help button home button Endocrine Society Endocrinology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Copyright Permission
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Xu, S.
Right arrow Articles by Conney, A. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Xu, S.
Right arrow Articles by Conney, A. H.
Endocrinology Vol. 142, No. 8 3554-3557
Copyright © 2001 by The Endocrine Society


ARTICLES

PPAR{alpha}-Dependent Induction of Liver Microsomal Esterification of Estradiol and Testosterone by a Prototypical Peroxisome Proliferator

Shiyao Xu, Bao Ting Zhu1, Valerie Turan, Ivan Rusyn, Ronald Thurman, Jeffrey M. Peters, Frank J. Gonzalez and Allan H. Conney2

Laboratory for Cancer Research, Department of Chemical Biology, College of Pharmacy, Rutgers, The State University of New Jersey (S.X., B.T.Z., V.T., A.H.C.), Piscataway, New Jersey 08854; Department of Pharmacology, University of North Carolina (I.R., R.T.), Chapel Hill, North Carolina 27599; Department of Veterinary Science, Center for Molecular Toxicology, Pennsylvania State University (J.M.P.), University Park, Pennsylvania 16802; and Laboratory of Metabolism, National Cancer Institute, National Institutes of Health (F.J.G.), Bethesda, Maryland 20892

Address all correspondence and requests for reprints to: Dr. Allan H. Conney, Laboratory for Cancer Research, Department of Chemical Biology, College of Pharmacy, Rutgers, The State University of New Jersey, 164 Frelinghuysen Road, Piscataway, New Jersey 08854-8020. E-mail: aconney{at}rci.rutgers.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Fatty acyl-coenzyme A:estradiol acyltransferase in liver microsomes catalyzes the formation of estradiol fatty acid esters. These estrogen esters are extremely lipophilic and have prolonged hormonal activity because they are slowly metabolized and slowly release estradiol. Our previous studies showed that treatment of female rats with clofibrate or gemfibrozil (peroxisome proliferators commonly used as hypolipidemic drugs) markedly stimulated the liver microsomal esterification of estradiol. Although clofibrate administration is a potent inducer of liver microsomal fatty acyl-coenzyme A:estradiol acyltransferase in rats, it is a poor inducer in mice. In contrast to these observations, Wy-14,643 (an exceptionally potent prototypical peroxisome proliferator) is a strong inducer of fatty acyl-coenzyme A:estradiol acyltransferase in mice. To explore the role of PPAR{alpha} in the induction of fatty acyl-coenzyme A:estradiol acyltransferase and fatty acyl-coenzyme A:testosterone acyltransferase activities by peroxisome proliferators, we fed 0.1% Wy-14,643 to female wild-type and PPAR{alpha} null mice for 11 d. The liver microsomal acyl-coenzyme A:estradiol acyltransferase and acyl-coenzyme A:testosterone acyltransferase activities were increased 4- to 5-fold in wild-type mice fed Wy-14,643, but no increase was observed in null mice. These results demonstrate that induction of acyl-coenzyme A:estradiol acyltransferase and acyl-coenzyme A:testosterone acyltransferase activities by a prototypical peroxisome proliferator is dependent on PPAR{alpha}.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ESTRADIOL FATTY ACID esters are extremely lipophilic metabolites that are formed by the action of acyl-coenzyme A (CoA):estradiol acyltransferase. An earlier study from our laboratory indicated that clofibrate and gemfibrozil (peroxisome proliferators and hypolipidemic drugs) are potent inducers of rat liver microsomal acyl-CoA:estradiol acyltransferase (1). The stimulatory effect of clofibrate administration on fatty acid esterification of estradiol by liver microsomes was paralleled in vivo by enhanced estrogenic activity in the mammary gland, but not in the uterus (2).

