“…Tsitouras et al, [184] reported that in vivo pretreatment with, but not in vitro exposure to, hCG reverses the testosterone secretory defect of Leydig cells from old rats. Overall, these changes appear not to be a function of gonadotropin receptor activity, or cAMP formation [162,177,182,183,185,186] or a defect in the steroid hormone synthesizing enzymes [176,186] although there are some exceptions to this. For example, Pirke et al, [162] reported significant loss of hCG binding to whole testicular membranes of old rats, while Tsitouras et al, [182] observed only a modest decrease in hCG binding to membrane preparations from the purified Leydig cells.…”