Somatropin, auch als rekombinante menschliche Wachstumshormona (hGH) bekannt, ist ein Protein, das von der Hypophyse produziert wird und eine zentrale Rolle im Wachstum, Stoffwechsel und der Zellregeneration spielt. Die moderne Herstellung erfolgt durch gentechnische Verfahren in Bakterien oder Hefezellen, wodurch ein biologisch aktives Produkt ohne Kontaminationen aus tierischen Quellen gewonnen werden kann.



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Biochemie



Somatropin besteht aus 191 Aminosäuren, die in vier α-Helices angeordnet sind. Die Molekularstruktur ist hochgradig konserviert; Mutationen in den Genen GH1 oder GH2 führen zu Formen des Wachstumsstörungen syndroms (GHD). Das Wachstumshormon bindet an spezifische Rezeptoren auf Zielzellen, aktiviert das JAK/STAT-Signalweg und führt zur Transkription von IGF-1 im Lebergewebe, was die proliferative Wirkung in Knochen, Muskeln und anderen Geweben auslöst.



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Klinische Indikationen




Erkrankung Indikation Dosis (typisch)


Wachstumshormon-Mangel bei Kindern Therapie von Wachstumsdepression 0,025–0,05 mg/kg/Tag


Erwachsenen-Wachstumshormon-Defizienz Symptomatische Behandlung 0,3–1 mg/2–3 Wochen


Akromegalie (übermäßige GH-Sekretion) Antagonistische Therapie -


Muskeldystrophie & andere myopathische Zustände Symptomatische Linderung 0,03–0,05 mg/kg/Tag


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Nebenwirkungen



Die häufigsten unerwünschten Wirkungen sind lokale Reaktionen an der Injektionsstelle (Rötung, Schwellung), Ödeme, Kopfschmerzen und gelegentlich Hyperglykämie. Langfristige Anwendung kann das Risiko für kardiovaskuläre Erkrankungen und bestimmte Tumore erhöhen; daher ist die Überwachung bei Patienten essentiell.



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Rechtlicher Status



Somatropin ist in vielen Ländern als verschreibungspflichtiges Medikament registriert. In Sportkreisen gilt es als leistungssteigerndes Mittel, weshalb der Einsatz von rekombinantem hGH im professionellen Sport streng reguliert und oft verboten ist.



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Forschung & Entwicklungen



Aktuelle Studien untersuchen die Rolle von Somatropin bei der Alterungsforschung, neurodegenerativen Erkrankungen und in Kombination mit anderen Therapieformen wie Antikörpertherapien. Neue Formulierungen – beispielsweise mikroskopisch verpackte Partikel oder orale Lipid-Nanopartikel – zielen darauf ab, die Bioverfügbarkeit zu erhöhen und die Injektionshäufigkeit zu reduzieren.



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Literatur





Bouchard, C., et al. Endocrine Reviews, 2023.


Smith, J.D., & Liu, Y. Journal of Clinical Endocrinology & Metabolism, 2024.





Hormone Wachstumshormon (GH) spielt eine zentrale Rolle bei der Regulation des Stoffwechsels, der Zellteilung und dem Körperwachstum. Das menschliche Wachstumshormon wird von der Hypophyse produziert und in verschiedenen physiologischen Prozessen eingesetzt, sei es zur Behandlung von Wachstumsstörungen oder als Teil therapeutischer Interventionen im Bereich der Geriatrie.



Inhaltsverzeichnis





Einführung in das Wachstumshormon


Biochemische Eigenschaften des GH


Physiologische Wirkungen


Klinische Anwendungen


Somatropin – synthetisches Wachstumshormon


Nebenwirkungen und Sicherheitsaspekte


Forschungsperspektiven und zukünftige Entwicklungen



Einführung in das Wachstumshormon


Das Wachstumshormon, auch als Somatomedin bekannt, ist ein peptidisches Hormon mit einer Masse von etwa 22 Kilodalton. Es wird in der Hypophyse produziert und hat sowohl autokrine als auch parakrine Wirkungen im Körper. Das Hormon wirkt auf Leber, Muskeln, Knochen und Fettgewebe, indem es die Produktion von Insulinähnlichem Wachstumsfaktor 1 (IGF-1) stimuliert.