Peroxisome proliferators are a diverse class of compounds that have been widely used, and they are of pharmaceutical, industrial, and environmental importance. Examples of peroxisome proliferators include hypolipidemic drugs, herbicides, plasticizers, and solvents (3, 4). Administration of peroxisome proliferators to rats and mice results in an increase in the number and size of hepatic peroxisomes and an increase in fatty acid-metabolizing enzymes, such as peroxisomal fatty acyl-CoA oxidase and microsomal fatty acid {omega}-hydroxylase (CYP450 4A) (3, 5). The induction of these enzymes by peroxisome proliferators is known to result from an increased rate of gene transcription mediated by PPAR{alpha}, a member of the steroid hormone receptor superfamily (6, 7). PPAR{alpha} mediates the activation of genes through dimerization with retinoid X receptor {alpha} and binding to cis-acting regulatory elements (peroxisome proliferator response elements) upstream of promoter regions in target genes (8, 9).

PPAR{alpha} null mice (-/-) lack the expression of PPAR{alpha} protein (10). Administration of prototypical peroxisome proliferators, such as clofibrate or Wy-14,643, to PPAR{alpha} null mice does not result in detectable hepatomegaly, peroxisome proliferation, induction of the mRNA encoding the peroxisomal and microsomal lipid-metabolizing enzymes, or hepatocarcinogenesis (responses that were observed in PPAR{alpha} wild-type mice) (6, 10). These results indicate that PPAR{alpha} is required for mediating the pleiotropic response of rodents to peroxisome proliferators.

In the present study we evaluated the effects of peroxisome proliferators on liver microsomal acyl-CoA:estradiol acyltransferase and acyl-CoA:testosterone acyltransferase in PPAR{alpha} wild-type (+/+) and null (-/-) mice to determine whether the induction of these enzyme activities is dependent on PPAR{alpha}.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Chemicals
[2,4,6,7,16,17-N-3H]Estradiol (110–170 Ci/mmol) and [1,2,6,7-N-3H]testosterone (85–105 Ci/mmol) were purchased from Du-Pont NEN Life Science Products (Boston, MA). Estradiol, testosterone, clofibrate, and oleoyl-CoA were purchased from Sigma (St. Louis, MO). Wy-14,643 ([4-chloro-6-(2,3-xylidino)-2-pyrimidinylthio]acetic acid) was purchased commercially (ChemSyn Laboratories, Lenexa, KS). Solvents for extraction of metabolites and for HPLC assays were of HPLC grade (Fisher Scientific, Pittsburgh, PA).

Animals
Female PPAR{alpha} wild-type mice (+/+) and null mice (-/-) on an Sv/129 genetic background were used. In the first experiment PPAR{alpha} wild-type (+/+) and null (-/-) mice were fed an AIN-76A diet or 0.5% clofibrate (wt/wt) in an AIN-76A diet for 3 wk. Livers were removed for the preparation of microsomes as described previously (11). In a second experiment female C57 BL/6J mice and female Sprague Dawley rats, purchased from Harlan Sprague Dawley, Inc. (Indianapolis, IN), were fed 0.5% clofibrate diet for 2 wk, and liver microsomes were prepared. In a third experiment PPAR{alpha} wild-type (+/+) and null (-/-) mice were fed 0.1% Wy-14,643 diet for 11 d. Livers were removed for the preparation of microsomes. Protein concentrations were determined with the Bio-Rad Laboratories, Inc., assay method (Richmond, CA) according to the supplier’s instructions, using BSA as a standard.

