Growth hormone treatment affects brain neurotransmitters and thyroxine [see comment].

Abstract:

OBJECTIVE:Binding sites specific for growth hormone have been identified in the brain, but the action of GH on the central nervous system is still poorly understood. DESIGN:In a double-blind, placebo-controlled 21-month trial with a cross-over design, with each treatment period lasting for 9 months, we investigated the long-term effect of GH on the cerebrospinal fluid (CSF) concentrations of some brain neurotransmitters and thyroid hormones of importance for mood and cognition. PATIENTS:Twenty-four patients with documented GH deficiency acquired in adult life took part. RESULTS:Analysis of CSF collected at the end of the two treatment periods showed that the GH concentration was related to the administered dose of rhGH (r = 0.56, P = 0.0044). After rhGH treatment the concentration of the dopamine metabolite homovanillic acid (HVA) had decreased from 218 +/- 80 to 193 +/- 82 nmol/l (P = 0.002) and that of the excitatory acid aspartate had increased from 233 +/- 81 to 313 +/- 116 nmol/l (P = 0.032). No effects were observed on the concentrations of 5-hydroxyindoleacetic acid (the serotonin metabolite) and of 3-methoxy-4-hydroxyphenyl glycol (the noradrenaline metabolite), or on those of glutamate, glycine and beta-endorphin. However, both CSF and serum levels of free T4 decreased, from 19.8 +/- 6.1 to 16.6 +/- 5.7 nmol/l (P = 0.0002) and 17.0 +/- 5.0 to 13.7 +/- 4.3 nmol/l (P = 0.0001), respectively. The concentration of total T3 was not measurable in CSF but increased in serum from 1.41 to 1.53 nmol/l (P = 0.01). CONCLUSION:The study demonstrates a passage of GH from the circulation into the CSF. The observed changes in homovanillic acid and free T4 are similar to those reported after successful treatment of depressive disorders with antidepressant drugs, and may reflect a beneficial effect of GH on mood and behaviour.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Burman P,Hetta J,Wide L,Månsson JE,Ekman R,Karlsson FA

doi

10.1046/j.1365-2265.1996.617439.x

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

319-24

issue

3

eissn

0300-0664

issn

1365-2265

journal_volume

44

pub_type

临床试验,杂志文章,随机对照试验
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    journal_title:Clinical endocrinology

    pub_type: 临床试验,杂志文章,随机对照试验

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    pub_type: 杂志文章

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    更新日期:1978-11-01 00:00:00

  • Altered pulsatile secretion of luteinizing hormone in hypogonadal men with hyperprolactinaemia.

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    pub_type: 杂志文章

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    更新日期:1984-09-01 00:00:00

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    journal_title:Clinical endocrinology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2265.2006.02723.x

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    更新日期:2007-02-01 00:00:00

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    journal_title:Clinical endocrinology

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    更新日期:1985-06-01 00:00:00

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    doi:10.1111/j.1365-2265.1995.tb01899.x

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    doi:10.1046/j.1365-2265.2000.01137.x

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    更新日期:2000-11-01 00:00:00

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    doi:10.1111/j.1365-2265.1992.tb00955.x

    authors: Modigliani E,Cohen R,Joannidis S,Siame-Mourot C,Guliana JM,Charpentier G,Cassuto D,Bentata Pessayre M,Tabarin A,Roger P

    更新日期:1992-02-01 00:00:00

  • Prevalence of hypopituitarism and growth hormone deficiency in adults long-term after severe traumatic brain injury.

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    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.2005.02250.x

    authors: Leal-Cerro A,Flores JM,Rincon M,Murillo F,Pujol M,Garcia-Pesquera F,Dieguez C,Casanueva FF

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    更新日期:1983-10-01 00:00:00

  • Prophylactic 1alpha-hydroxyvitamin D3 therapy in haemodialysis patients.

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    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1977.tb03372.x

    authors: Walker GS,Peacock M,Aaron J,Robinson PJ,Davison AM

    更新日期:1977-12-01 00:00:00

  • Radioiodine treatment for benign thyroid diseases.

    abstract::Radioiodine has been in use for over 60 years as a treatment for hyperthyroidism. Major changes in clinical practice have occurred with the realization that accurate dosimetry is incapable of avoiding the risks of hypothyroidism, while more accurate assessment of the risks of other adverse effects of radioiodine such ...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章,实务指引

    doi:10.1111/j.1365-2265.2007.02841.x

    authors: Weetman AP

    更新日期:2007-06-01 00:00:00

  • Growth in children with craniopharyngioma following surgery.

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    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

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    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1994.tb02453.x

    authors: Raghavan R,Harrison D,Ince PG,James RA,Daniels M,Birch P,Caldwell GI,Kendall-Taylor P

    更新日期:1994-01-01 00:00:00

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    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.13860

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    更新日期:2019-01-01 00:00:00

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    pub_type: 杂志文章

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    authors: Lambert S,Peycelon M,Samara-Boustani D,Hyon C,Dumeige L,Peuchmaur M,Fiot E,Léger J,Simon D,Paye-Jaouen A,Bouligand J,Siffroi JP,Carel JC,McElreavey K,El Ghoneimi A,Brachet C,Bouvattier C,Martinerie L

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    doi:10.1111/j.1365-2265.1986.tb03267.x

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    doi:10.1111/j.1365-2265.1995.tb02617.x

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1993.tb01770.x

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    journal_title:Clinical endocrinology

    pub_type: 临床试验,杂志文章,随机对照试验

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