The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
The plasma sugar, free fatty acid, cortisol, and growth hormone response to insulin, and the comparison of this procedure with other tests of pituitary and adrenal function. II. In patients with hypothalamic or pituitary dysfunction or anorexia nervosa.
Open accessAbstract
The sequence of events that follows the intra-venous injection of insulin has been reviewed ex-tensively by De Bodo and Altszuler (1). A com-plex set of mechanisms normally operates to an-tagonize the action of insulin, thereby limiting the extent to which the blood glucose falls and causing a rapid return to original levels. There is evi-dence that glucocorticoids and growth hormone play an important role as hormonal insulin an-tagonists. Thus both Addison's disease and hypo-pituitarism are known to be associated with in-creased insulin sensitivity, whereas patients with Cushing's syndrome or acromegaly are resistant to its hypoglycemic action (2, 3). The observa-tion that the intravenous injection of insulin into control subjects results in rapid elevations of plasma cortisol (4, 5) and growth hormone (6-9) also supports the possible physiologic importance of these hormones as insulin antagonists. Since the release of these two hormones depends on ade-quate hypothalamic as well as pituitary and adrenal function (5, 7, 10), it was apparent that a rapid test of both the hypothalamo-pituitary-adrenal axis for the secretion of cortisol and the hy-pothalamo-pituitary axis for the secretion of growth hormone could be developed with insulin-induced hypoglycemia as a stimulus. The present paper describes the time sequence of the changes in plasma sugar, free fatty acids (FFA), cortisol, and growth hormone in normal * Submitted for publication September 21, 1965; ac-
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Hypoglycemia: A Potent Stimulus to Secretion of Growth Hormone
Roth, J., Glick, S. M., Yalow, R. S., & Berson, S. A. (1963) · Science · doi:10.1126/science.140.3570.987 · Cited by 668
The Regulation of Growth Hormone Secretion
Lamberts, S. W. J., & Oosterom, R. (2015) · Frontiers of hormone research · doi:10.1159/000411695 · Cited by 439
EFFECT OF GROWTH HORMONE ON PLASMA FATTY ACIDS*
Raben, M. S., & Hollenberg, C. H. (1959) · Journal of Clinical Investigation · doi:10.1172/jci103824 · Cited by 433
Secretion of human growth hormone: physiologic and experimental modification.
Roth, J., GLICK, S. M., Yalow, R. S., & Berson, S. A. (1963) · PubMed · Cited by 432
Greenwood, F. C., Landon, J., & Stamp, T. C. B. (1966) · Journal of Clinical Investigation · doi:10.1172/jci105357 · Cited by 322
Self-citationFRANTZ, A. G., & Rabkin, M. T. (1964) · New England Journal of Medicine · doi:10.1056/nejm196412312712701 · Cited by 284
THE REGULATION OF GROWTH HORMONE SECRETION.
GLICK, S. M., ROTH, J., Yalow, R. S., & BERSON, S. A. (1965) · PubMed · Cited by 200
STUDIES OF INSULIN AND GROWTH HORMONE SECRETION IN HUMAN OBESITY.
Beck, P. A., Koumans, J., Winterling, C. A., Stein, M. F., Daughaday, W. H., & KIPNIS, D. M. (1964) · PubMed · Cited by 177
Effect of Human Growth Hormone on Muscle and Adipose Tissue Metabolism in the Forearm of Man *
Rabinowitz, D., Klassen, G. A., & Zierler, K. L. (1965) · Journal of Clinical Investigation · doi:10.1172/jci105126 · Cited by 156
Immunoassay of Serum Growth Hormone in Acromegalic Patients
Hartog, M., Gaafar, M., Meisser, B., & Fraser, R. (1964) · BMJ · doi:10.1136/bmj.2.5419.1229 · Cited by 156
Flagged first, then by citations
Research works printed but not linked: 4
- [8]8. Langdon, R. G. In Lipide Metabolism, K. E. Bloch, Ed. New York and London, John Wiley, 1960, p. 238.
- [12]12. Mogensen, E. F. Chromopobe adenoma of the pituitary gland. Acta endocr. (Kbh.) 1957, 24, 135.
- [19]19. Spirtos, B. N., W. R. Ingram, E. M. Bogdanove, and N. S. Halmi. Increased insulin sensitivity in rats with hypothalamic lesions, and its interpretation (abstract). J. clin. Endocr. 1954, 14, 790.
- [30]30. Rudman, D., S. J. Brown, and M. F. Malkin. Adipokinetic actions of adrenocorticotropin, thyroid-stimulating hormone, vasopressin, α- and β-melanocytestimulating hormones, fraction H, epinephrine and norepinephrine in the rabbit, guinea pig, hamster, rat, pig and dog. Endocrinology 1963, 72, 527.
