“…Contrary to the corticosterone data, ACTH levels showed no diurnal variation during the different Ringer's infusions ( p Ͼ 0.5), although variability during the CT10 experiment was considerably higher than at any other time of the day (16.8 Ϯ 2.8 vs 6.8 Ϯ 1.9, 7.6 Ϯ 2.3, 10.6 Ϯ 1.1, and 11.0 Ϯ 2.4 pg/ml). A number of previous studies have reported diurnal variations in plasma ACTH levels Carnes et al, 1989;Bagdy et al, 1991;Kwak et al, 1992;Ixart et al, 1993), but quite a few others failed to detect significant diurnal variations (Wilkinson et al, 1979;Akana et al, 1986;Carnes et al, 1986;Cascio et al, 1987;Kwak et al, 1993;Suemaru et al, 1995). Important factors that may contribute to the difficulty of finding a circadian ACTH rhythm are the low amplitude of the rhythm, the episodic secretion of ACTH, the sampling protocol used (Carnes et al, 1986;Turek and Van Cauter, 1988;Carnes et al, 1989), and the assay variability (e.g., CT times in different assays).…”