Evidence for an extra-renal origin of urinary prostaglandin E2 in healthy men

In order to verify the validity of the assumption that male urinary Prostaglandin (PG) E₂ reflects its renal production, PGE₂ and PGF_2α concentrations were measured by radioimmunoassay in the renal venous plasma (RVP) and urine (U) of 12 male and 4 female healthy volunteers. While women had a similar PGE₂/PGF_2α ratio in RVP (0.59 ± 0.18) and U (0.41 ± 0.06), men had a significantly (p< 0.05) higher ratio in U (1.43 ± 1.72) as compared to RVP (0.54 ± 0.16). This was largely due to considerably higher and more variable U-PGE₂ concentrations (roughly 6 times higher than female values), despite almost identical RVP levels. The possibility of an increased U excretion of a cross-reacting member of the PG-system, as a cuase of such apparently high PGE₂-like immunoreactivity (LI), was ruled out by TLC characterization of PGE₂-LI with three different anti-PGE₂ sera. Thus, male U-PGE₂ may variably reflect an extra-renal source, such as contamination with trace amounts of seminal fluid. It is concluded that, unless such a contamination can be monitored and corrected for, measurement of male U-PGE₂ should be considered of questionable relevance to renal PG-synthesis.