Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Foreword
- Part I Introduction
- Part II Diagnostic and Clinical aspects
- Part III Growth hormone replacement therapy in adults with growth hormone deficiency
- 8 The effect of growth hormone on protein metabolism
- 9 Growth hormone deficiency, insulin resistance and glucose metabolism
- 10 Growth hormone and body composition
- 11 Effects of growth hormone on human fluid homeostasis
- 12 Growth hormone and cardiac function
- 13 Growth hormone and cardiovascular risk factors
- 14 Growth hormone (GH), exercise performance, muscle strength and sweat production in healthy subjects and in adults with GH deficiency
- 15 Growth hormone and bone and mineral metabolism
- 16 Growth hormone and thyroid function and energy expenditure
- 17 Growth hormone and psychosocial and central nervous effects
- 18 Impact of gender and age on growth hormone responsiveness
- Part IV Growth hormone, growth-hormone releasing peptides and ageing
- Index
16 - Growth hormone and thyroid function and energy expenditure
from Part III - Growth hormone replacement therapy in adults with growth hormone deficiency
Published online by Cambridge University Press: 08 January 2010
- Frontmatter
- Contents
- List of contributors
- Preface
- Foreword
- Part I Introduction
- Part II Diagnostic and Clinical aspects
- Part III Growth hormone replacement therapy in adults with growth hormone deficiency
- 8 The effect of growth hormone on protein metabolism
- 9 Growth hormone deficiency, insulin resistance and glucose metabolism
- 10 Growth hormone and body composition
- 11 Effects of growth hormone on human fluid homeostasis
- 12 Growth hormone and cardiac function
- 13 Growth hormone and cardiovascular risk factors
- 14 Growth hormone (GH), exercise performance, muscle strength and sweat production in healthy subjects and in adults with GH deficiency
- 15 Growth hormone and bone and mineral metabolism
- 16 Growth hormone and thyroid function and energy expenditure
- 17 Growth hormone and psychosocial and central nervous effects
- 18 Impact of gender and age on growth hormone responsiveness
- Part IV Growth hormone, growth-hormone releasing peptides and ageing
- Index
Summary
Somatic growth depends upon several factors including growth hormone (GH) and iodothyronines. The interrelationship between these two endocrine systems is very complex. Several lines of evidence suggest that triiodothyronine (T3) modulate both the pituitary secretion and peripheral actions of GH (Chernausek et al., 1983; Cabello & Wrutniak, 1989; Wolf, Ingbar & Moses, 1989; Iranmanesh et al., 1991). Studies in cultured rat pituitary cells show that T3 through binding to specific nuclear receptors both stimulates GH secretion and mRNA levels and increases insulin-like growth factor (IGF)-I receptors and IGF-I mRNA expression (Fagin, Fernandez-Mejia & Melmed, 1989; Geary et al., 1989; Matsuo et al., 1990). Since IGF-I, in turn, inhibits T3 induced GH gene expression it is speculated that the actions of T3 on GH secretion are subject to a short loop negative feedback regulation through the associated increase in pituitary IGF-I. Twentyfour- hour endogenous GH production is increased nearly fourfold in hyperthyroidism (Iranmanesh et al., 1991), whereas GH secretion and IGF-I levels are reduced in hypothyroid patients (Chernausek et al., 1983). There is also evidence to suggest that GH, in turn, influences thyroid function. GH administration in GH-deficient patients has been reported to induce a decline in circulating T4 levels and a blunting of thyroid releasing hormone (TRH) induced thyroid stimulating hormone (TSH) secretion (Root et al., 1970, 1973; Lippe et al., 1975). When combined with the relatively frequent development of clinical hypothyroidism in these patients this has led to the suggestion that GH administration suppresses thyroid function by means of a somatostatin induced supression of TSH (Lippe et al., 1975).
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- Growth Hormone in AdultsPhysiological and Clinical Aspects, pp. 333 - 348Publisher: Cambridge University PressPrint publication year: 2000
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