Enzyme assays
Enzyme assays for the esterification of estradiol or testosterone by rat liver microsomes were carried out as described previously (1). Incubation mixtures consisted of 10 µM 3H-labeled estradiol or testosterone (~1–2 µCi), 100 µM oleoyl-CoA, together with 5 mM magnesium chloride in 0.1 M sodium acetate buffer (pH 5.0) in a final volume of 0.2–0.5 ml. For preparation of the incubation mixture, radioactive estradiol or testosterone in ethanol was added first and dried under nitrogen, and then the remaining components of the incubation mixture (including nonradioactive estradiol or testosterone in 2–5 µl ethanol) were added. This procedure resulted in uniform distribution of radioactive and nonradioactive steroid throughout the incubation mixture. The reaction was initiated by the addition of hepatic microsomes (0.25–0.5 mg protein/ml). After incubation at 37 C for 30 min, the reaction was arrested by placing the tubes on ice, followed by addition of ice-cold sodium acetate buffer and ethyl acetate. The samples were vortexed immediately and then centrifuged for 10 min at 3000 x g. The organic upper phase was removed, and the extraction was repeated a second time. The organic solvent extracts were combined and evaporated to dryness under a stream of nitrogen. The resulting residues were dissolved in 100 µl methanol and were analyzed by HPLC.

HPLC methods
Measurement of esterified metabolites of estradiol and testosterone was performed on a Spherisorb ODS column (5-µm particle size; id, 250 x 4.6 mm). The HPLC system consisted of a Waters 600E solvent gradient programmer (Waters Corp., Milford, MA), a Waters Lambda-Max model 481 UV detector (set at 280 nm), and a radioactive flow detector (ß-ram from IN/US, Fairfield, NJ) with a liquid cell (for 3H detection). The solvent gradient used for elution of the oleoyl ester of estradiol was described previously (1). The solvent system consisted of acetonitrile/H2O with 0.1% acetic acid/methanol: 12 min isocratic at 30/6/64, 6 min with a no. 10 convex gradient to 60/0/40, 15 min isocratic at 60/0/40, 2 min with a no. 2 convex gradient to 20/0/80, and 5 min isocratic at 20/0/80, and the column was then returned to initial conditions over 15 min. The mobile phase for elution of the oleoyl ester of testosterone was isocratic 100% methanol for 20 min. The flow rate was 1.2 ml/min. The retention times of the radioactive metabolites agreed exactly with the corresponding UV-absorbing peaks. Incubation of 3H-labeled estradiol or testosterone with oleoyl-CoA each resulted in a single radioactive metabolite peak with a retention time of 27.6 or 11.6 min, respectively, with the appropriate HPLC solvent systems described above. Metabolite quantification was based on the amount of radioactivity in the metabolite peak compared with the total radioactivity collected from the HPLC column from each sample.

Statistical analysis
Data are presented as the mean ± SD. Differences between means were assessed using a two-way ANOVA test, Scheffé’s test or t test. The two-way ANOVA test and Scheffé’s test were carried out using StatView software (Abacus Concepts, Inc., Berkeley, CA).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Species difference in clofibrate-induced increases in liver microsomal acyl-CoA:estradiol acyltransferase activity
Female PPAR{alpha} wild-type (+/+) and null (-/-) mice were fed 0.5% clofibrate in an AIN-76A diet for 3 wk. Although the liver/body weight ratio in wild-type mice was increased 45% after treatment with clofibrate, the liver/body weight ratio in PPAR{alpha} null mice was not altered by clofibrate treatment (data not presented). Clofibrate administration did not stimulate liver microsomal acyl-CoA:estradiol acyltransferase activity in wild-type (+/+) or PPAR{alpha} null (-/-) mice (Table 1Go). These results indicate that clofibrate-induced increases in liver size in wild-type mice can be dissociated from clofibrate-induced increases in hepatic acyl-CoA:estradiol acyltransferase activity.


