hrp0094p1-187 | Pituitary B | ESPE2021

The Adrenal Steroid Profile in Adolescent Depression: A Valuable Bio-Readout?

Hirtz Raphael , Libuda Lars , Hinney Anke , Focker Manuel , Judith Buhlmeier , Holterhus Paul-Martin , Kulle Alexandra , Kiewert Cordula , Hauffa Berthold , Hebebrand Johannes , Grasemann Corinna ,

Background: There is preliminary evidence that adrenal steroids other than cortisol may be valuable biomarkers for major depressive disorder (MDD). So far, studies have been conducted in adults only, and conclusions are limited, mainly due to small sample sizes. Therefore, the present study was intended to assess whether adrenal steroids (progesterone, 17-hydroxyprogesterone, 21-deoxycortisol, 11-deoxycortisol, cortisol, cortisone, deoxycorticosterone, cortico...

hrp0094p2-370 | Pituitary, neuroendocrinology and puberty | ESPE2021

Size Matters: CAG Repeat Length of the Androgen Receptor Gene, Testosterone, and Male Adolescent Depression Severity

Hirtz Raphael , Libuda Lars , Hinney Anke , Focker Manuel , Buhlmeier Judith , Antel Jochen , Holterhus Paul-Martin , Kulle Alexandra , Kiewert Cordula , Hebebrand Johannes , Grasemann Corinna ,

Background: There is a distinct increase in the prevalence of depression with the onset of puberty. The role of peripubertal testosterone levels in boys in this context is insufficiently understood. Moreover, the number of CAG repeats of the androgen receptor gene (AR) and the depression status (subclinical vs. overt depression) may modulate the role of testosterone, but this has not yet been studied in a clinical sample.Methods:...

hrp0098p1-295 | Late Breaking 1 | ESPE2024

GC-MS urinary steroid metabolome reveals substantial dysregulation of adrenal, gonadal, and neuroactive steroids in adolescents with depressive symptoms

Dinkelbach Lars , A. Wudy Stefan , F. Hartmann Michaela , Libuda Lars , Föcker Manuel , Hebebrand Johannes , Hinney Anke , Nöthlings Ute , Alexy Ute , Grasemann Corinna , Hirtz Raphael

The steroid constellation in affective disorders suggests a stress-related pathogenesis or response and may pave the way for novel therapeutic strategies. In adolescents, previous studies have identified hypothalamic-pituitary-adrenal (HPA) axis dysregulation with hypercortisolemia. However, evidence so far is limited to a subset of the steroid spectrum, predominantly focusing on glucocorticoids. In order to gain a more holistic understanding, we analyzed urine metabolites of ...