Chong Lung-wun. / Thesis (M.Sc.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (leaves 49-58). / Abstracts in English and Chinese. / Acknowledgement --- p.1 / Contents --- p.2 / Abstract --- p.4 / Chapter I. --- Introduction --- p.6 / Chapter 1. --- Nitrate therapy for angina patients --- p.7 / Chapter 1.1 --- The mode of action of nitrates --- p.8 / Chapter 1.2 --- Hypotheses for the nitrate tolerance --- p.9 / Chapter 1.2.1 --- The Sulfhydryl depletion hypothesis --- p.9 / Chapter 1.2.2 --- Neurohormonal hypothesis --- p.10 / Chapter 1.2.3 --- Plasma volumc expansion hypothesis --- p.10 / Chapter 1.2.4 --- Free-radical hypothesis --- p.11 / Chapter 2. --- Testosterone therapy for angina patients --- p.12 / Chapter 3. --- Nitric Oxide and Steroidogenesis --- p.13 / Chapter II. --- Materials and Methods --- p.14 / Chapter 1. --- Subjects --- p.14 / Chapter 2. --- Method for measuring nitrite and nitrate in plasma --- p.16 / Chapter 3. --- Method for the determination of total and free testosterone in blood --- p.24 / Chapter 3.1 --- Reagent preparation --- p.24 / Chapter 3.2 --- Assay procedure for total testosterone --- p.28 / Chapter 3.3 --- Assay procedure for free testosterone --- p.29 / Chapter 3.4 --- Determination of working antiserum for free testosterone assay --- p.30 / Chapter 4. --- Method for the determination of serum Cortisol --- p.31 / Chapter III. --- Result --- p.33 / Chapter 1. --- Summary of nitric oxide assay performance --- p.33 / Chapter 2. --- Summary of total testosterone assay performance --- p.34 / Chapter 3. --- Summary of free testosterone assay performance --- p.34 / Chapter 4. --- Data analysis --- p.35 / Chapter IV. --- Discussion --- p.43 / Chapter V. --- Conclusion --- p.47 / Chapter VI. --- References --- p.49

A deficiência androgênica acomete um percentual de homens idosos ainda não bem definido na literatura. São usados parâmetros séricos hormonais de homens jovens, e apesar disto, a terapia de reposição da testosterona vem sendo defendida e utilizada largamente por muitos autores. Várias vias de reposição são usadas tentando simular o ciclo fisiológico de produção das testosteronas. Parece que a transdérmica é a que mais se aproxima do ideal. A relação câncer de próstata e testosterona é pouco compreendida. O receio do estímulo de um câncer oculto pela terapia de reposição não foi devidamente afastado. O tratamento deve ser instituído quando o quadro clínico e laboratorial for evidente. / The androgenic deficiency attacks a percentage of elderly men not well defined in literature yet. Hormonal serum parameters of young men are used and, in spite of that, the testosterone replacement therapy has been widely supported and used by many authors. Various ways of replacement are used trying to simulate the physiological cycle of the testosterone production. It seems that the transdermic is the one closest to the ideal. The relation of prostate cancer and testosterone is little understood. The fear of the stimulation of a concealed cancer by the replacement therapy has not been properly eliminated. The treatment should be indicated when the clinical and laboratorial was defined.