Insulin secretion and insulin-like growth factor-I levels in active and controlled acromegaly.

Abstract:

OBJECTIVE:We examined the contributions of growth hormone (GH) and insulin-like growth factor-I (IGF-I) to insulin sensitivity and beta-cell function in acromegaly. DESIGN:A cross-sectional study was used with continuous infusion of glucose with model assessment to determine insulin sensitivity and beta-cell function. PATIENTS:Ten patients with active acromegaly, seven with controlled disease and 22 normal individuals were studied. MEASUREMENTS:Glucose and insulin levels were measured fasting and at the end of the one-hour glucose infusion to calculate insulin sensitivity and beta-cell function. Random GH and IGF-I were recorded. Most patients had values of GH taken after a 100-g oral glucose tolerance test and K values from intravenous glucose tolerance tests. RESULTS Patients with active acromegaly had significantly decreased insulin sensitivity compared to the normal population (P less than 0.001), while those with controlled disease did not. There was a significant negative correlation between IGF-I and insulin sensitivity in those with active disease (P less than 0.05). Beta-cell function in both active and controlled patient groups was elevated compared to the normal population (P less than 0.05, P less than 0.01 respectively) and this was significantly related to IGF-I in the active group (P less than 0.05). GH levels did not correlate with fasting insulin, glucose, insulin sensitivity or beta-cell function in either group. CONCLUSIONS:Patients with active acromegaly have decreased insulin sensitivity and increased beta-cell function that are significantly related to IGF-I but not GH levels. When the disease is controlled, beta-cell function remains elevated but insulin sensitivity improves.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Hopkins KD,Holdaway IM

doi

10.1111/j.1365-2265.1992.tb02902.x

keywords:

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

53-7

issue

1

eissn

0300-0664

issn

1365-2265

journal_volume

36

pub_type

杂志文章
  • Changes in gonadotrophin response to gonadotrophin releasing hormone in normal women following bilateral ovariectomy.

    abstract:OBJECTIVE:Pituitary responsiveness to GnRH varies throughout the normal menstrual cycle. We have investigated whether there are differences in the ovarian mechanisms which regulate gonadotrophin secretion between the follicular and the luteal phase of the cycle. DESIGN:Normally ovulating women were studied during the ...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2265.1997.3461141.x

    authors: Alexandris E,Milingos S,Kollios G,Seferiadis K,Lolis D,Messinis IE

    更新日期:1997-12-01 00:00:00

  • Resistin gene polymorphisms and progression of glycaemia in southern Chinese: a 5-year prospective study.

    abstract:OBJECTIVE:Human resistin gene (RETN) polymorphisms have been found to be associated with type 2 diabetes (T2DM), insulin resistance and/or obesity. We evaluated, in a 5-year prospective study, whether RETN polymorphisms could predict the progression of glycaemia in southern Chinese. DESIGN AND PATIENTS:We conducted a ...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.2006.02710.x

    authors: Xu JY,Sham PC,Xu A,Tso AW,Wat NM,Cheng KY,Fong CH,Janus ED,Lam KS

    更新日期:2007-02-01 00:00:00

  • Cranial radiotherapy of childhood brain tumours: growth hormone deficiency and its relation to the biological effective dose of irradiation in a large population based study.

    abstract:OBJECTIVE:The study was to determine the incidence of GH deficiency (GHD) following cranial radiotherapy (RT) for a childhood brain tumour in a large population based study and analyse the biological effective dose (BED) to the hypothalamus/pituitary (HP) region as a risk factor. DESIGN:BED was assessed by use of the ...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2265.2000.01079.x

    authors: Schmiegelow M,Lassen S,Poulsen HS,Feldt-Rasmussen U,Schmiegelow K,Hertz H,Müller J

    更新日期:2000-08-01 00:00:00

  • Impact of menopause on outcomes in prolactinomas after dopamine agonist treatment withdrawal.

