Schellevis, Rosa L., Altay, Lebriz, Kalisingh, Asha, Mulders, Timo W. F., Sitnilska, Vasilena, Hoyng, Carel B., Boon, Camiel J. F., Groenewoud, Joannes M. M., de Jong, Eiko K. and den Hollander, Anneke I. (2019). Elevated Steroid Hormone Levels in Active Chronic Central Serous Chorioretinopathy. Invest. Ophthalmol. Vis. Sci., 60 (10). S. 3407 - 3414. ROCKVILLE: ASSOC RESEARCH VISION OPHTHALMOLOGY INC. ISSN 1552-5783

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Abstract

PURPOSE. Chronic central serous chorioretinopathy (cCSC) is characterized by fluid accumulation between photoreceptors and the retinal pigment epithelium of which the cause is unknown. Associations with steroid use, stress, pregnancy, and the male sex suggest a role for the steroid hormone system in the disease. Here, we performed a comprehensive analysis of the steroid hormone system in active cCSC. METHODS. Serum hormone levels of 17 steroid hormones were measured in 46 male Caucasian patients with active cCSC and 46 male Caucasian age-matched controls using the AbsoluteIDQ stero17 kit. RESULTS. Elevated levels of androsterone, estrone, etiocholanolone, and androstenedione were observed in cCSC patients compared with controls. Median hormone levels in cCSC patients versus controls, respectively, were as follows: androsterone, 0.84 ng/mL (interquartile range [IQR] = 0.61-1.06) versus 0.69 ng/mL (IQR = 0.48-0.96, P = 0.031); estrone, 0.12 ng/mL (IQR = 0.10-0.15) versus 0.10 ng/mL (IQR = 0.08-0.11; P = 0.0048); etiocholanolone, 0.19 ng/mL (IQR = 0.15-0.29) versus 0.13 ng/mL (IQR = 0.099-0.20, P = 0.0061). Mean levels of androstenedione were 3.10 ng/ml (SD = 1.03) versus 2.55 ng/mL (SD = 0.95), in cCSC patients versus controls, respectively. Additionally, Spearman's correlations between aldosterone and 11-deoxycortisol, androsterone, DHEA, DHEAS, and E1 differed between cCSC patients and controls, as well as between andosterone and E1, and between DHT and 17OHP. CONCLUSIONS. We present a comprehensive overview of the status of the steroid hormone system in active cCSC. Levels of four hormones were elevated in cCSC patients compared with controls, and the relationships between steroid hormones was altered, indicating that the balance in the steroid hormone system is altered in cCSC patients.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Schellevis, Rosa L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Altay, LebrizUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kalisingh, AshaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mulders, Timo W. F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sitnilska, VasilenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoyng, Carel B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boon, Camiel J. F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Groenewoud, Joannes M. M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Jong, Eiko K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
den Hollander, Anneke I.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-145497
DOI: 10.1167/iovs.19-26781
Journal or Publication Title: Invest. Ophthalmol. Vis. Sci.
Volume: 60
Number: 10
Page Range: S. 3407 - 3414
Date: 2019
Publisher: ASSOC RESEARCH VISION OPHTHALMOLOGY INC
Place of Publication: ROCKVILLE
ISSN: 1552-5783
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ENDOGENOUS CORTISOL; TESTOSTERONE LEVELS; SERUM CORTISOLMultiple languages
OphthalmologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/14549

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