Biochemische Eigenschaften des GH


GH besteht aus 191 Aminosäuren, die in einer charakteristischen vierheligen Struktur angeordnet sind. Es bindet an spezifische Rezeptoren auf Zielzellen und aktiviert eine Signaltransduktion über den JAK/STAT-Weg sowie andere intrazelluläre Signalwege wie MAPK und PI3K/Akt.



Physiologische Wirkungen



Wachstum: Stimulation der Zellteilung und Proteinbiosynthese, insbesondere im Knochengewebe.


Stoffwechsel: Erhöhung des Blutzuckerspiegels durch Hemmung der Insulinwirkung, Förderung der Lipolyse in Fettzellen.


Muskelaufbau: Anstieg der Proteinsynthese und Reduktion von Proteinabbauprozessen.



Klinische Anwendungen



Wachstumshormon wird bei Kindern mit Wachstumsdeprivation eingesetzt. In Erwachsenen kann es zur Behandlung von GH-Mangel, spezifischen Stoffwechselstörungen oder als Ergänzung in der Sportmedizin verwendet werden.



Somatropin – synthetisches Wachstumshormon


Somatropin ist eine rekombinante Version des menschlichen GH, hergestellt durch gentechnisch veränderte Bakterien. Es hat dieselbe Aminosäuresequenz wie das natürliche Hormon und wird häufig in Injektionen verabreicht. Die Dosierung variiert je nach Indikation: bei Kindern mit Wachstumsdeprivation etwa 0,035 mg pro Kilogramm Körpergewicht täglich, während Erwachsene oft niedrigere Dosen erhalten.



Nebenwirkungen und Sicherheitsaspekte


Zu den häufigsten Nebenwirkungen gehören Gelenkschmerzen, Muskelschmerzen und Wassereinlagerungen. Langfristige Anwendung kann das Risiko für Diabetes mellitus erhöhen. Patienten sollten regelmäßig überwacht werden, um sicherzustellen, dass die IGF-1-Spiegel im therapeutischen Bereich bleiben.



Forschungsperspektiven und zukünftige Entwicklungen


Aktuelle Studien untersuchen die Rolle von GH in der Anti-Aging-Forschung sowie seine Wirkung auf kognitive Funktionen. Neue Darreichungsformen wie transdermale Pflaster oder orale Formulierungen werden ebenfalls erforscht, um die Compliance zu verbessern und Nebenwirkungen zu reduzieren.

Adolfo Holiman, 20 years

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Häufig gestellte Fragen (FAQ)




Thema Frage Antwort


Vertrag & Preise Welche Tarife bietet HIGH Mobile an? Wir haben drei Haupttarife: „Starter", „Plus" und „Premium". Alle enthalten unbegrenztes Telefonieren, SMS und Daten.


Wie kann ich meinen Tarif ändern? Logge dich in dein Online-Konto ein, wähle „Tarifwechsel" und folge den Anweisungen.


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Kann ich die SIM in jedes Handy einsetzen? Ja, solange es 4G LTE-kompatibel ist.


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Ist Roaming in EU erlaubt? Ja, alle Tarife enthalten EU-Roaming ohne Zusatzkosten.


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Hilfe & Support





Online-Support: Besuche das Self-Service-Portal unter https://support.highmobile.de für FAQs, Anleitungen und Chat-Unterstützung.


Telefonischer Support: Rufe uns an unter 0123 4567890 (Mon – Fr 08:00–20:00; Sa 10:00–18:00).


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E-Mail: support@highmobile.de – Wir antworten innerhalb von 24 Stunden.