    abstract:OBJECTIVE:Discontinuation of dopamine agonist (DA) treatment in women with prolactinoma after menopause is a potential approach; studies systematically assessing long-term outcomes are lacking. Our aim was to investigate the natural history of prolactinoma in this group. DESIGN/PATIENTS:Retrospective cohort study of w...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.13765

    authors: Santharam S,Fountas A,Tampourlou M,Arlt W,Ayuk J,Gittoes N,Toogood A,Karavitaki N

    更新日期:2018-09-01 00:00:00

  • Growth in children with craniopharyngioma following surgery.

    abstract:OBJECTIVE:Hypopituitarism, including severe GH deficiency, is an almost inevitable outcome of craniopharyngioma. However, some GH deficient children with this tumour may grow normally or even have accelerated growth postoperatively. To study this phenomenon we have investigated the endocrine status, including IGF-1 and...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2265.1998.00590.x

    authors: Tiulpakov AN,Mazerkina NA,Brook CG,Hindmarsh PC,Peterkova VA,Gorelyshev SK

    更新日期:1998-12-01 00:00:00

  • Small, dense low-density lipoproteins (LDL) are predictors of cardio- and cerebro-vascular events in subjects with the metabolic syndrome.

    abstract:OBJECTIVE:Small, dense low-density lipoproteins (LDL) are a feature of the metabolic syndrome (MS) but their predictive role still remains to be established. We performed a 2-year follow-up study in 124 subjects with MS (63 +/- 6 years), as defined by the American Heart Association/National Heart, Lung and Blood Instit...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.2008.03407.x

    authors: Rizzo M,Pernice V,Frasheri A,Di Lorenzo G,Rini GB,Spinas GA,Berneis K

    更新日期:2009-06-01 00:00:00

  • Increased frequency of goitre in epileptic patients on long-term phenytoin or carbamazepine treatment.

    abstract::Thyroid function, the clinical occurrence of goitre and ultrasonically determined thyroid gland volume were investigated in 23 patients with phenytoin- and 28 patients with carbamazepine-treated convulsive disorders and compared with matched healthy controls. In the phenytoin treated group median thyroid volume was 26...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1985.tb01100.x

    authors: Hegedüs L,Hansen JM,Lühdorf K,Perrild H,Feldt-Rasmussen U,Kampmann JP

    更新日期:1985-10-01 00:00:00

  • Subclinical hypercortisolism: correlation between biochemical diagnostic criteria and clinical aspects.

    abstract:OBJECTIVE:Subclinical hypercortisolism (SH) has been associated with increased prevalence of hypertension, type 2 diabetes mellitus, dyslipidaemia, central obesity, osteoporosis and vertebral fractures. We aimed to investigate the accuracy of different SH diagnostic criteria in predicting the presence of complications....

    journal_title:Clinical endocrinology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1365-2265.2010.03794.x

    authors: Morelli V,Masserini B,Salcuni AS,Eller-Vainicher C,Savoca C,Viti R,Coletti F,Guglielmi G,Battista C,Iorio L,Beck-Peccoz P,Ambrosi B,Arosio M,Scillitani A,Chiodini I

    更新日期:2010-08-01 00:00:00

  • Evidence for a hypothalamic alteration of catecholamine metabolism in polycystic ovary syndrome.

    abstract::The role of brain catecholamine (CA) activity in the neuroendocrine regulation of the GnRH-LH system in polycystic ovary syndrome (PCO) was investigated by high-performance liquid chromatography (HPLC) with electrochemical detector. We measured urinary dopamine (DA), noradrenaline (NA), adrenaline (A), vanillylmandeli...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1988.tb01230.x

    authors: Paradisi R,Grossi G,Venturoli S,Capelli M,Porcu E,Fabbri R,Pasquali R,Flamigni C

    更新日期:1988-09-01 00:00:00

  • Abnormalities in fasting circulating proinsulin concentration in mild gestational diabetes.

