Pituitary & hypothalamus

The Effect and Potential Mechanism Analysis of Growth Hormone–Secreting Pituitary Adenomas on Thyroid Function

Endocr PractPublished Retrospective cross-sectional study

Authors' conclusion

The study emphasized the complex interaction between the GH and the thyroid axes in patients with GHPA and highlighted the potential effect of glycemic status and tumor volume on thyroid function.

Study context

Population
Patients with growth hormone (GH)-secreting pituitary adenoma (GHPA) first admitted to Beijing Tiantan Hospital, Capital Medical University, 2015–2022
Participants
351 patients
Outcome
Relationship between high GH/IGF-1 levels and thyroid function
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Correlations of GH, IGF-1 and IGFBP-3 with thyroid function
  • GH negatively correlated with total thyroxine (TT4), free thyroxine (FT4) and thyroid-stimulating hormone (TSH)
  • IGF-1 positively correlated with total triiodothyronine (TT3), free triiodothyronine (FT3) and FT4; negatively with TSH
  • IGFBP-3 positively correlated with TT3, FT3 and FT3:FT4 ratio

Observational data: associations, not effects.

Further findings

Thyroid function by diabetes mellitus (DM) status

FT3, TT3, TSH and FT3:FT4 ratio significantly lower in GHPA with DM than GHPA without DM

Thyroid function by tumor volume

Thyroid function gradually decreased with increasing tumor volume

GH and IGF-1 vs age

GH and IGF-1 negatively correlated with age

Original publication

The Effect and Potential Mechanism Analysis of Growth Hormone–Secreting Pituitary Adenomas on Thyroid Function. Endocr Pract. Published 20 May 2023. doi:10.1016/j.eprac.2023.05.004

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