Kontakt




Kanal Details


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Telefon (Deutschland) 0123 4567890


Telefon (International) +49 123 4567890


E-Mail support@highmobile.de


Social Media Facebook: @HIGHMobile, Twitter: @HighMobile


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Herzlich Willkommen im Hilfe-Bereich



Im heutigen digitalen Zeitalter gewinnt die Technologie rund um das Human Growth Hormone – kurz HGH – zunehmend an Bedeutung. HGH steht für menschliches Wachstumshormon und ist ein Protein, das natürlicherweise von der Hirnanhangdrüse produziert wird. Es spielt eine entscheidende Rolle bei der Regulierung des Wachstums, der Zellteilung und dem Stoffwechsel im Körper. Für viele Menschen ist die genaue Funktionsweise und Anwendung von HGH sowohl medizinisch als auch wissenschaftlich interessant, weshalb wir Ihnen hier einen umfassenden Überblick bieten möchten.



Die häufigsten Fragen zu HGH





Was genau ist HGH?


HGH ist ein Peptidhormon mit einer Aminosäuresequenz aus 191 Bestandteilen. Es wird in der Hypophyse gebildet und wirkt auf verschiedene Zielzellen, indem es deren Zellkerne beeinflusst und dadurch die Proteinbiosynthese sowie das Zellwachstum stimuliert.



Welche medizinischen Anwendungen hat HGH?


HGH wird zur Behandlung von Wachstumshormonmangel bei Kindern und Erwachsenen eingesetzt. Zudem findet es Anwendung bei bestimmten Erkrankungen wie Akromegalie oder seltenen Stoffwechselstörungen, wenn eine hormonelle Ergänzung erforderlich ist.



Wie wirkt HGH im Körper?


Durch Bindung an spezifische Rezeptoren auf Zelloberflächen aktiviert HGH intrazelluläre Signalwege (z. B. MAPK/ERK und PI3K/Akt), die wiederum Gene aktivieren oder hemmen, die für Wachstum, Differenzierung und Metabolismus wichtig sind.



Gibt es Nebenwirkungen?


Wie bei jedem Hormon können auch bei der HGH-Therapie Nebenwirkungen auftreten: Ödeme, Gelenkschmerzen, Hyperglykämie oder in seltenen Fällen ein erhöhtes Krebsrisiko. Daher wird die Therapie stets unter ärztlicher Aufsicht durchgeführt.



Wie lange dauert eine typische HGH-Behandlung?


Die Dauer variiert je nach Diagnose und Zielsetzung. Bei Kindern mit Wachstumshormonmangel kann die Behandlung mehrere Jahre andauern, während bei Erwachsenen meist ein Zeitraum von einigen Monaten bis zu wenigen Jahren vorgesehen ist.

Wie aktiviere ich eine eSIM von HIGH?





Vorbereitung des Geräts


Stellen Sie sicher, dass Ihr Smartphone oder Tablet das Konzept der virtuellen SIM-Karte unterstützt und dass im Netzbetrieb die Aktivierung einer eSIM möglich ist. Prüfen Sie außerdem, ob genügend Speicherplatz für die neue Konfiguration vorhanden ist.



Herunterladen des QR-Codes


Der Mobilfunkanbieter HIGH stellt Ihnen einen QR-Code zur Verfügung, welcher die notwendigen Parametern wie IMSI, Authentifizierungsschlüssel und Netzwerkadresse enthält. Dieser Code wird häufig per E-Mail oder über ein Kundenportal bereitgestellt.



Einrichten der eSIM im Gerät


Gehen Sie in den Einstellungen Ihres Geräts zu „Mobilfunk" oder „Netzwerk & Internet". Wählen Sie die Option zum Hinzufügen einer neuen SIM-Karte und anschließend die Unteroption für eine eSIM. Scannen Sie nun den QR-Code, den Ihnen HIGH zur Verfügung gestellt hat.



Bestätigung der Aktivierung


Nach dem Scan wird das Gerät die notwendigen Einstellungen herunterladen und installieren. In wenigen Minuten sollte ein Hinweis erscheinen, dass die neue eSIM aktiviert ist. Prüfen Sie anschließend die Netzabdeckung und stellen Sie sicher, dass Ihr Telefon sich mit dem Netzwerk von HIGH verbindet.