View this table:
[in this window]
[in a new window]
 
Table 1. Species differences in the responsiveness of rats and mice to clofibrate-induced increases in liver microsomal acyl-CoA:estradiol acyltransferase activity

 
Since our previous studies indicated that clofibrate administration markedly stimulated liver microsomal acyl-CoA:estradiol acyltransferase activity in rats (1), the results of the above experiment suggested that mice may be less sensitive than rats to induction of acyl-CoA:estradiol acyltransferase by clofibrate. To make a further comparison, female C57BL/6J mice and Sprague Dawley rats were fed 0.5% clofibrate for 2 wk. In C57BL/6J mice, the liver/body weight ratio was increased 36% by the clofibrate treatment (data not presented), and the liver microsomal acyl-CoA:estradiol acyltransferase activity was increased 89% (Table 1Go). In Sprague Dawley rats, the liver/body weight ratio was increased 18% (data not presented), but estradiol esterification in liver microsomes was stimulated 900% by the clofibrate treatment (Table 1Go). The results indicate a marked species difference in sensitivity to clofibrate induction of acyl-CoA:estradiol acyltransferase between rats and mice and also a strain difference in inducibility between Sv/129 and C57BL/6J mice.

Effect of Wy-14,643 administration on the esterification of estradiol and testosterone by liver microsomes from rats and wild-type (+/+) and PPAR{alpha} null (-/-) mice
The observation that administration of 0.5% clofibrate diet stimulated liver microsomal acyl-CoA:estradiol acyltransferase in rats, but not in wild-type (+/+) or PPAR{alpha} null (-/-) mice (Table 1Go), suggested that these mice are less sensitive to the induction of liver microsomal acyl-CoA:estradiol acyltransferase by clofibrate than rats (Table 1Go). Because of these observations we studied the effect of a more potent peroxisome proliferator, Wy-14,643, on estradiol esterification in rats and in wild-type and PPAR{alpha} null mice. Feeding 0.1% Wy-14,643 to female rats for 7 d increased the liver microsomal esterification of estradiol by about 5-fold (39.4 ± 4.9 vs. 189.2 ± 33.9 pmol estradiol-oleoyl ester formed/mg protein/min; mean ± SD for three control rats and four treated rats), and the liver microsomal esterification of testosterone was increased about 6-fold (26.5 ± 2.9 vs. 168.6 ± 28.2 pmol testosterone-oleoyl ester formed/mg protein/min; mean ± SD for two control rats and four treated rats).

In another experiment female wild-type (+/+) mice and PPAR{alpha} null (-/-) mice were fed 0.1% Wy-14,643 diet for 11 d. The liver/body weight ratio in wild-type mice was increased about 3-fold by Wy-14,643 administration; in contrast, the liver/body weight ratio in PPAR{alpha} null mice was not altered by Wy-14,643 administration (data not presented). Liver microsomal formation of the oleoyl ester of estradiol or testosterone was increased 4- to 5-fold in wild-type mice treated with Wy-14,643. In contrast, the liver microsomal esterification of estradiol and testosterone was not stimulated in PPAR{alpha} null (-/-) mice treated with Wy-14,643 (Table 2Go).


View this table:
[in this window]
[in a new window]
 
Table 2. Effect of Wy-14,643 administration on the esterification of estradiol or testosterone by liver microsomes from wild-type (+/+) and PPAR{alpha} null (-/-) mice

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Previous studies from our laboratory indicated that clofibrate and gemfibrozil are potent inducers of rat liver microsomal acyl-CoA:estradiol acyltransferase (1). In the present study, however, we found that administration of 0.5% clofibrate in the AIN-76A diet did not stimulate liver microsomal acyl-CoA:estradiol acyltransferase activity in female PPAR{alpha} wild-type mice on an Sv/129 background. Liver microsomal acyl-CoA:estradiol acyltransferase activity was stimulated by only 90% in female C57BL/6J mice. In contrast, similar clofibrate administration to female Sprague Dawley rats resulted in increased liver microsomal acyl-CoA:estradiol acyltransferase activity by 900% (TableGo 1). These results indicate that sensitivity to induction of liver microsomal acyl-CoA:estradiol acyltransferase by clofibrate is species dependent; mice are less sensitive than rats. Several studies have reported different sensitivities to peroxisome proliferators between mice and rats (12, 13, 14). The different responses to clofibrate administration of mice and rats observed in this study could be partially explained by different pharmacokinetics or elimination rates of clofibrate in mice and rats. The elimination half-life of clofibric acid (the active form of clofibrate) was 2 h in mice and 5–8 h in rats (15). Since mice and rats have comparable levels of hepatic PPAR{alpha} mRNA (16), the different responses to clofibrate administration in the two species may not be explained by the relative abundance of the PPAR{alpha}. Other possible reasons for the different sensitivities of rat and mouse liver microsomal acyl-CoA:estradiol acyltransferase to induction by clofibrate may include different regulatory mechanisms for the target genes and/or different esterase activities for hydrolyzing the estradiol fatty acid esters in rats and mice.

