DHEA Sulfate Assessment is a clinical diagnostic procedure that measures the circulating concentration of dehydroepiandrosterone sulfate (DHEA-S) in the blood or saliva. DHEA-S is the most abundant circulating adrenal steroid and serves as a key precursor for both androgens and estrogens. Evaluating its level provides a robust, stable biomarker for adrenal gland function, overall adrenal reserve, and the body’s capacity for steroidogenesis.
Origin
The term combines the abbreviation for the steroid molecule, DHEA, with its sulfated form, which has a much longer half-life, making it a reliable measure, and “assessment,” which denotes the clinical measurement process. Its significance in endocrinology arose from its primary production site in the adrenal cortex, making it a valuable, non-pulsatile marker of adrenal androgen production, distinct from gonadal hormones. Levels decline predictably with age, making it a longevity marker.
Mechanism
The assessment mechanism involves quantifying the DHEA-S molecule, which is synthesized from cholesterol in the adrenal cortex and then sulfated to DHEA-S for storage and transport. While DHEA-S itself is largely inert, it can be desulfated back to DHEA and subsequently converted into potent sex steroids like testosterone and estradiol in peripheral tissues. Low levels often reflect age-related decline or adrenal insufficiency, while elevated levels can indicate adrenal hyperplasia or tumors.
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