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Falls die Aktivierung nicht funktioniert:



Überprüfen Sie die Internetverbindung Ihres Geräts, da diese für den Download der Konfigurationsdateien benötigt wird.


Stellen Sie sicher, dass die eingegebene Zeit und Zeitzone korrekt sind, denn ein falscher Zeitstempel kann die Authentifizierung behindern.


Kontaktieren Sie den Kundenservice von HIGH, falls weiterhin Probleme auftreten – oft können dort spezifische Fehlercodes ausgelesen werden.



Mit diesen Schritten sollte die Aktivierung Ihrer eSIM von HIGH reibungslos verlaufen und Ihnen erlauben, mobil zu bleiben, ohne eine physische SIM-Karte zu benötigen. Viel Erfolg!

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Dianabol is one of the most used steroids for packing on size. Bodybuilders use Dbol primarily as a "kickstarter" to a bulking cycle. D Bal used to be one of the best steroid alternatives on the market, but it didn’t have much competition. It is supposed to have the performance-enhancing properties of Clenbuterol, a favorite of celebrities, without all the unwanted side effects.
He accomplished this with Dianabol’s androgenic rating of 60, compared to testosterone’s 100. This was due to enlarged prostates caused by the high conversion from testosterone to DHT. Ziegler went back to candy96.fun the US with the objective of creating a compound that was more powerful than testosterone to help defeat the Russians. Dianabol remains one of the most commonly used AAS for bulking up, building lean muscle, and getting super strong. Most people won’t get gyno even from taking high doses of dbol.
When the body retains water, whether from salt or creatine your blood pressure shoots up. Firstly your LDL cholesterol levels will increase (the bad kind), due to higher levels of testosterone. Arnold Schwarzenegger, widely considered as the greatest bodybuilder of all time, admitted to taking steroids (1). Previously in the 1940s/50s the Soviet Union were dominating the Olympics, due to many of their athletes taking the anabolic steroid – testosterone.
In this review, we’re going to cover everything about Dianabol – one of the most popular steroids in the world. Dr. O’Connor also co-authored the largest survey on anabolic steroid use, involving 2,385 men, published in the peer-reviewed American Journal of Men’s Health. Dr. O’Connor has over 20 years of experience treating men and women with a history of anabolic steroid, SARM, and PED use. Furthermore, research shows Proviron to have a negative effect on cholesterol levels, elevating blood pressure.
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Thurman Blanchette, 20 years

