The Interaction of Insulin and Pituitary Hormone Syndromes.
cortisol
growth hormone
insulin
prolactin
sex hormones
thyroid hormones
Journal
Frontiers in endocrinology
ISSN: 1664-2392
Titre abrégé: Front Endocrinol (Lausanne)
Pays: Switzerland
ID NLM: 101555782
Informations de publication
Date de publication:
2021
2021
Historique:
received:
09
11
2020
accepted:
06
04
2021
entrez:
17
5
2021
pubmed:
18
5
2021
medline:
18
12
2021
Statut:
epublish
Résumé
Pituitary hormone axes modulate glucose metabolism and exert direct or indirect effects on insulin secretion and function. Cortisol and growth hormone are potent insulin-antagonistic hormones. Therefore impaired glucose tolerance, elevated fasting glucose concentrations and diabetes mellitus are frequent in Cushing's disease and acromegaly. Also prolactinomas, growth hormone (GH) deficiency, hypogonadism and hypothyroidism might be associated with impaired glucose homeostasis but usually to a lesser extent. Therefore glucose metabolism needs to be closely monitored and treated in patients with pituitary adenomas. Correction of the pituitary dysfunction is frequently followed by improvement of glucose homeostasis.
Identifiants
pubmed: 33995272
doi: 10.3389/fendo.2021.626427
pmc: PMC8113952
doi:
Substances chimiques
Blood Glucose
0
Insulin
0
Pituitary Hormones
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
626427Informations de copyright
Copyright © 2021 Schernthaner-Reiter, Wolf, Vila and Luger.
Déclaration de conflit d'intérêts
The authors declare the following conflicts of interest: MS-R has received honoraria for presentations from HRA Pharma; GV has received lecture and/or consulting fees from Ipsen, Pfizer, Novo Nordisk, Recordati, Takeda and HRA Pharma, and is Research Investigator in studies sponsored by Novartis, Recordati, Corcept, Chiasma and Takeda; AL has received honoraria lecture and/or consulting fees from Ionis, Ipsen, Merck, Novartis, Pfizer, Sandoz. The remaining author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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