INHIBITORY EFFECT OF SOMATOSTATIN ON ABNORMAL GH RESPONSE TO TRH IN PRIMARY HYPOTHYROIDISM

被引:5
作者
BALDINI, M [1 ]
CATANIA, A [1 ]
ORSATTI, A [1 ]
MANFREDI, MG [1 ]
MOTTA, P [1 ]
CANTALAMESSA, L [1 ]
机构
[1] UNIV MILAN,CATTEDRA SEMIOT MED 1,I-20122 MILAN,ITALY
来源
EXPERIMENTAL AND CLINICAL ENDOCRINOLOGY | 1992年 / 99卷 / 02期
关键词
SOMATOSTATIN; GH; TRH; PRIMARY HYPOTHYROIDISM;
D O I
10.1055/s-0029-1211140
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Thyrotropin releasing hormone (TRH) does not promote GH secretion in normal subjects but it stimulates GH in a proportion of hypothyroid patients. In this study the response of GH to thyrotropin releasing hormone (TRH) was evaluated in 21 patients with primary hypothyroidism of different origin: 12 with autoimmune thyroiditis, 3 idiopathic, 3 congenital, 3 iatrogenic. 11 of these patients had never been treated, the others were tested after a drug-free period of at least two weeks. Basal plasma concentration of GH was normal in all patients; after TRH administration. a significant increase in plasma GH was observed in 4 patients. In these responsive patients, somatostatin infusion inhibited the abnormal GH response to TRH. It is suggested that the abnormal GH response to TRH in primary hypothyroidism might be caused by a relative deficiency of somatostatinergic control, which is corrected by exogenous somatostatin administration.
引用
收藏
页码:80 / 83
页数:4
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