甲状腺状况调节对健康老年人下垂体和外周激素度的影响
Evie van der Spoel1, Saskia Cornet1, Ana Zutinic1
1Section Gerontology and Geriatrics, Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands.
甲状腺状况调节会影响IGF-1,益生素和皮质醇水平. 三甲状腺素 (T3) 挑战特别增加了男性的LH,和SHBG,这表明T3驱动了这些荷尔蒙变化.
科学领域:
- 内分泌学 在内分泌学.
- 激素轴相互作用 激素轴相互作用
- 老年学是一门学科.
背景情况:
- 甲状腺状况的改变在衰老中很常见,并且与其他激素轴相关.
- 关于甲状腺调节如何影响其他激素系统的研究有限.
- 这项研究调查了甲状腺状况变化对老年人关键激素的影响.
研究的目的:
- 为了确定甲状腺状况调节对前素,IGF-1,皮质醇,LH,和SHBG的影响.
- 探索这些影响是否根据甲状腺挑战的类型,性别或家族长寿而有所不同.
主要方法:
- 在健康的老年人中进行了两项单臂挑战研究.
- 参与者接受了复合人类TSH (rhTSH) 注射或口服T3.
- 在挑战后的4-5天内,对激素度变化进行了监测.
主要成果:
- 在rhTSH和T3挑战中,IGF-1水平增加.
- 只有在T3挑战中,LH,和SHBG显著增加.
- 在这两项挑战中,孕乳素和皮质醇都下降了;在rhTSH挑战中,孕乳素的下降是性别特异的.
结论:
- 甲状腺状况调节显著改变IGF-1,益生素和皮质醇水平.
- 在男性中,T3的使用导致LH,和SHBG的增加.
- 假设观察到的荷尔蒙变化是由三甲状腺素 (T3) 介导的.
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