1981
DOI: 10.1111/j.1365-2265.1981.tb00616.x
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Human Corticosteroid Binding Globulin

Abstract: SUMMARY The literature on corticosteroid binding globulin (transcortin) in the human is reviewed under the following headings: physicochemical properties, biosynthesis, measurement, and physiological, pharmacological and pathological variations with particular emphasis of the effects of pregnancy and oral contraceptives. Finally, the physiological implications of corticosteroid binding globulin are discussed.

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Cited by 181 publications
(87 citation statements)
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“…Pregnancy also can affect CBG. In humans, CBG capacity approximately triples as estrogen levels rise (Brien 1981, Hammond & Lahteenmaki 1983. However, the effect is not seen in rhesus macaques or baboons, where CBG capacity increases in the first half of pregnancy, but then declines during the second half (Oakey 1975, Stanczyk et al 1986.…”
Section: Cbg Diversitymentioning
confidence: 99%
See 1 more Smart Citation
“…Pregnancy also can affect CBG. In humans, CBG capacity approximately triples as estrogen levels rise (Brien 1981, Hammond & Lahteenmaki 1983. However, the effect is not seen in rhesus macaques or baboons, where CBG capacity increases in the first half of pregnancy, but then declines during the second half (Oakey 1975, Stanczyk et al 1986.…”
Section: Cbg Diversitymentioning
confidence: 99%
“…The results are a resounding 'it depends.' Hormonal manipulations have a wide variety of effects: estrogen and thyroid hormones can increase CBG capacity (Gala & Westphal 1965, Spangler et al 1969, Feldman et al 1979, Brien 1981, D'agostino & Henning 1982, Stanczyk et al 1986), but effects are dependent on sex and developmental stage; testosterone can increase or decrease CBG capacity, depending on the species (Gala & Westphal 1965, Assenmacher et al 1975, Klukowski et al 1997, Deviche et al 2001; growth hormone can increase or decrease CBG capacity, depending on whether it is given tonically or cyclically (Jansson et al 1989); interleukin-6 decreases CBG capacity (Tsigos et al 1998); and altering CORT levels (through implant, injection or adrenalectomy) can increase or decrease CBG capacity, depending on the species or developmental stage (Feldman et al 1979, Vallette et al 1982, Cohen et al 1990, Zao et al 1997.…”
Section: Androgen Binding Globulin?mentioning
confidence: 99%
“…[44] The concentration-dependent binding of prednisolone to the plasma proteins (i.e., transcortin and albumin) results in the dose-dependent nonlinear pharmacokinetics observed for prednisolone. [11], [50], [51] Transcortin has high affinity and low capacity binding sites while albumin has low affinity and a high capacity for binding prednisolone. The fraction bound is not constant and decreases in a nonlinear fashion with increasing concentrations: at low concentrations protein binding appears to be quite high (80%-90%), but declines at higher prednisolone levels to 60%-70%.…”
Section: Distributionmentioning
confidence: 99%
“…The fraction bound is not constant and decreases in a nonlinear fashion with increasing concentrations: at low concentrations protein binding appears to be quite high (80%-90%), but declines at higher prednisolone levels to 60%-70%. [33], [44], [49], [50], [52] For plasma concentrations of up to 400 ng/mL an approximate linear function of fraction bound can be assumed, which switches over to a constant (lower) relation above 600 ng/mL, [44] reflecting the saturable binding of prednisolone to transcortin. Binding of prednisolone to plasma protein is independent of the route of administration.…”
Section: Distributionmentioning
confidence: 99%
“…Cortisol is commonly reported both as total cortisol and free cortisol. It is known that cortisol exists in plasma in three forms, 80-90% bound with high affinity to CBG, about 10-14 % associated with albumin and about 6-10% in unbound form as free cortisol [8,9,10,12,23,26,34,39,42]and it is suggested that only the free cortisol is biological active [8,10,12,36,42].There are several techniques for measurements and calculations of free cortisol but many of them are not suitable for routine laboratory use [5,11,12,15,17,43]. In this study we used a modified model (cortisol/CBG ratio) of the Free Cortisol Index [5].In our study we found no seasonal variations in the calculated cortisol-to-CBG ratio neither in OC users nor in non-users.…”
Section: Limitations and Methodological Aspectsmentioning
confidence: 99%