topic><topic>Spermatogenesis</topic><topic>Spermatogonia</topic><topic>Testes</topic><topic>Testosterone</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allan, Charles M</creatorcontrib><creatorcontrib>Couse, John F</creatorcontrib><creatorcontrib>Simanainen, Ulla</creatorcontrib><creatorcontrib>Spaliviero, Jenny</creatorcontrib><creatorcontrib>Jimenez, Mark</creatorcontrib><creatorcontrib>Rodriguez, Karina</creatorcontrib><creatorcontrib>Korach, Kenneth S</creatorcontrib><creatorcontrib>Handelsman, David J</creatorcontrib><collection>Pascal-Francis</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Endocrinology (Philadelphia)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allan, Charles M</au><au>Couse, John F</au><au>Simanainen, Ulla</au><au>Spaliviero, Jenny</au><au>Jimenez, Mark</au><au>Rodriguez, Karina</au><au>Korach, Kenneth S</au><au>Handelsman, David J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Estradiol Induction of Spermatogenesis Is Mediated via an Estrogen Receptor-α Mechanism Involving Neuroendocrine Activation of Follicle-Stimulating Hormone Secretion</atitle><jtitle>Endocrinology (Philadelphia)</jtitle><date>2010-06-01</date><risdate>2010</risdate><volume>151</volume><issue>6</issue><spage>2800</spage><epage>2810</epage><pages>2800-2810</pages><issn>0013-7227</issn><eissn>1945-7170</eissn><coden>ENDOAO</coden><abstract>Both testosterone and its nonaromatizable metabolite dihydrotestosterone (DHT) induce spermatogenesis in gonadotropin-deficient hpg mice. Surprisingly, because aromatization is not required, estradiol (E2) also induces spermatogenesis and increases circulating FSH in hpg mice, but the mechanism remains unclear. We studied E2-induced spermatogenesis in hpg mice on an estrogen receptor (ER)-α (hpg/αERKO) or ERβ (hpg/βERKO) knockout or wild-type ER (hpg/WT) background treated with subdermal E2 or DHT implants for 6 wk. In hpg/WT and hpg/βERKO, but not hpg/αERKO mice, E2 increased testis and epididymal weight, whereas DHT-induced increases were unaffected by ERα or ERβ inactivation. E2 but not DHT treatment increased serum FSH (but not LH) in hpg/WT and hpg/βERKO but not hpg/αERKO hpg mice. DHT or E2 alone increased (premeiotic) spermatogonia and (meiotic) spermatocytes without significant change in Sertoli cell numbers. DHT alone increased postmeiotic spermatids, regardless of ER presence, compared with variable ERα-dependent E2 postmeiotic responses. An ERα-mediated effect was confirmed by treating hpg mice for 6 wk by subdermal selective ER-α (16α-LE2) or ERβ (8β-VE2) agonist implants. ERα (but not ERβ) agonist increased testis and epididymal weight, Sertoli cell, spermatogonia, meiotic, and postmeiotic germ cell numbers. Only ERα agonist markedly increased serum FSH, whereas either agonist induced small rises in serum LH. Administration of ERα agonist or E2 in the presence of functional ERα induced prominent gene expression of specific Sertoli (Eppin, Rhox5) and Leydig cell (Cyp11a1, Hsd3b1) markers. We conclude that E2-induced spermatogenesis in hpg mice involves an ERα-dependent neuroendocrine mechanism increasing blood FSH and Sertoli cell function.
Although not necessary, estradiol is sufficient to induce spermatogenesis in the gonadotropin-deficient hpg mouse by an ERα-dependent mechanism that increases blood FSH and activates Sertoli cell function.</abstract><cop>Chevy Chase, MD</cop><pub>Endocrine Society</pub><pmid>20410197</pmid><doi>10.1210/en.2009-1477</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0013-7227 |
ispartof | Endocrinology (Philadelphia), 2010-06, Vol.151 (6), p.2800-2810 |
issn | 0013-7227 1945-7170 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2875821 |
source | Oxford Journals Online |
subjects | 17β-Estradiol Agonists Biological and medical sciences Dihydrotestosterone Estrogen receptors Estrogens Follicle-stimulating hormone Fundamental and applied biological sciences. Psychology Gametocytes Gene expression Gonadotropins Implants Inactivation Luteinizing hormone Meiosis Metabolites Pituitary (anterior) Receptors Sex hormones Spermatids Spermatocytes Spermatogenesis Spermatogonia Testes Testosterone Vertebrates: endocrinology |
title | Estradiol Induction of Spermatogenesis Is Mediated via an Estrogen Receptor-α Mechanism Involving Neuroendocrine Activation of Follicle-Stimulating Hormone Secretion |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T23%3A12%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Estradiol%20Induction%20of%20Spermatogenesis%20Is%20Mediated%20via%20an%20Estrogen%20Receptor-%CE%B1%20Mechanism%20Involving%20Neuroendocrine%20Activation%20of%20Follicle-Stimulating%20Hormone%20Secretion&rft.jtitle=Endocrinology%20(Philadelphia)&rft.au=Allan,%20Charles%20M&rft.date=2010-06-01&rft.volume=151&rft.issue=6&rft.spage=2800&rft.epage=2810&rft.pages=2800-2810&rft.issn=0013-7227&rft.eissn=1945-7170&rft.coden=ENDOAO&rft_id=info:doi/10.1210/en.2009-1477&rft_dat=%3Cproquest_pubme%3E3130605070%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c462t-97a437b45b7c5e0f74eba51b4d62dd1a945f1d04b9bfab33c591aed9d18c1df13%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3130605070&rft_id=info:pmid/20410197&rft_oup_id=10.1210/en.2009-1477&rfr_iscdi=true |