Pioglitazone treatment increases spontaneous growth hormone (GH) secretion and stimulated GH levels in polycystic ovary syndrome.

作者: Dorte Glintborg , René Klinkby Støving , Claus Hagen , Anne Pernille Hermann , Jan Frystyk

DOI: 10.1210/JC.2005-0615

关键词:

摘要: Background: Low GH levels, probably due to insulin resistance and increased abdominal fat mass, are well described in polycystic ovary syndrome (PCOS). acts as an important ovarian cogonadotropin, disturbances may be additional pathogenic factor PCOS. Decreased mass improved sensitivity during pioglitazone treatment affect secretion. Objective: The objective of the study was investigate effect on levels Design: Thirty insulin-resistant PCOS patients were randomized either 16 wk (30 mg/d) or placebo treatment. Before after intervention, fasting insulin, GH, total IGF-I, free IGF binding protein-1, IGF-II, fatty acids, testosterone, SHBG measured. Patients underwent whole-body dual x-ray absorptiometry scans, pyridostigmine-GHRH tests, 24-h 20-min integrated blood sampling for measurement GH. Results: Peak area under curve test...

参考文章(54)
J Frystyk, B Dinesen, H Orskov, Non-competitive time-resolved immunofluorometric assays for determination of human insulin-like growth factor I and II. Growth regulation. ,vol. 5, pp. 169- 176 ,(1995)
Eun Jig Lee, Byung Seok Lee, Hyun Chul Lee, Ki Hyun Park, Chan Ho Song, Kap Bum Huh, Growth hormone response to l-dopa and pyridostigmine in women with polycystic ovarian syndrome Fertility and Sterility. ,vol. 60, pp. 53- 57 ,(1993) , 10.1016/S0015-0282(16)56035-X
Marianne Andersen, Jørgen Hangaard, Claus Hagen, Gianluca Aimaretti, Ezio Ghigo, The diagnosis of growth hormone deficiency in adults. The Journal of Clinical Endocrinology and Metabolism. ,vol. 82, pp. 3513- 3514 ,(1997) , 10.1210/JCEM.82.10.4288-1
Petra Kok, Madelon M. Buijs, Simon W. Kok, Inge H. A. P. van Ierssel, Marijke Frölich, Ferdinand Roelfsema, Peter J. Voshol, A. Edo Meinders, Hanno Pijl, Acipimox enhances spontaneous growth hormone secretion in obese women American Journal of Physiology-regulatory Integrative and Comparative Physiology. ,vol. 286, ,(2004) , 10.1152/AJPREGU.00595.2003
Roberto Lanzi, Livio Luzi, Andrea Caumo, Anna Claudia Andreotti, Marco Federico Manzoni, Maria Elena Malighetti, Lucia Piceni Sereni, Antonio Ettore Pontiroli, Elevated insulin levels contribute to the reduced growth hormone (GH) response to GH-releasing hormone in obese subjects. Metabolism-clinical and Experimental. ,vol. 48, pp. 1152- 1156 ,(1999) , 10.1016/S0026-0495(99)90130-0
René K. Støving, Johannes D. Veldhuis, Allan Flyvbjerg, Jørgen Vinten, Jørgen Hangaard, Ole G. Koldkjær, Jytte Kristiansen, Claus Hagen, Jointly amplified basal and pulsatile growth hormone (GH) secretion and increased process irregularity in women with anorexia nervosa: indirect evidence for disruption of feedback regulation within the GH-insulin-like growth factor I axis. The Journal of Clinical Endocrinology and Metabolism. ,vol. 84, pp. 2056- 2063 ,(1999) , 10.1210/JCEM.84.6.5734
Jonathan Lord, Terence Wilkin, Polycystic ovary syndrome and fat distribution: The central issue? Human Fertility. ,vol. 5, pp. 67- 71 ,(2002) , 10.1080/1464727022000198952
A. Caumo, E. Bianchi, A. E. Pontiroli, L. Piceni Sereni, R. Lanzi, M. E. Malighetti, L. Luzi, M. F. Manzoni, A. C. Andreotti, Evidence for an inhibitory effect of physiological levels of insulin on the growth hormone (GH) response to GH-releasing hormone in healthy subjects The Journal of Clinical Endocrinology and Metabolism. ,vol. 82, pp. 2239- 2243 ,(1997) , 10.1210/JC.82.7.2239
G. LYKKESFELDT, P. BENNETT, A. E. LYKKESFELDT, S. MICIC, S. MØLLER, B. SVENSTRUP, ABNORMAL ANDROGEN AND OESTROGEN METABOLISM IN MEN WITH STEROID SULPHATASE DEFICIENCY AND RECESSIVE X‐LINKED ICHTHYOSIS Clinical Endocrinology. ,vol. 23, pp. 385- 393 ,(1985) , 10.1111/J.1365-2265.1985.TB01096.X