Evidence map›Paper›PMID 38954291›Full record

ArticlePituitary2024

Growth hormone increase by luteinizing hormone-releasing hormone reflects gonadotroph-related characteristics in acromegaly.

Yuto Mitsui, Kosuke Mukai, Michio Otsuki, Satoru Oshino, Youichi Saitoh, Masaharu Kohara, Eiichi Morii, Atsunori Fukuhara, Iichiro Shimomura

Abstract read
In one paragraph

Article in Pituitary, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yuto MitsuiDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka, 565-0871, Japan.ORCID http://orcid.org/0009-0005-2525-4837
Kosuke MukaiDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka, 565-0871, Japan. mukai@endmet.med.osaka-u.ac.jp.ORCID http://orcid.org/0000-0002-9365-5561
Michio OtsukiDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka, 565-0871, Japan.ORCID http://orcid.org/0000-0001-5947-8621
Satoru OshinoDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0002-4248-2322
Youichi SaitohTokuyukai Rehabilitation Clinic, Osaka, Japan.
Masaharu KoharaDepartment of Pathology, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0009-0006-7636-5833
Eiichi MoriiDepartment of Pathology, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0001-8490-3650
Atsunori FukuharaDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka, 565-0871, Japan.ORCID http://orcid.org/0000-0002-6289-3778
Iichiro ShimomuraDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka, 565-0871, Japan.

Funding

Health Labour Sciences Research 23FC1042Japan Society for the Promotion of Science 19K17983Wellcome Trust FC001042
6 · The paper itself

Abstract

purposeWe previously showed the clinical characteristics of acromegaly with a paradoxical growth hormone (GH) response to oral glucose or thyrotropin-releasing hormone. However, the clinical characteristics of acromegaly with an increased GH response to luteinizing hormone-releasing hormone (LHRH responders) remain unclear. The aim of the present study was to evaluate the clinical characteristics, especially gonadotroph-related characteristics of LHRH responders in acromegaly.

methodsThe clinical characteristics of 33 LHRH responders and 81 LHRH nonresponders were compared.

resultsNo differences in age, sex or basal serum levels of GH, insulin-like growth factor-1 (IGF-1), and gonadotropin were observed between the two groups. Steroidogenic factor 1 (SF-1), gonadotropin-releasing hormone receptor (GnRHR), and LH expression was more frequently observed in LHRH responders (P < 0.05). In addition, a greater increased rate of GH after LHRH loading, and the proportion of GnRHR and gonadotropin expression was observed in pituitary tumor with SF-1 expression than that without the expression (P < 0.01). LHRH responders showed a greater GH decrease in the octreotide test and a greater IGF-1 decrease after first-generation somatostatin ligand than LHRH nonresponders (P < 0.05). Furthermore, the proportion of hypointense pituitary tumors on T2-weighted magnetic resonance imaging and tumors with densely granulated type was higher in LHRH responders than in LHRH nonresponders, respectively (P < 0.05). No difference between the two groups was observed in either somatostatin receptor 2 or 5 expression.

conclusionsThe increased GH response to LHRH is associated with the gonadotroph-related characteristics. This response may reflect the biological characteristics of somatotroph tumors.

Indexed as

AcromegalyGonadotropin-Releasing HormoneHuman Growth HormoneInsulin-Like Growth Factor IAdultAgedFemaleGonadotrophsHumansLuteinizing HormoneMaleMiddle AgedReceptors, LHRHSteroidogenic Factor 1Gonadotropin-Releasing HormoneHuman Growth HormoneInsulin-Like Growth Factor ILuteinizing HormoneReceptors, LHRHSteroidogenic Factor 1AcromegalyGonadotropinLHRHSomatostatinSteroidogenic factor 1

Identifiers

PMID38954291
PMCPMC11513710

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.