“…The situation can become even more complex. If molecules derived from the N-terminal sequence of pro-opiomelanocortin are responsible (together with ACTH) for the maintenance of adrenal growth and division (Lowry, 1984) then an assay based upon cortisol secretion from adrenal cells, itself possibly the result of a complex interaction of many molecules with ACTH (Pederson & Brownie, 1980;Pederson et al, 1980;Al-Dujaili et al, 1981;Iida et al, 1981Iida et al, , 1982Iida et al, , 1984Parker et al, 1983;Morita et al, 1984) will not necessarily be relevant to a question about adrenal growth. In the context of the pituitary adrenal axis it may be that until our understanding of this complex system improves, different bioassays are required which supply information about the total cortisol-releasing and adrenal growth-promoting activities in blood, as well as immunoassays of ACTH itself.…”