Growth hormone secretion and plasma somatomedin-c in primary hypothyroidism
Abstract
The effect of thyroid hormone deficiency on plasma immunoreactive somatomedin-C concentrations, growth hormone (GH) secretion in response to provocative stimuli, and the plasma somatomedin-C response to exogenous GH was studied in patients with primary hypothyroidism. Plasma Somatomedin-C concentrations were below the 95% confidence interval in 11 of 12 hypothyroid patients (mean +/- SD = 0.27 +/- 0.14 U/ml). With thyroid hormone therapy the mean plasma somatomedin-C level increased four-fold (1.00 +/- 0.43 U/ml). The capacity to secrete GH in response to pharmacological agents was impaired in 3 of the 6 hypothyroid patients tested and normal in the remainder. When the same 6 patients were given a single intramuscular injection of GH (0.1 U/kg) plasma somatomedin-C concentrations increased four-fold by 28 h after the injection. The magnitude of the somatomedin-C response was equal to or greater than that reported for euthyroid GH deficient subjects treated similarly. This study shows that plasma somatomedin-C concentrations are diminished by hypothyroidism. The decreased somatomedin-C levels do not appear to result from resistance to the stimulatory effect of GH, but may be either a result of diminished GH secretion or may be due to direct effects of hypothyroidism upon somatomedin production.
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Hypothyroidism reduces GH secretion and is correlated with a significant decrease in IGF-1 which normalizes following administration of thyroid hormone in both humans and rodents.
“Hypothyroidism reduces GH secretion and is correlated with a significant decrease in IGF-1 which normalizes following the administration of thyroid hormone in both humans and rodents (Chernausek et al., 1983;Feldt-Rasmussen 2007b;Giustina and Wehrenberg, 1995;Tsai and Samuels, 1974).”
From The hypothalamus-pituitary-thyroid (HPT)-axis and its role in physiology and pathophysiology of other hypothalamus-pituitary functions (2021) · cites this paper as Chernausek et al., 1983
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- Authors
- CHERNAUSEK, S. D., UNDERWOOD, L. E., UTIGER, R. D., & VAN WYK, J. J.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- CHERNAUSEK, S. D.
- ORCID
- CHERNAUSEK, S. D.
- Venue
- Clinical Endocrinology
- Publisher
- Wiley
- Published
- 1983-09
- Volume
- 19
- Issue
- 3
- Pages
- 337-344
- ISSN
- 0300-0664 (ISSN-L)
- 1365-2265
- OpenAlex
- W1972209075
- Cited by
- 101
- References
- 29
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 1 · 2016: 1 · 2015: 1 · 2013: 2 · 2012: 2
- FWCI
- 5.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Keywords
- primary hypothyroidism, growth hormone secretion, insulin-like growth factor I, thyroid hormone deficiency, thyroid hormone replacement, growth hormone stimulation test, exogenous growth hormone, growth hormone resistance
- MeSH terms
- Adolescent, Aged, Arginine, Child, Child, Preschool, Female, Humans, Hypothyroidism, Insulin, Insulin-Like Growth Factor I, Male, Middle Aged, Somatomedins, Growth Hormone, Thyroid Hormones, Thyrotropin, Thyroxine
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