In another experiment, wild-type and PPAR{alpha} null mice were treated with Wy-14,643, a more potent peroxisome proliferator (PPAR{alpha} agonist) than clofibrate. Liver microsomal acyl-CoA:estradiol acyltransferase activity and acyl-CoA:testosterone acyltransferase activity were 4- to 5-fold higher in wild-type (+/+) mice treated with dietary Wy-14,643, but no increase was observed in PPAR{alpha} null (-/-) mice (TableGo 2). These studies indicate that the induction of liver microsomal esterification of estradiol and testosterone by peroxisome proliferators is dependent on PPAR{alpha}.

The induction of fatty acyl-CoA oxidase and CYP450 4A by peroxisome proliferators is known to result from an increased rate of gene transcription mediated by PPAR{alpha} (10). Administration of clofibrate or gemfibrozil to rats induces liver microsomal acyl-CoA:estradiol acyltransferase activity without altering its pH optimum or Km value (1). These observations suggest that administration of clofibrate or gemfibrozil increased the level of the same fatty acyl-CoA:estradiol acyltransferase enzyme that is present in microsomes from untreated rats. Further studies are needed to determine whether clofibrate or gemfibrozil administration stimulates transcription of the fatty acyl-CoA:estradiol acyltransferase gene, enhances the stability of the corresponding mRNA, facilitates the translation of the corresponding mRNA, and/or inhibits the breakdown of the fatty acyl-CoA acyltransferase protein.

During the course of our studies, we found that treatment of mice with Wy-14,643 increased the esterification of testosterone (TableGo 2). Unpublished observations in our laboratory indicate that treatment of rats with clofibrate also stimulates the liver microsomal esterification of testosterone, corticosterone, pregnenolone, and dehydroepiandrosterone. The physiological significance of the effect of clofibrate administration to enhance the esterification of several steroid hormones is unknown.

In summary, the results of our studies indicate that the induction of liver microsomal acyl-CoA:estradiol acyltransferase and microsomal acyl-CoA:testosterone acyltransferase activities by a prototypical peroxisome proliferator is dependent on PPAR{alpha}.


    Footnotes
 
1 Present address: Department of Basic Pharmaceutical Sciences, College of Pharmacy, University of South Carolina, Columbia, South Carolina 29208. Back

2 William M. and Myrle W. Garbe Professor of Cancer and Leukemia Research. Back

Abbreviations: CoA, Coenzyme A; CYP450, cytochrome P450; Wy-14,643, [4-chloro-6-(2,3-xylidino)-2-pyrimidinylthio]acetic acid.

Received December 19, 2000.

