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Comparative Analysis of Human Growth Hormone in Serum Using SPRi, Nano-SPRi and ELISA Assays
Published on: January 7, 2016
Effect of GH Deficiency Caused by Nonfunctioning Pituitary Masses on Serum C-reactive Protein Levels
Yasufumi Seki1, Satoshi Morimoto1, Kanako Bokuda1
1Department of Internal Medicine, Tokyo Women's Medical University, Tokyo, 162-8666, Japan.
Insights
Growth hormone (GH) deficiency is linked to higher inflammation marker hs-CRP. Restoring GH secretion after pituitary surgery can reduce hs-CRP levels, indicating GH
Area of Science:
- Endocrinology
- Neuroendocrinology
- Inflammation Research
Background:
- Growth hormone (GH) deficiency (GHD) is associated with increased high-sensitivity C-reactive protein (hs-CRP), a marker of inflammation.
- The precise relationship between impaired GH secretion from pituitary masses and hs-CRP levels requires further elucidation.
Purpose of the Study:
- To investigate the impact of impaired GH secretion, caused by pituitary masses, on hs-CRP levels.
- To clarify the association between GH secretion and hs-CRP before and after pituitary surgery.
Main Methods:
- Retrospective analysis of 171 patients with nonfunctioning pituitary neuroendocrine tumors or Rathke cleft cysts.
- Assessment of GH secretion using GH-releasing peptide-2 and measurement of serum hs-CRP levels pre- and post-surgery.
- Statistical analysis including correlation, multiple regression, and analysis of postoperative changes.
Main Results:
- Severe GHD was present in 32% of patients and was associated with significantly higher hs-CRP levels (P < .001).
- Peak GH levels negatively correlated with hs-CRP (r = -0.50, P < .001).
- Lower peak GH predicted higher hs-CRP levels, and postoperative changes in peak GH predicted changes in hs-CRP.
Conclusions:
- Impaired GH secretion due to pituitary masses is associated with elevated hs-CRP levels.
- GH secretion plays a protective role against increased hs-CRP, suggesting a link between GH and inflammation.
Context:
GH supplementation for GH deficiency (GHD) has been reported to decrease high-sensitivity C-reactive protein (hs-CRP), an inflammatory marker; however, the association between GHD and hs-CRP remains unclear.
Objective:
We aimed to clarify the impact of impaired GH secretion due to pituitary masses on hs-CRP levels.
Methods:
We retrospectively examined the association between GH secretion, assessed using GH-releasing peptide-2, and serum hs-CRP levels before and a year after the pituitary surgery in patients with nonfunctioning pituitary neuroendocrine tumor or Rathke cleft cyst.
Results:
Among 171 patients, 55 (32%) presented with severe GHD (peak GH response to GH-releasing peptide-2 < 9 ng/mL). Serum hs-CRP levels were significantly higher in patients with severe GHD than in those without (P < .001) and significantly correlated with the peak GH (r = -0.50, P < .001). Multiple regression analyses showed that the peak GH significantly and negatively predicted hs-CRP levels (β = -0.345; 95% CI, -0.533 to -0.158) and the lowest quartile of the peak GH (<5.04 ng/mL) were significantly associated with increase in hs-CRP levels (exp [β] = 1.840; 95% CI, 1.209 to 2.801), after controlling for other anterior hormones and metabolic parameters. Postoperative change in the peak GH (N = 60) significantly predicted change in hs-CRP levels (β = -0.391; 95% CI, -0.675 to -0.108), independent of alterations in other anterior hormones and metabolic parameters.
Conclusion:
The inverse association between GH secretion and hs-CRP levels highlights the protective role of GH in the increase in hs-CRP.
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