Cited by
Sorted by citations
Items 201–262 of 262
Steroid Therapy and the Adrenals
(1975) · The Lancet · doi:10.1016/s0140-6736(75)90903-4 · Cited by 3
IMMUNOREACTIVE GROWTH HORMONE IN ENDEMIC CRETINS IN ECUADOR
Harrison, M. R., FIERRO-BENITEZ, R., Ramirez, I., Refetoff, S., & Stanbury, J. B. (1968) · The Lancet · doi:10.1016/s0140-6736(68)90900-8 · Cited by 3
Pathophysiology of Central Nervous System Regulation of Anterior Pituitary Function
Krieger, D. T. (1973) · Springer eBooks · doi:10.1007/978-1-4684-2670-0_10 · Cited by 3
Jones, B. R., Shao, J., Sanghvi, M., Ayala, A. R., Luo, R., & Wang, J. (2024) · Bioanalysis · doi:10.1080/17576180.2024.2360358 · Cited by 2
ATP, not glucose, is energy currency
Collins, B. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000297 · Cited by 2
Youlton, R., Riesco, J., Litvak, J., & Zlatar, N. (1972) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/25.11.1179 · Cited by 2
“To make the issue more controversial, normal or increased SGH concentration has been found in adults with anorexia nervosa ( 23 ).”
BackgroundThe Diagnosis of Adult Growth Hormone Deficiency
Hoffman, D., & Ho, K. K. Y. (1999) · Endocrine updates · doi:10.1007/978-1-4615-5163-8_7 · Cited by 2
A review of neuroendocrinology, 1966-67.
Brodish, A. (1968) · PubMed Central · Cited by 2
Wright, A. D., Fraser, R., & Joplin, G. F. (1966) · Proceedings of the Royal Society of Medicine · doi:10.1177/003591576605901222 · Cited by 2
TAITZ, L. S. (1967) · The Lancet · doi:10.1016/s0140-6736(67)90593-4 · Cited by 2
Waldbillig, R. J. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000467 · Cited by 2
The neuroendocrine lipostat is not confined to the ventromedial hypothalamus
Borer, K. T. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000273 · Cited by 2
Raij, K., Perheentupa, J., & Härkönen, M. (1977) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.3109/00365517709101854 · Cited by 2
Preprandial hypoglycemia and hypothalamic chauvinism
Ritter, R. C. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000406 · Cited by 2
Feeding patterns and their control mechanisms
de Castro, J. M. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000315 · Cited by 2
Aspects of diagnosis and treatment of hypopituitarism in adult life
Nyström, H. F. (2009) · Gothenburg University Publications Electronic Archive (Gothenburg University) · Cited by 2
Feeding behaviour: Caused by, or just correlated with, physiology?
Rowland, N. E. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000418 · Cited by 2
Hypothalamic-pituitary-adrenal response to different tests in type 1 diabetes mellitus
Almqvist, E. G. (2001) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.1080/003655101753218328 · Cited by 2
Bulimia is more than a form of hyperphagia
Casper, R. C., & Schlemmer, R. F. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000285 · Cited by 2
Endocrinological Studies of Anorexia Nervosa in Contrast with Simple Obesity
Kato, H., Nakao, K., Morimoto, Y., Hanasaki, N., Miyatake, A., Noma, K., Yano, S., & Yamamura, Y. (1976) · Folia Endocrinologica Japonica · doi:10.1507/endocrine1927.52.5_603 · Cited by 2
Nieschlag, E., Wombacher, H., Kroeger, F. J., & Overzier, C. (1971) · Journal of Molecular Medicine · doi:10.1007/bf01487590 · Cited by 2
Control of Growth-hormone Secretion in Health and Disease
(1969) · The Lancet · doi:10.1016/s0140-6736(69)91096-4 · Cited by 2
The Assay of Human Growth Hormone and its Clinical Application
Boucher, B. J. (1972) · Elsevier eBooks · doi:10.1016/b978-0-433-20340-7.50008-8 · Cited by 2
The study of feeding behavior is “physiology”
Magnen, J. L. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000479 · Cited by 1
Basal serum cortisol as a predictor for adrenal reserve in children with adrenal insufficiency