    abstract::Fasting plasma proinsulin, insulin and glucose concentrations were measured in ten women with mild gestational diabetes and ten controls matched for race, age (32 +/- 6 vs 31 +/- 6 years), body mass index (28 +/- 8 vs 27 +/- 6) and gestational week (24 +/- 4 vs 25 +/- 4 weeks). There was no significant difference in f...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1991.tb00296.x

    authors: Dornhorst A,Davies M,Anyaoku V,Hampton SM,Elkeles RS,Beard RW,Johnston DG

    更新日期:1991-03-01 00:00:00

  • Predicting the growth response to growth hormone in patients with intrauterine growth retardation.

    abstract:OBJECTIVE:Human GH treatment of short children who had intrauterine growth retardation (IUGR) results in a highly variable growth response. The object of this study was to test the hypothesis that differences in responsiveness to exogenously administered GH might reflect differences in endogenous GH secretion or sensit...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2265.1996.732553.x

    authors: Frank GR,Cheung PT,Horn JA,Alfaro MP,Smith EP,Chernausek SD

    更新日期:1996-06-01 00:00:00

  • Is oleic acid the thyroxine binding inhibitor in the serum of ill patients?

    abstract::The possibility that oleic acid is the thyroxine binding inhibitor in the serum of seriously ill patients was investigated. 3H-Oleic acid was shown to bind directly to human thyroxine-binding globulin (TBG) by the techniques of one and two-dimensional immunoelectrophoresis in combination with autoradiography. However,...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1989.tb00450.x

    authors: Haynes IG,Lockett SJ,Farmer MJ,Fitch NJ,Bradwell AR,Sheppard MC,Ramsden DB

    更新日期:1989-07-01 00:00:00

  • The maternal ovary is not the source of circulating inhibin levels during human pregnancy.

    abstract::The concentration of immunoreactive inhibin in serum was measured in three pregnant women with premature ovarian failure involved in a donor oocyte in-vitro fertilization programme. Inhibin was not detectable in peripheral serum prior to conception but rose within 2-4 weeks of embryo transfer, whereafter levels rose g...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1987.tb02949.x

    authors: McLachlan RI,Healy DL,Lutjen PJ,Findlay JK,De Kretser M,Burger HG

    更新日期:1987-12-01 00:00:00

  • Binding of immunoglobulin-G from patients with thyroid autoimmune disease to normal T lymphocytes.

    abstract::Sera from patients with Graves' disease and Hashimoto's thyroiditis were reacted with normal T lymphocyte preparations in an attempt to detect binding of immunoglobulin G (IgG) to T cells. Sera from normal subjects and patients with toxic adenomas served as controls. Each serum was reacted with at least three differen...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1983.tb00739.x

    authors: Pacini F,Sridama V,Pressendo J,DeGroot LJ,Medof ME

    更新日期:1983-07-01 00:00:00

  • The genetics of male undermasculinization.

    abstract::A review of the genetics of male undermasculinization must encompass a description of the embryology of the genital system. The dimorphism of sex development consequent upon the formation of a testis and the subsequent secretion of hormones to impose a male phenotype is highlighted. Thus, an understanding of the cause...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2265.2002.01430.x

    authors: Ahmed SF,Hughes IA

    更新日期:2002-01-01 00:00:00

  • Characterization of two novel mutations in the glucocorticoid receptor gene in patients with primary cortisol resistance.

    abstract:OBJECTIVE:Primary glucocorticoid resistance is characterized by decreased sensitivity to cortisol signalling. We have performed genetic analysis of the glucocorticoid receptor (GR) gene in 12 unrelated patients with primary cortisol resistance as defined by a pathological dexamethasone suppression test. METHODS:Exon s...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2265.2001.01323.x

    authors: Ruiz M,Lind U,Gåfvels M,Eggertsen G,Carlstedt-Duke J,Nilsson L,Holtmann M,Stierna P,Wikström AC,Werner S

    更新日期:2001-09-01 00:00:00

  • Clinical practice patterns in the assessment and management of low testosterone in men: an international survey of endocrinologists.

