The Acute Effects of Human Growth Hormone Administration on Thyroid Function in Normal Men*
Abstract
GH replacement therapy may lead to alterations in serum TSH and/or thyroid hormone values in GH-deficient patients, but there is no consensus on the explanation for these changes. We examined the effect of GH administration (0.125 mg, sc, daily for 4 days) on thyroid function in 20 normal men. Serum T4 levels decreased by 8%, and serum free T4 index values decreased by 5%. In contrast, serum T3 levels increased by 21%; serum rT3 did not change. These changes were accompanied by a 54% decrease in the mean serum TSH level. While it is not possible to draw conclusions about hormone production and disposal rates from changes in serum levels, these data are most consistent with enhanced extrathyroidal (including intrapituitary) conversion of T4 to T3 and a compensatory decrease in TSH secretion.
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GH replacement in GH-deficient subjects decreases serum T4 and rT3 and increases serum T3, suggesting GH and/or IGF-1 stimulates peripheral deiodination of T4.
“Growth hormone (GH) replacement therapy in GH-deficient subjects decreases serum T4 and rT3 levels, with a concomitant rise in serum T3 levels (196, 197). This suggests a stimulatory effect of GH and/or insulin-like growth factor 1 on the peripheral deiodination of T4.”
From Guidelines for the Treatment of Hypothyroidism: Prepared by the American Thyroid Association Task Force on Thyroid Hormone Replacement (2014) · cites this paper as [197]
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The interaction between growth hormone and the thyroid axis
Behan, L., & Agha, A. (2010)
- Authors
- GRUNFELD, C., SHERMAN, B. M., & CAVALIERI, R. R.
- Affiliations
- San Francisco VA Medical Center (US)
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 1988-11
- Volume
- 67
- Issue
- 5
- Pages
- 1111-1114
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2131223501
- Cited by
- 108
- References
- 9
- Citations by year
- 2026: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (DK37102)
- 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 › Hormonal and reproductive studies
- Keywords
- human growth hormone, thyroid function, thyroid-stimulating hormone, free thyroxine, triiodothyronine, reverse T3, T4 to T3 conversion, normal men
- MeSH terms
- Adult, Humans, Male, Recombinant Proteins, Growth Hormone, Thyroid Function Tests, Thyroid Gland, Thyrotropin, Thyroxine, Triiodothyronine
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