Rienmanee, N., & Wacharasindhu, S. (2010) · Asian Biomedicine · doi:10.5372/955 · Cited by 1
Armstrong, S. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000248 · Cited by 1
Venkatesh, B., & Cohen, J. (2016) · Springer eBooks · doi:10.1007/978-3-319-19668-8_37 · Cited by 1
Komatsu, F. (1973) · Pediatrics International · doi:10.1111/j.1442-200x.1973.tb02908.x · Cited by 1
Endocrinologic Sequelae of Anorexia Nervosa and Obesity
Fleischman, A., & Gordon, C. M. (2018) · Springer eBooks · doi:10.1007/978-3-319-73782-9_12 · Cited by 1
Venkatesh, B., & Cohen, J. (2009) · Springer eBooks · doi:10.1007/978-0-387-77893-8_36 · Cited by 1
Linee guida per la diagnosi del deficit di ormone della crescita
Bernasconi, S., Camanni, F., Cavagnini, F., Luca, F. D., Faglia, G., Giordano, G., Lombardi, G., & Tatò, L. (2000) · L Endocrinologo · doi:10.1007/bf03344375 · Cited by 1
Feeding behavior and glucose homeostasis in male rats
Vigersky, R. A. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000455 · Cited by 1
Booth, D. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000261 · Cited by 1
Relationship of hypothalamic obesity to hyperinsulinemia
King, B. M. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000352 · Cited by 1
Yuen, K. C. J., Amin, R., Cook, M. B., Rhoads, S. A., & Cook, D. M. (2008) · Hormone Research in Paediatrics · doi:10.1159/000113024 · Cited by 1
“between cell types such as adipocytes and hepatocytes may all be important contributing factors in explaining the differing effects of LPI as compared with RGI during the ITT.In this study, relatively low LPI and RGI doses were used (table 1 ). Although the LPI group became briefly symptomatic, more so than the RGI gr…”
MethodInsulin hypoglycaemia test guided by a glucose controlled insulin infusion system
Müller-Esch, G., Ball, P., Heidbüchel, K., Wood, W. G., & Scriba, P. C. (1984) · European Journal of Endocrinology · doi:10.1530/acta.0.1060350 · Cited by 1
How Low can you Go? Chronic Hypoglycemia versus Normal Glucose Homeostasis
Sood, V., Costello, B. A., & Burge, M. R. (2001) · Journal of Investigative Medicine · doi:10.2310/6650.2001.34048 · Cited by 1
On medial hypothalamic control of feeding
Panksepp, J. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000388 · Cited by 1
Factors in the control of food intake
Stricker, E. M. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00000431 · Cited by 1
Endocrine Changes in Psychiatric Illness
Checkley, S. A. (1982) · Elsevier eBooks · doi:10.1016/b978-0-12-093602-1.50012-8 · Cited by 1
Overview of Growth Hormone and IGF-I Effects on Intermediary Metabolism and Bone
Melmed, S. K. (1995) · Springer eBooks · doi:10.1007/978-1-4612-0807-5_16
“In their classic paper Landon and his colleagues demonstrated that 25/29 hypopituitary patients had a GH response of 3 ) (Table 16.2).”
BackgroundInfluentialCompetitive protein-binding radioassays in the diagnosis of endocrine disorders.
Murphy, B. E. P. (1972) · PubMed Central
Endocrinologic Sequelae of Anorexia Nervosa
Topor, L. S., Gordon, C. M., & Grace, E. (2013) · Humana Press eBooks · doi:10.1007/978-1-60761-395-4_11
The Problem of Anorexia Nervosa: Psychobiological Considerations
Weiner, H. (1982) · Springer eBooks · doi:10.1007/978-94-011-7289-9_9
Depletion, repletion, and feeding by rats
Peck, J. W. (1981) · Behavioral and Brain Sciences · doi:10.1017/s0140525x0000039x
Anorexia nervosa with transient hypopituitarism
Heremans, G., Jc, W., & van Gelderen, H. H. (1975) · European Journal of Pediatrics · doi:10.1007/bf00445027
Altered Prolactin Response in Anorexia Nervosa
Toifl, K., Waldhauser, F., & Spona, J. (1985) · Springer eBooks · doi:10.1007/978-1-4615-9367-6_16
Evaluation of the hypothalamo-pituitary-adrenal axis: the insulin tolerance test and beyond.