    abstract:OBJECTIVE:To document current practices in the approach to low testosterone in older men. Given that recommendations are based on low-level evidence, we hypothesized that there would be a wide variability in clinical practice patterns. DESIGN:Members of all major endocrine and andrological societies were invited to pa...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.12594

    authors: Grossmann M,Anawalt BD,Wu FC

    更新日期:2015-02-01 00:00:00

  • Health-related quality of life in patients with nonsurgical hypoparathyroidism and pseudohypoparathyroidism.

    abstract:OBJECTIVE:Nonsurgical hypoparathyroidism (NS-HypoPT) and pseudohypoparathyroidism (PHP) are rare diseases, with a prevalence of 2/100.000 and 1/100.000, respectively. Only few studies on Quality of Life (QoL) among patients with Ns-HypoPT and PHP are available. We aimed to investigate the QoL among patients with Ns-Hyp...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.13593

    authors: Underbjerg L,Sikjaer T,Rejnmark L

    更新日期:2018-06-01 00:00:00

  • Acanthosis nigricans, hirsutism, insulin resistance and insulin receptor defect.

    abstract::A 24-year-old negress with the triad of acanthosis nigricans, hirsutism associated with polycystic ovaries and insulin resistance is reported. Metabolic studies were done 3 years after a bilateral ovarian wedge resection. Partial remission of the hirsutism and return of menstrual cycles occurred after surgery. Extreme...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1982.tb02632.x

    authors: Leme CE,Wajchenberg BL,Lerário AC,Goldman J,Borges JL

    更新日期:1982-07-01 00:00:00

  • Extra-adrenal effects of metyrapone include inhibition of the 11-oxoreductase activity of 11 beta-hydroxysteroid dehydrogenase: a model for 11-HSD I deficiency.

    abstract:BACKGROUND AND OBJECTIVE:Previous studies suggesting effects of metyrapone on extra-adrenal corticosteroid metabolism have involved significant alterations in plasma cortisol. We have therefore studied effects of metyrapone on urinary excretion of steroids in a group of patients treated concurrently with hydrocortisone...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1995.tb02930.x

    authors: Raven PW,Checkley SA,Taylor NF

    更新日期:1995-11-01 00:00:00

  • Outcomes of the Bethesda system for reporting thyroid cytopathology: Real-life experience.

    abstract:OBJECTIVE:The 2017 revised Bethesda System for Reporting Thyroid Cytopathology (BSRTC) included new malignancy rates for each category as well as new management recommendations. Here, we evaluate the malignancy rate and test performance for BSRTC categories in a middle-sized institution outside the United States (US). ...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.14341

    authors: Avior G,Dagan O,Shochat I,Frenkel Y,Tessler I,Meir A,Jaffe A,Cohen O

    更新日期:2020-09-27 00:00:00

  • Clinical manifestations of genetic defects affecting gonadotrophins and their receptors.

    abstract::Raised activity of the LH axis caused by activating mutations of LH receptor gene presents with precocious puberty in boys, analogous to the presentation of LH secreting pituitary adenomas (Faggiano et al., 1983; Ambrosi et al., 1990). LH "hyperactivity' in females appears to have no effect. Hyperactivity of the FSH a...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2265.1996.8680879.x

    authors: Conway GS

    更新日期:1996-12-01 00:00:00

  • The cellular and molecular basis of the ectopic ACTH syndrome.

    abstract::In recent years the techniques of molecular and cellular biology have made it possible to begin to dissect the origins and behaviour of the ACTH-secreting tumour cell. It is becoming apparent that these tumours represent undifferentiated neuroendocrine cells, and it may be that their peptide-secreting properties may h...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2265.1993.tb01765.x

    authors: White A,Clark AJ

    更新日期:1993-08-01 00:00:00

  • Growth hormone (GH) status is an independent determinant of serum levels of cholesterol and triglycerides in healthy adults.

