Mortimer B. Lipsett – författare

During the past decade we have witnessed a revolution in analytical methods. The development of vapor phase chromatography for the separation and analysis of classes of substances ranging from metals and gases to a wide variety of organic materials has been one of the most exciting of these new techniques. Gas-liquid chromatography for the measurement of steroids is particularly significant for endocrinologists and reports during the past several years have demonstrated its usefulness. Because of the growing interest in this method, a committee of the Endocrinology Study Section composed of Drs. R. M. Dodson, Seymour Lieberman, Hilton A. Salhanick, and Ralph E. Peterson, felt that the time was propitious to hold this Workshop and it is on their behalf that I welcome you. We hope to obtain enough data during these sessions so that those attending this conference and those who may read the proceedings will be able to make an informed judgement about the usefulness of gas-liquid chromatography for the analysis of steroids in biological fluids. Thus, I hope that there will be adequate documentation of the reliability of the methods as well as a comparison of the advantages and disadvantages of this analytical method with other classical methods. If we can do this, this Workshop will provide a significant base of practical considerations about gas chromatographic analytic techniques. I would like to thank Drs. T. F. Gallagher, H. Wilson, H. Salhanick and L. Engel for agreeing to serve as Chairmen of the sessions.

During the past decade we have witnessed a revolution in analytical methods. The development of vapor phase chromatography for the separation and analysis of classes of substances ranging from metals and gases to a wide variety of organic materials has been one of the most exciting of these new techniques. Gas-liquid chromatography for the measurement of steroids is particularly significant for endocrinologists and reports during the past several years have demonstrated its usefulness. Because of the growing interest in this method, a committee of the Endocrinology Study Section composed of Drs. R. M. Dodson, Seymour Lieberman, Hilton A. Salhanick, and Ralph E. Peterson, felt that the time was propitious to hold this Workshop and it is on their behalf that I welcome you. We hope to obtain enough data during these sessions so that those attending this conference and those who may read the proceedings will be able to make an informed judgement about the usefulness of gas-liquid chromatography for the analysis of steroids in biological fluids. Thus, I hope that there will be adequate documentation of the reliability of the methods as well as a comparison of the advantages and disadvantages of this analytical method with other classical methods. If we can do this, this Workshop will provide a significant base of practical considerations about gas chromatographic analytic techniques. I would like to thank Drs. T. F. Gallagher, H. Wilson, H. Salhanick and L. Engel for agreeing to serve as Chairmen of the sessions.

This volume represents the first attempt to present in one place the clinical syndromes and the pathophysiologic basis for the "resistance states" to each of the classes of steroid hormones. Glucocorticoids, mineralocorticoids, androgens, estrogens, progesterone and vitamin D have widely diverse roles ranging from the control of homeostasis to reproduction and bone formation. They are similar in that they share a chemical structure and that their action is in the cell nucleus where they induce transcription of specific genes leading to synthesis of function-specific proteins. Clinical syndromes of steroid hormone resistance to androgens (complete and partial testicular feminization), aldosterone (pseudo­ hypoaldosteronism) and vitamin D (vitamin D-dependent rickets type II) have been known for many years. Progesterone and glucocorticoid resistance syndromes have been described only recently. Resistance to estrogens has not been reported in man or in animals. It is hoped that a detailed reexamination of what is known about each of these conditions at the clinical and molecular levels will enhance our understanding of the function of these hormones and their mechanisms of action. New insight and research initiatives should result. G.P. Chrousos D.L. Loriaus M.B. Lipsett vii ACKNOWLEDGMENTS The contents of this volume are based in part on the proceedings of an International Conference held in Bethesda in the summer of 1984. This conference was sponsored by the National Institute of Child Health and Human Development, Bethesda, Maryland.