title: [hGH treatment impact on adrenal and thyroid functions].
abstract: Somatotrophic status is a major determinant of both thyrotrophic and corticotrophic axis. In growth hormone deficient patients, somatotrophic replacement increases the conversion rate of the inactive form of the thyroid hormone (T4) to its active form (T3), whereas the same replacement induces the conversion of cortisol, which is hormonally active, in cortisone, its inactive form. This review details the effects of GH on these two hormonal axis, possible mechanisms and clinical implications for the management of hypopituitary patients.
authors.affiliation: Serviço de Endocrinologia e Diabetes, Universidade Federal do Ceará, Fortaleza, CE, Brazil.
authors.forename: Manoel R A
authors.initials: MR
authors.lastname: Martins
authors.forename: Julio
authors.initials: J
authors.lastname: Abucham
mesh_terms: D000311:Adrenal Glands / Q000378:metabolism*; D019382:Human Growth Hormone / Q000172:deficiency / Q000627:therapeutic use*; D006801:Humans; D007037:Hypothyroidism / Q000188:drug therapy* / Q000378:metabolism; D013961:Thyroid Gland / Q000378:metabolism*; D013974:Thyroxine / Q000378:metabolism; D014284:Triiodothyronine / Q000378:metabolism
chemical_list: D014284:Triiodothyronine; D019382:Human Growth Hormone; D013974:Thyroxine