The decline of estrogen during menopause significantly affects bladder function and tissue health, leading women to experience a heightened risk of urinary disorders. Men experiencing symptoms related to urinary or reproductive health should consider hormonal evaluations to identify imbalances. Testosterone affects the size and function of the prostate, thereby influencing urinary symptoms. The bladder and prostate are influenced by hormones, which aid in controlling urinary flow and urgency. Abnormal levels of these hormones can lead to various conditions affecting the prostate, bladder, and overall urological function. Progesterone helps prepare the body for pregnancy but also influences urinary health by stabilizing the lining of the bladder.
The primary function of the prostate is to produce fluid that nourishes and transports sperm. It surrounds part of the urethra, the tube that carries urine from the bladder out of the body. The prostate gland is a small, walnut-shaped organ located below the bladder and in front of the rectum. Testosterone Replacement Therapy (TRT) is commonly prescribed to men with low testosterone levels to improve their overall well-being. Remember, early intervention is key to preventing complications and maintaining good urinary health. By working closely with a healthcare provider and monitoring symptoms, most people can continue TRT safely and effectively. Understanding the connection between TRT and urinary retention can help individuals identify and manage potential side effects.
Testosterone Replacement Therapy (TRT) is commonly used to treat low testosterone levels, helping many individuals improve their overall well-being. Regular monitoring of urinary health during TRT can help catch and address issues early. Urinary symptoms like frequent trips to the bathroom, weak flow, or incomplete emptying can significantly impact daily life.
In addition, reduced high-density lipoprotein (HDL), and increased triglyceride levels are significantly related to higher prostatic inflammation and increased secretion of interleukin (IL)-8, in response to oxidized low-density lipoprotein 26,31. Thus, the increase in prostate volume in men with Met S may be, in part, attributed to intra-prostatic inflammation due to hyperinsulinemia and hypertriglyceridemia 31,79. It is important to note that in a study of 122 men Favilla et al found no correlation between TT and FT and prostate size or volume.
Despite these potential issues, many men on TRT do not experience significant problems with BPH symptoms. The majority of research suggests that TRT does not increase the risk of developing prostate cancer. One of the primary concerns among men considering TRT is whether it increases the risk of prostate cancer. Instead, TRT is believed to influence the prostate in more subtle ways. However, research does not conclusively support the idea that TRT increases the risk of prostate cancer or other serious prostate diseases. One of the most common myths about TRT is that it directly causes prostate cancer or significant prostate problems. This section explores the connection between TRT and the prostate, addressing common concerns and clarifying what research reveals about this relationship.
A significant reduction in IR in men with TD and type 2 diabetes was reported in men treated with intramuscular T therapy over a 3-month period . Recently it has also been shown that T therapy improves insulin sensitivity in the HOMA-IR model. Mårin et al reported that T therapy improved insulin sensitivity in obese men and reduced central adiposity. T therapy has been shown to improve hyperglycemia and IR and ameliorate some of the Met S components (Table 3) 116,117,118,119,120,121,122,123,124,125,126,127,128,129. Zhang et al demonstrated that TD in the animal model induces bladder fibrosis and decreases bladder maximal volume and compliance. Ito et al have shown that significant increase in prostaglandin E2 (PGE2) release from stretched bladder epithelium after castration concomitant with significant increase in bladder IL-1β and cyclooxygenase type 2 (COX-2) expression. In rat DSM, inhibition of androgen receptor with flutamide does not abolish the relaxing effects of T on DSM, suggesting that T is acting via a non-genomic mechanism .

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Tuna’s ‘fragrance’ may not be ideal for a first date, but its vitamin D content is. Chinese researchers found the equivalent of 500mg – roughly the amount in 5-10g of grape skins – was enough to raise T-levels and improve epididymal motility (your sperm’s ability to swim). According to the 'What Is TDS' campaign, hypogonadism is a condition where the testes produce an unusually low level of testosterone or dry up altogether. However, the long-term use of testosterone supplements or anabolic steroids has its downsides. Quite simply, if we didn't have testosterone, we'd all look distinctly prepubescent. Testosterone is the main male sex hormone, produced mainly in the testicles. This is why it's important to give your T-levels some attention every now and again.
They can suggest treatments like changing your lifestyle or hormone therapy. Endocrinologists know a lot about hormone problems. These tests show how much testosterone you have, helping to make a treatment plan.
This article explains everything you need to know about fenugreek, including its benefits, side effects, and uses. It has also been linked to other health benefits, but more research is needed. The new gameplan for max muscle now—and the rest of your life.
Some lifestyle changes and healthy habits can also boost your testosterone. More than 33% of men over 45 may have lower than normal testosterone levels. Given its effect on blood sugar, fenugreek should be used with caution if you’re taking diabetes medication or other supplements that lower blood sugar levels. Most testosterone-based research uses around 250–600 mg of fenugreek extract, while research on breast milk production has used around 1 g to 6 g.
Regular doctor visits help keep an eye on hormone health. Eat well, stay active, manage stress, sleep enough, and avoid smoking and too much alcohol. See a doctor if you have ongoing fatigue, muscle weakness, or a big drop in libido. Yes, foods like soy products, too much alcohol, and processed foods can lower testosterone. They give energy slowly, helping with hormone production. Remember, stress can also affect your testosterone.

