Minipuberty of human infancy - A window of opportunity to evaluate hypogonadism and differences of sex development?
- PMID: 32615687
- PMCID: PMC7336259
- DOI: 10.6065/apem.2040094.047
Minipuberty of human infancy - A window of opportunity to evaluate hypogonadism and differences of sex development?
Abstract
Activation of the hypothalamic-pituitary-gonadal (HPG) axis happens in 3 phases during life. The first phase is during fetal life and is only separated from the second phase, called minipuberty, by the high concentration of placental hormones at birth. The third period of activation of the HPG axis is puberty and is well-described. Minipuberty consists of the neonatal activation of the HPG axis, mainly in the first 1-6 months, where the resulting high levels of gonadotropins and sex steroids induce the maturation of sexual organs in both sexes. With gonadal activation, testosterone levels rise in boys with peak levels after 1-3 months, which results in penile and testicular growth. In girls, gonadal activation leads to follicular maturation and a fluctuating increase in estrogen levels, with more controversy regarding the actual influence on the target tissue. The regulation of the HPG axis is complex, involving many biological and environmental factors. Only a few of these have known effects. Many details of this complex interaction of factors remain to be elucidated in order to understand the mechanisms underlying the first postnatal activation of the HPG axis as well as mechanisms shutting down the HPG axis, resulting in the hormonal quiescence observed between minipuberty and puberty. Minipuberty allows for the maturation of sexual organs and forms a platform for future fertility, but the long-term significance is still not absolutely clear. However, it provides a window of opportunity in the early detection of differences of sexual development, offering the possibility of initiating early medical treatment in some cases.
Keywords: Testosterone; Window of opportunity; Minipuberty.
Conflict of interest statement
No potential conflict of interest relevant to this article was reported.
Figures
![Fig. 1.](https://cdn.statically.io/img/www.ncbi.nlm.nih.gov/pmc/articles/instance/7336259/bin/apem-2040094-047f1.gif)
Similar articles
-
Minipuberty: Looking Back to Understand Moving Forward.Front Pediatr. 2021 Jan 18;8:612235. doi: 10.3389/fped.2020.612235. eCollection 2020. Front Pediatr. 2021. PMID: 33537266 Free PMC article. Review.
-
Ontogeny of Hypothalamus-Pituitary Gonadal Axis and Minipuberty: An Ongoing Debate?Front Endocrinol (Lausanne). 2020 Apr 7;11:187. doi: 10.3389/fendo.2020.00187. eCollection 2020. Front Endocrinol (Lausanne). 2020. PMID: 32318025 Free PMC article. Review.
-
Postnatal Testicular Activity in Healthy Boys and Boys With Cryptorchidism.Front Endocrinol (Lausanne). 2019 Jul 23;10:489. doi: 10.3389/fendo.2019.00489. eCollection 2019. Front Endocrinol (Lausanne). 2019. PMID: 31396156 Free PMC article. Review.
-
Up-To-Date Review About Minipuberty and Overview on Hypothalamic-Pituitary-Gonadal Axis Activation in Fetal and Neonatal Life.Front Endocrinol (Lausanne). 2018 Jul 23;9:410. doi: 10.3389/fendo.2018.00410. eCollection 2018. Front Endocrinol (Lausanne). 2018. PMID: 30093882 Free PMC article. Review.
-
Activation of the hypothalamic-pituitary-gonadal axis in infancy: minipuberty.Horm Res Paediatr. 2014;82(2):73-80. doi: 10.1159/000362414. Epub 2014 Jul 5. Horm Res Paediatr. 2014. PMID: 25012863 Review.
Cited by
-
Concurrence of anemia and stunting and associated factors among children aged 6 to 59 months in Peru.PLOS Glob Public Health. 2024 Apr 2;4(4):e0002914. doi: 10.1371/journal.pgph.0002914. eCollection 2024. PLOS Glob Public Health. 2024. PMID: 38564615 Free PMC article.
-
Illuminating the terminal nerve: Uncovering the link between GnRH-1 neuron and olfactory development.J Comp Neurol. 2024 Mar;532(3):e25599. doi: 10.1002/cne.25599. J Comp Neurol. 2024. PMID: 38488687
-
[Hormonal and genetic causes of cryptorchidism].Probl Endokrinol (Mosk). 2023 Nov 12;69(5):99-106. doi: 10.14341/probl13242. Probl Endokrinol (Mosk). 2023. PMID: 37968957 Free PMC article. Russian.
-
Associations of Exposure to Air Pollution during the Male Programming Window and Mini-Puberty with Anogenital Distance and Penile Width at Birth and at 1 Year of Age in the Multicenter U.S. TIDES Cohort.Environ Health Perspect. 2023 Nov;131(11):117001. doi: 10.1289/EHP12627. Epub 2023 Nov 15. Environ Health Perspect. 2023. PMID: 37966231 Free PMC article.
-
Multilevel analysis of trends and predictors of concurrent wasting and stunting among children 6-59 months in Ethiopia from 2000 to 2019.Front Nutr. 2023 Sep 1;10:1073200. doi: 10.3389/fnut.2023.1073200. eCollection 2023. Front Nutr. 2023. PMID: 37720379 Free PMC article.
References
-
- Aksglaede L, Sørensen K, Petersen JH, Skakkebaek NE, Juul A. Recent decline in age at breast development: the Copenhagen Puberty Study. Pediatrics. 2009;123:e932–9. - PubMed
-
- Sørensen K, Aksglaede L, Petersen JH, Juul A. Recent changes in pubertal timing in healthy Danish boys: associations with body mass index. J Clin Endocrinol Metab. 2010;95:263–70. - PubMed
-
- Winter JS. Hypothalamic--pituitary function in the fetus and infant. Clin Endocrinol Metab. 1982;11:41–55. - PubMed
-
- Massa G, de Zegher F, Vanderschueren-Lodeweyckx M. Serum levels of immunoreactive inhibin, FSH, and LH in human infants at preterm and term birth. Biol Neonate. 1992;61:150–5. - PubMed
LinkOut - more resources
Full Text Sources