دورية أكاديمية
Effects of ghrelin, GH-releasing peptide-6 (GHRP-6) and GHRH on GH, ACTH and cortisol release in hyperthyroidism before and after treatment.
العنوان: | Effects of ghrelin, GH-releasing peptide-6 (GHRP-6) and GHRH on GH, ACTH and cortisol release in hyperthyroidism before and after treatment. |
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المؤلفون: | Molica P; Division of Endocrinology, Universidade Federal de São Paulo, UNIFESP-EPM, Rua Pedro de Toledo 910, 04039-002, São Paulo, Brazil. patmolica@gmail.com, Nascif SO, Correa-Silva SR, de Sá LB, Vieira JG, Lengyel AM |
المصدر: | Pituitary [Pituitary] 2010 Dec; Vol. 13 (4), pp. 315-23. |
نوع المنشور: | Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: Kluwer Academic Publishers Country of Publication: United States NLM ID: 9814578 Publication Model: Print Cited Medium: Internet ISSN: 1573-7403 (Electronic) Linking ISSN: 1386341X NLM ISO Abbreviation: Pituitary Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Norwell, MA : Kluwer Academic Publishers, 1998- |
مواضيع طبية MeSH: | Adrenocorticotropic Hormone/*blood , Ghrelin/*therapeutic use , Growth Hormone/*blood , Growth Hormone-Releasing Hormone/*therapeutic use , Hydrocortisone/*blood , Oligopeptides/*therapeutic use , Thyrotoxicosis/*drug therapy, Adult ; Anti-Inflammatory Agents/therapeutic use ; Female ; Hormones/therapeutic use ; Humans ; Male ; Thyrotoxicosis/blood |
مستخلص: | In thyrotoxicosis GH responses to stimuli are diminished and the hypothalamic-pituitary-adrenal axis is hyperactive. There are no data on ghrelin or GHRP-6-induced GH, ACTH and cortisol release in treated hyperthyroidism. We, therefore, evaluated these responses in 10 thyrotoxic patients before treatment and in 7 of them after treatment. GHRH-induced GH release was also studied. Peak GH (μg/L; mean ± SE) values after ghrelin (22.6 ± 3.9), GHRP-6 (13.8 ± 2.3) and GHRH (4.9 ± 0.9) were lower in hyperthyroidism before treatment compared to controls (ghrelin: 67.6 ± 19.3; GHRP-6: 25.4 ± 2.7; GHRH: 12.2 ± 2.8) and did not change after 6 months of euthyroidism (ghrelin: 32.7 ± 4.7; GHRP-6: 15.6 ± 3.6; GHRH: 7.4 ± 2.3), although GH responses to all peptides increased in ~50% of the patients. In thyrotoxicosis before treatment ACTH response to ghrelin was two fold higher (107.4 ± 26.3) than those of controls (54.9 ± 10.3), although not significantly. ACTH response to GHRP-6 was similar in both groups (hyperthyroid: 44.7 ± 9.0; controls: 31.3 ± 7.9). There was a trend to a decreased ACTH response to ghrelin after 3 months of euthyroidism (35.6 ± 5.3; P = 0.052), but after 6 months this decrease was non-significant (50.7 ± 14.0). After 3 months ACTH response to GHRP-6 decreased significantly (20.4 ± 4.2), with no further changes. In hyperthyroidism before treatment, peak cortisol (μg/dL) responses to ghrelin (18.2 ± 1.2) and GHRP-6 (15.9 ± 1.4) were comparable to controls (ghrelin: 16.4 ± 1.6; GHRP-6: 13.5 ± 0.9) and no changes were seen after treatment. Our results suggest that the pathways of GH release after ghrelin/GHRP-6 and GHRH are similarly affected by thyroid hormone excess and hypothalamic mechanisms of ACTH release modulated by ghrelin/GHSs may be activated in this situation. |
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المشرفين على المادة: | 0 (Anti-Inflammatory Agents) 0 (Ghrelin) 0 (Hormones) 0 (Oligopeptides) 4H7N4I6X6A (growth hormone releasing hexapeptide) 9002-60-2 (Adrenocorticotropic Hormone) 9002-72-6 (Growth Hormone) 9034-39-3 (Growth Hormone-Releasing Hormone) WI4X0X7BPJ (Hydrocortisone) |
تواريخ الأحداث: | Date Created: 20100706 Date Completed: 20110207 Latest Revision: 20211020 |
رمز التحديث: | 20221213 |
DOI: | 10.1007/s11102-010-0238-3 |
PMID: | 20602173 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1573-7403 |
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DOI: | 10.1007/s11102-010-0238-3 |