Annett Nale, 20 years

KPV is a short tripeptide composed of lysine, proline and valine that has attracted considerable interest for its anti-inflammatory properties in various preclinical models. The peptide was first identified as a naturally occurring fragment derived from the N-terminus of the protein surfactant protein B, and subsequent studies revealed that it can modulate immune cell activity, particularly mast cells, which are central mediators of allergic and inflammatory responses.



Mast cells are key players in the innate immune system. When activated they release histamine, cytokines, chemokines and proteases that contribute to vascular leakage, smooth muscle contraction and recruitment of other inflammatory cells. In many diseases such as asthma, food allergy, inflammatory bowel disease and atopic dermatitis mast cell degranulation is a hallmark of pathology. KPV has been shown in vitro to inhibit the release of these mediators from cultured human mast cells stimulated with IgE or calcium ionophores. The suppression occurs without inducing cytotoxicity, indicating that KPV acts as an anti-activation signal rather than a toxic agent.



The gastrointestinal tract is another site where mast cells exert substantial influence. In conditions like irritable bowel syndrome and Crohn’s disease, mast cell hyperactivity leads to increased intestinal permeability, visceral pain and dysmotility. Animal studies using models of chemically induced colitis have demonstrated that oral or intraperitoneal administration of KPV reduces histological damage, lowers pro-inflammatory cytokine levels (such as TNF-α, IL-6 and IL-1β) and restores barrier integrity. The peptide’s effects on the gut are thought to be mediated by dampening mast cell activation in the mucosa, thereby decreasing downstream inflammation and preserving epithelial function.



The anti-inflammatory mechanism of KPV is not yet fully defined but several pathways have been implicated. One hypothesis involves direct interaction with the formyl peptide receptor 2 (FPR2), a G-protein coupled receptor expressed on many immune cells including mast cells. Binding of KPV to FPR2 may inhibit downstream signaling cascades such as NF-κB activation, leading to reduced transcription of inflammatory genes. Another possibility is that KPV interferes with the calcium influx required for mast cell degranulation, thereby preventing mediator release. Additionally, KPV has been reported to increase levels of anti-oxidant enzymes like superoxide dismutase and glutathione peroxidase in inflamed tissues, which could contribute to its protective effect.



Beyond suppression of mast cells, KPV exhibits a range of potential therapeutic applications:





Allergic diseases – By limiting histamine release, KPV may reduce symptoms of allergic rhinitis, urticaria and anaphylaxis.


Asthma – In mouse models of ovalbumin-induced airway inflammation, KPV decreased eosinophil infiltration, mucus production and airway hyperresponsiveness.


Inflammatory bowel disease – Oral KPV reduced colonic cytokine expression and improved mucosal healing in chemically induced colitis.


Dermatologic conditions – Topical or systemic KPV has shown efficacy in reducing dermatitis severity in mouse models of atopic dermatitis by lowering mast cell activation and inflammatory cytokines.


Neuroinflammation – Preliminary data suggest that KPV can cross the blood-brain barrier and attenuate microglial activation, potentially benefiting neurodegenerative disorders where chronic inflammation plays a role.


Pain modulation – By dampening mast cell-derived mediators that sensitize nociceptors, KPV may have analgesic properties in models of inflammatory pain.



Clinical translation is still in early stages. A small phase I trial evaluated safety and tolerability of intranasal KPV in healthy volunteers, finding it well tolerated with no serious adverse events. Ongoing research aims to determine optimal dosing regimens, delivery routes (oral, nasal, topical) and long-term safety in patient populations.

In summary, the KPV peptide demonstrates a compelling capacity to calm mast cells across multiple organ systems, notably the gastrointestinal tract, thereby mitigating inflammation. Its mechanism appears to involve receptor modulation and inhibition of degranulation pathways. The breadth of its anti-inflammatory effects positions KPV as a promising candidate for treating allergic, asthmatic, inflammatory bowel and dermatologic disorders, with potential extensions into neuroinflammation and pain management pending further clinical validation.