Thomas, N. (1998) · PubMed
Hypothalamic-Pituitary Failure after Radiotherapy for Tumors of the Head and Neck
Samaan, N. A. (1990) · Advances in radiation biology · doi:10.1016/b978-0-12-035414-6.50008-0
Reisert, P. M., Feurle, G. E., Bushe, K.-A., König, A., Emrich, D., & Köbberling, J. (1971) · Springer eBooks · doi:10.1007/978-3-7091-4157-1_72
Pichler, E. M., Rath, F., & Waldhäusl, W. K. (1972) · PubMed
Franchimont, P. (1970) · Elsevier eBooks · doi:10.1016/b978-0-08-015685-9.50006-4
Hormone Deficiency Syndromes of the Hypothalamic-Pituitary Axis
Polu, S., Sarmiento-Ramon, J. C., Haque, N., & Karam, S. (2020) · Contemporary Endocrinology · doi:10.1007/978-3-030-62187-2_11
Schulte, H. M., Chrousos, G. P., REINWEIN, D., Loriaux, D. L., Achenbach, K., Oelkers, W., Kley, H. K., Stremmel, W., Niederau, C., Hehrmann, R., et al. (1984) · Verhandlungen der Deutschen Gesellschaft für Innere Medizin · doi:10.1007/978-3-642-85457-6_20
(1989) · Elsevier eBooks · doi:10.1016/b978-0-12-510310-7.50013-2
Blutglucose, Wachstumshormon und Plasma-11-Hydroxycorticosteroid-Untersuchungen nach Insulingabe
Pichler, E., Rath, F., & Waldh�usl, W. K. (1972) · European Journal of Pediatrics · doi:10.1007/bf00491966
Pituitary Hormonal Disturbances in Aneurysmal Subarachnoid Hemorrhage
de Moura, J. C., de Azevedo, H. R. C., Valênça, M. M., Vidal, C. H. F., de Moura, S. M., & Rodrigues, M. D. S. (2023) · Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery · doi:10.1055/s-0043-1769782
Déficit de hormona de crecimiento en el adulto
Rosero, M. E. P., Mejía, A. F., & Abreu-Lomba, A. (2024) · Interdisciplinary Journal of Epidemiology and Public Health · doi:10.18041/2665-427x/ijeph.1.10228
Endocrinologic Sequelae of Anorexia Nervosa and Obesity
Sisley, S. R., Gordon, C. M., & Sonabend, R. (2024) · Springer eBooks · doi:10.1007/978-3-031-66296-6_33
Thermal vests help patients with anorexia nervosa to cope with mealtime anxiety
Carrera, O., Álvarez, C., Castro, J. A. M., & Gutiérrez, E. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01324-9
“…reduction in corticosterone blood levels of heated rats up to a fifth of the level found in ABA animals at a standard AT of 21 °C [13], which again provides a plausible explanation for the anxiolytic effect of warming given the elevated cortisol levels associated with anxiety in AN [34], [35].”
Ruiz, M., Rodado, J., del Moral, P. S., Pagán, G., & Barcía, D. (1997) · Psiquiatria.com
Latva‐Rasku, A., Pak, K., Rebelos, E., Honka, M., Dadson, P., Koffert, J., Tuisku, J., Pekkarinen, L., Laurila, S., Hieta, J., et al. (2026) · Physiological Reports · doi:10.14814/phy2.71142
“In addition to low insulin levels and relative hypercortisolism (Thavaraputta et al., 2023), individuals with AN typically present elevated GH levels (Landon et al., 1966), but they also develop resistance to GH action, resulting in decreased IGF-1 levels, which can contribute to insulin resistance.”
Metadata
- Authors
- Landon, J., Greenwood, F. C., Stamp, T. C., & Wynn, V
- Affiliations
- St Mary's Hospital (GB)
- Venue
- Journal of Clinical Investigation
- Published
- 1966-04-01
- Volume
- 45
- Issue
- 4
- Pages
- 437-449
- ISSN
- 0021-9738 (ISSN-L)
- PMC
- PMC292718
- OpenAlex
- W1972114216
- Cited by
- 262
- References
- 34
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 4 · 2013: 2 · 2012: 2
- FWCI
- 17.54
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- insulin-induced hypoglycemia, insulin tolerance test, plasma glucose, free fatty acids, cortisol, growth hormone, hypothalamic dysfunction, pituitary dysfunction, anorexia nervosa, hypothalamic-pituitary-adrenal axis, hypothalamic-pituitary axis, insulin antagonists, Addison's disease, Cushing's syndrome, acromegaly
- MeSH terms
- Acromegaly, Adenoma, Chromophobe, Adolescent, Adrenal Glands, Adult, Aged, Anorexia Nervosa, Blood, Blood Glucose, Craniopharyngioma, Fatty Acids, Female, Humans, Hydrocortisone, Hypopituitarism, Hypothalamo-Hypophyseal System, Insulin, Lipids, Male, Middle Aged, Pituitary Function Tests, Pituitary-Adrenal Function Tests, Pregnancy, Puerperal Disorders, Growth Hormone
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review