Age-related changes in the blood concentrations of the hypothalamic-pituitary-adrenal axis hormones in healthy men: Relations with other hormonal axes

Abstract

The concentrations of cortisol, its precursors, and its active form in human blood, as well as its relationship to changes in the concentration of central and peripheral hormonal regulators (a total of 36 parameters), were studied in healthy male volunteers aged 18–72 years. The study demonstrated a significant decrease in the blood concentrations of unutilized cortisol precursors (pregnenolone and progesterone) with age accompanied by the maintenance of constant total and free cortisol concentrations. We found an age-related decrease in the adrenocorticotropic hormone (ACTH) level that is a well-known pituitary stimulant of cortisol and cortisol precursor synthesis in the adrenal glands. The cortisol and ACTH levels in the age interval studied exhibited different correlations with the central and peripheral regulators of the hormonal axes. The conclusion was drawn that the cortisol level remains stable with increasing age in men, despite the decrease in the steroidogenic activity and blood ACTH level. This may be due to the imbalance in the regulation of cortisol and ACTH production by the central and peripheral regulators, especially by the hormones of the reproductive and somatotrophic axes.