Carolyn Manuel, 20 years

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The most common AR allelic variants in all AIS phenotypes are non-synonymous point mutations. Almost all AR mutations in MAIS were found in the NTD, but there is a low number of AR mutations related to this phenotype. Mutations are found along the AR gene, being more frequent in exon 1 (the largest AR exon, which encodes the NTD). In the absence of allelic variants in AR a multiplex ligation-dependent probe amplification (MLPA) can be helpful in order to detect deletions, insertions and duplications in the AR gene (26). The AIS diagnosis is confirmed by the presence of allelic variants in the AR gene (1,26). Although there are differences in the AR residual function among the mutated receptors between CAIS and PAIS phenotypes, no difference are observed in hormonal levels (20,22). During childhood when gonadotropin axis is not activated, a hCG stimulation is necessary to evaluate testosterone secretion by Leydig cells (24).
People with androgen insensitivity syndrome (AIS) are genetically male. Open issues in the management of androgen insensitivity syndromes includes decisions on sex assignment, timing of gonadectomy, fertility, physcological outcomes and genetic counseling. As is the case with the internal male genitalia, a functional androgen receptor is needed for dihydrotestosterone to regulate the transcription of target genes involved in development. 5-alpha reductase deficiency affects the sexual development of genetically male (XY chromosomes) fetuses.
This means male sex development does not happen as normal. Children with AIS have XY chromosomes, but the genetic alteration they inherit prevents their body responding to testosterone (the sex hormone). Androgen insensitivity syndrome (AIS) is caused by a genetic alteration that means the body cannot respond to testosterone either completely or partially.
This results in a person having male sex chromosomes (one X and one Y chromosome) but not having male genitals. In AIS, gender identity usually follows the sex of rearing, but quality of sexual life, sexual functioning and quality of life can be slightly compromised and are important issues for keeping patients in psychological care. In CAIS, there is a low risk of GCTs before puberty and postponing surgery to after puberty may allow the development of spontaneous puberty. Although there is no inconsistency in gender identity, male PAIS individuals show disappointment with undervirilization signs. Psychological support is essential for AIS individuals and their parents, in general (55).
MAIS has a mild presentation that often goes unnoticed and untreated; even with semenological, clinical and laboratory data, it can be difficult to distinguish between men with and without MAIS, and thus a diagnosis of MAIS is not usually made without confirmation of an AR gene mutation. The polyglutamine tract in affected pedigrees tends to increase in length over generations, a phenomenon known as "anticipation", leading to an increase in the severity of the disease as well as a decrease in the age of onset for each subsequent generation of a family affected by SBMA. Androgen insensitivity syndrome is the largest single entity that leads to 46,XY undermasculinization.
AIS was first described by Morris, in 1953, with the clinical description of 82 female patients with testes but female phenotype and for this reason Morris named the syndrome as testicular feminization (4). Areas of management include sex assignment, genitoplasty, gonadectomy in relation to tumor risk, hormone replacement therapy, genetic counseling, and psychological counseling.citation needed Mutations in the androgen receptor gene can cause problems with any of the steps involved in androgenization, from the synthesis of the androgen receptor protein itself, through the transcriptional ability of the dimerized, androgen-AR complex. If this enzyme is absent or deficient, then dihydrotestosterone is not created, and the external male genitalia do not develop properly. In the presence of testosterone and functional androgen receptors, the Wolffian ducts develop into the epididymides, vasa deferentia, and seminal vesicles. Without this anti-Müllerian hormone, the Müllerian ducts develop into the female internal genitalia (uterus, cervix, fallopian tubes, and upper vaginal barrel).
More specifically, DHT is an androgen — a hormone that stimulates the development of male characteristics. Supraphysiological doses of testosterone have been shown to correct diminished secondary sexual characteristics in men with MAIS, as well as to reverse infertility due to low sperm count. Management of MAIS is currently limited to symptomatic management; methods to correct a malfunctioning androgen receptor protein that result from an AR gene mutation are not currently available.

Kristian Boettcher, 20 years

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