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.

PubMed

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.
Abstract

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