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GH-IGF-I axis in non-obese women with functional hyperandrogenism

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Abstract

The study was conducted to assess the GH-IGF-I axis in non-obese women with functional hyperandrogenism (FH). Eighteen FH women aged 18-35 yr with a body weight within 20% of ideal body weight and 10 weight-matched controls were included in the study. Basal serum GH, GH-binding protein (GHBP), IGF-I, IGF-binding protein-3 (IGFBP-3) levels were determined as well as GH levels during GHRH stimulation. In addition, basal serum androgens [free T (FT), Δ4 and DHEAS], insulin and glucose levels were determined. The group of non-obese patients with FH differed from controls in GHBP (1.21±0.37 vs 0.93±0.25 nmol/l; p<0.05) and androgen levels (FT: 8.0±3.2 vs 1.9±1.2 pmol/l, p<0.001; Δ4: 10.5±3.2 vs 5.9±2.1 nmol/l, p<0.001; DHEAS: 9.3±3.0 vs 5.1±1.8 μmol/l, p<0.001). GH (r=0.365; p<0.05) and IGF-I (r=0.508, p<0.01) serum levels were significantly correlated to serum DHEAS levels in a combined group of patients and controls. Our results support the suggestion that the GH-IGF-I axis plays an important role in the evolution of hormonal and metabolic derangement in non-obese FH women.

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References

  1. Adams J., Polson D.W., Franks S. Prevalence of polycystic ovaries in women with anovulation and idiopathic hirsutism. B.M.J. 1986, 293: 355–359.

    Article  CAS  Google Scholar 

  2. Polson D.W., Wadsworth J., Adams J., Franks S. Polycystic ovaries — a common finding in normal women. Lancet 1988, 1: 870–872.

    Article  PubMed  CAS  Google Scholar 

  3. Dunaif A. Insulin resistance and the polycystic ovary syndrome: mechanism and implications for pathogenesis. Endocr. Rev. 1997, 18: 774–800.

    PubMed  CAS  Google Scholar 

  4. O’Meara N.M., Blackman J.D., Ehrmann D.A., et al. Defects in beta-cell function in functional ovarian hyperandrogenism. J. Clin. Endocrinol. Metab. 1993, 76: 1241–1247.

    PubMed  Google Scholar 

  5. Bergh C., Olsson J.H., Hillensjo T. Effect of insulin-like growth factor-I on steroidogenesis in cultured human granulosa cells. Acta Endocrinol. (Copenh.) 1991, 125: 177–1785.

    CAS  Google Scholar 

  6. Ericson G.F., Garzo V.G., Magoffin D.A. Insulin-like growth factor-I regulates aromatase activity in human granulosa and granulosa luteal cells. J. Clin. Endocrinol. Metab. 1989, 69: 716–724.

    Article  Google Scholar 

  7. Bergh C., Carlsson B., Olsson J.H., Selleskog U., Hillensjo T. Regulation of androgen production in cultured human thecal cells by insulin-like growth factor-I and insulin. Fertil. Steril. 1993, 59: 323–331.

    PubMed  CAS  Google Scholar 

  8. Carlsson B., Bergh C., Bentham J., et al. Expression of functional growth hormone receptors in human granulosa cells. Hum. Reprod. 1992, 7: 1205–1209.

    PubMed  CAS  Google Scholar 

  9. Tamura M., Sasano H., Suzuki T., et al. Immunohistochemical localization of growth hormone receptor in cyclic human ovaries. Hum. Reprod. 1994, 9: 2259–2262.

    PubMed  CAS  Google Scholar 

  10. Kazer R.R., Unterman T.G., Glick R.P. An abnormality of the growth hormone/insulin like growth factor-I axis in women with polycystic ovary syndrome. J. Clin. Endocrinol. Metab. 1990, 71: 958–962.

    Article  PubMed  CAS  Google Scholar 

  11. Slowinska-Srzednicka J., Zgliczynski W., Makowska A., et al. An abnormality of the growth hormone/insulin-like growth factor-I axis in women with polycystic ovary syndrome due to coexistent obesity. J. