title: Investigation of the salivary 18-hydroxycorticosterone:aldosterone ratio in man using a direct assay.
abstract: A method for the direct determination of 18-hydroxycorticosterone (18OHB) in human saliva has been developed and validated. Saliva was collected at 30 min and 1 h intervals between 0600 and 2200 h from healthy men and women for the determination of 18OHB (SHB), aldosterone (SA) and glucocorticoids (SGC = cortisol + cortisone). SHB was highly correlated with SA (r = 0.75; P less than 0.001) but even more highly with SGC (r = 0.89; P greater than 0.001). Multiple regression analysis confirmed that SGC was a more important determinant of SHB than was SA. Though the concentrations of 18OHB and aldosterone were highly correlated there was considerable variation in the 18OHB:aldosterone ratio during the period of saliva collection. This ratio tended to be highest in the morning and lowest in the evening and was weakly correlated with SGC level (r = 0.62; P less than 0.01). The 18OHB:aldosterone ratio in saliva approximates to, and is highly correlated with, that in plasma. We suggest that the fluctuations in SHB:SA ratio correspond to the relative rates of secretion of 18OHB and aldosterone and that this ratio is modulated either by ACTH or by cortisol. Whether this indicates that 18OHB is a by-product of glucocorticoid as well as aldosterone metabolism, or whether this implies a separate physiological role for the steroid remains to be clarified.
authors.affiliation: Cardiovascular Research Unit, Hammersmith Hospital, London, England.
authors.forename: J S
authors.initials: JS
authors.lastname: Kooner
authors.forename: J D
authors.initials: JD
authors.lastname: Few
authors.forename: C Y
authors.initials: CY
authors.lastname: Lee
authors.forename: G M
authors.initials: GM
authors.lastname: Taylor
authors.forename: V H
authors.initials: VH
authors.lastname: James
mesh_terms: D015069:18-Hydroxycorticosterone / Q000032:analysis*; D000328:Adult; D000450:Aldosterone / Q000032:analysis*; D005260:Female; D005938:Glucocorticoids / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D012016:Reference Values; D012463:Saliva / Q000737:chemistry*
chemical_list: D005938:Glucocorticoids; D000450:Aldosterone; D015069:18-Hydroxycorticosterone