The Rise in Adrenal Androgen Biosynthesis: Adrenarche

    November 2004 in “ Seminars in Reproductive Medicine
    Jon Havelock, Richard J. Auchus, William E. Rainey
    TLDR Adrenarche increases adrenal androgens around age 6, affecting hair growth and development.
    Adrenarche was characterized by an increase in adrenal androgen production, specifically dehydroepiandrosterone (DHEA) and dehydroepiandrosterone sulfate (DHEAS), occurring around age 6. This process, independent of gonadarche, was linked to androgen-dependent hair growth during puberty and was unique to humans and some nonhuman primates. The rise in adrenal androgens was due to increased expression of DHEA-synthesizing enzymes in the adrenal gland's zona reticularis. Although no specific hormone triggering adrenarche was identified, it played a role in behavior, skeletal maturation, and postpubertal well-being. Variations in adrenarche were influenced by sex, race, and possibly insulin and IGF signaling pathways. Children experiencing premature or exaggerated adrenarche might have been at risk for certain diseases later in life.
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