Accepted for publication April 17, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Xu S, Zhu BT, Conney AH 2001 Stimulatory effect of clofibrate and gemfibrozil administration on the formation of fatty acid esters of estradiol by rat liver microsomes. J Pharmacol Exp Ther 296:188–197[Abstract/Free Full Text]
  2. Xu S, Zhu BT, Cai MX, Conney AH 2001 Stimulatory effect of clofibrate on the action of estradiol in the mammary gland but not in the uterus of rats. J Pharmacol Exp Ther 297:1–7[Abstract/Free Full Text]
  3. Lock EA, Mitchell AM, Elcombe CR 1989 Biochemical mechanisms of induction of hepatic peroxisome proliferation. Annu Rev Pharmacol Toxicol 29:145–163[CrossRef][Medline]
  4. Moody DE, Reddy JK, Lake BG, Popp JA, Reese DH 1991 Peroxisome proliferation and nongenotoxic carcinogenesis: commentary on a symposium. Fund Appl Toxicol 16:233–248[CrossRef][Medline]
  5. Reddy JK, Lalwai ND 1983 Carcinogenesis by hepatic peroxisome proliferators: evaluation of the risk of hypolipidemic drugs and industrial plasticizers to humans. Crit Rev Toxicol 12:1–58[Medline]
  6. Gonzalez FJ, Peters JM, Cattley RC 1998 Mechanism of action of the nongenotoxic peroxisome proliferators: role of the peroxisome proliferator-activated receptor {alpha}. J Natl Cancer Inst 90:1702–1709[Abstract/Free Full Text]
  7. Issemann I, Green S 1990 Activation of a member of the steroid hormone receptor superfamily by peroxisome proliferators. Nature 347:645–650[CrossRef][Medline]
  8. Green S, Wahli W 1994 Peroxisome proliferator-activated receptors: finding the orphan a home. Mol Cell Endocrinol 100:149–153[CrossRef][Medline]
  9. Desvergne B, Wahli W 1999 Peroxisome proliferator-activated receptors: nuclear control of metabolism. Endocr Rev 20:649–688[Abstract/Free Full Text]
  10. Lee SS, Pineau T, Drago J, et al. 1995 Targeted disruption of the {alpha} isoform of the peroxisome proliferator-activated receptor gene in mice results in abolishment of the pleiotropic effects of peroxisome proliferators. Mol Cell Biol 15:3012–3022[Abstract]
  11. Thomas PE, Reik LM, Ryan DE, Levin W 1983 Induction of two immunochemically related rat liver cytochrome P-450 isozymes, cytochromes P-450c and P-450d, by structurally diverse xenobiotics. J Biol Chem 258:4590–4598[Abstract/Free Full Text]
  12. Moya-Camarena SY, Belury MA 1999 Species differences in the metabolism and regulation of gene expression by conjugated linoleic acid. Nutr Rev 57:336–340[Medline]
  13. Hofstra AH, King LM, Walker RM 1997 Early effects of CI-924 on hepatic peroxisome proliferation, microsomal enzyme induction, PCNA, and apoptosis in B6C3F1 mice and Wistar rats. Arch Toxicol 71:250–257[Medline]
  14. Schmidt U, Machemer L 1989 Difference between species in response to a 3,5-dichloropyridyloxyphenoxy compound: induction of cytochrome P-450 and/or peroxisome proliferation. Food Addit Contam 6:S41–55
  15. Cayen MN 1985 Disposition, metabolism and pharmacokinetics of antihyperlipidemic agents in laboratory animals and man. Pharmacol Ther 29:157–204[CrossRef][Medline]
  16. Tugwood JD, Holden PR, James NH, Prince RA, Roberts RA 1998 A peroxisome proliferator-activated receptor-{alpha} (PPAR{alpha}) cDNA cloned from guinea-pig liver encodes a protein with similar properties to the mouse PPAR{alpha}: implications for species differences in responses to peroxisome proliferators. Arch Toxicol 72:169–177[CrossRef][Medline]



This article has been cited by other articles:


Home page
Toxicol SciHome page
J. C. Corton and P. J. Lapinskas
Peroxisome Proliferator-Activated Receptors: Mediators of Phthalate Ester-Induced Effects in the Male Reproductive Tract?
Toxicol. Sci., January 1, 2005; 83(1): 4 - 17.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Copyright Permission
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Xu, S.
Right arrow Articles by Conney, A. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Xu, S.
Right arrow Articles by Conney, A. H.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Endocrinology Endocrine Reviews J. Clin. End. & Metab.
Molecular Endocrinology Recent Prog. Horm. Res. All Endocrine Journals