    abstract:OBJECTIVE:Both severe growth hormone (GH) deficiency in hypopituitary adults and physiological ageing are associated with an increase in fat mass, dyslipidaemia, and an increased incidence of cardiovascular disease. Ageing is also associated with a physiological decrease in spontaneous as well as stimulated GH secretio...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2265.1999.00772.x

    authors: Vahl N,Klausen I,Christiansen JS,Jørgensen JO

    更新日期:1999-09-01 00:00:00

  • Growth hormone (GH) responses to arginine and L-dopa alone and after GHRH pretreatment.

    abstract::In order to investigate the mechanisms by which arginine and L-dopa cause GH release in humans we measured the GH response to GHRH 1-44 (200 micrograms i.v.), arginine (30 g i.v. over 30 min) and L-dopa (500 mg orally) administered alone and 120 minutes following pretreatment with GHRH 1-44 (200 micrograms i.v.) in no...

    journal_title:Clinical endocrinology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2265.1988.tb03690.x

    authors: Page MD,Dieguez C,Valcavi R,Edwards C,Hall R,Scanlon MF

    更新日期:1988-05-01 00:00:00

  • Cross-sectional association of coffee and caffeine consumption with sex hormone-binding globulin in healthy nondiabetic women.

    abstract:OBJECTIVE:Low sex hormone-binding globulin (SHBG) is a consistent risk factor for type 2 diabetes, particularly in women. Coffee consumption has been associated with a lower risk of type 2 diabetes, but its effects on SHBG are less known. DESIGN AND METHODS:This was a cross-sectional study of 2377 nondiabetic pre- and...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.13411

    authors: Pihan-Le Bars F,Gusto G,Boutron-Ruault MC,Fagherazzi G,Bonnet F

    更新日期:2017-11-01 00:00:00

  • Single daily dose short term carbimazole therapy for hyperthyroid Graves' disease.

    abstract::Twenty-one patients with hyperthyroid Graves' disease were treated with carbimazole 30 mg daily, given as a single dose. Propranolol was also given for the first 3 weeks. All became clinically euthyroid with normal serum thyroxine (T4) levels, usually within 1-3 months. Patients with large goitres and raised serum alk...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1983.tb00593.x

    authors: MacFarlane IA,Davies D,Longson D,Shalet SM,Beardwell CG

    更新日期:1983-06-01 00:00:00

  • Acute endocrine profile of sulpiride in the human.

    abstract::Normal men and normally menstruating women received i.m. injections of 0.1 to 4.0 mg/kg sulpiride. This psychotropic drug induced a very rapid (already significant after 5 minutes) and sustained (still significant after 7 hours) elevation of prolactin (PRL) concentrations in all subjects with no consistent modificatio...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1978.tb02200.x

    authors: L'Hermite M,Denayer P,Golstein J,Virasoro E,Vanhaelst L,Copinschi G,Robyn C

    更新日期:1978-09-01 00:00:00

  • Inhibin B levels in azoospermic subjects with cytologically characterized testicular pathology.

    abstract:BACKGROUND AND OBJECTIVE:Inhibin B, a heterodimeric glycoprotein of gonadal origin, is the most important circulating form of inhibin in human males and an inverse relationship between inhibin B and FSH plasma levels was been recently observed. Azoospermia represents the end-point of different kinds of testicular damag...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2265.1999.00659.x

    authors: Foresta C,Bettella A,Petraglia F,Pistorello M,Luisi S,Rossato M

    更新日期:1999-06-01 00:00:00

  • Establishment and evaluation of a novel biomarker-based nomogram for malignant phaeochromocytomas and paragangliomas.

    abstract:OBJECTIVE:No single histological or molecular marker is diagnostic for malignant phaeochromocytomas and paragangliomas (PPGLs). This study aimed to establish and evaluate a prognostic nomogram to improve the prediction of metastatic probability in individual PPGL patients. METHODS:Three hundred and 47 consecutive PPGL...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.13357

    authors: Zhong X,Ye L,Su T,Xie J,Zhou W,Jiang Y,Jiang L,Ning G,Wang W

    更新日期:2017-08-01 00:00:00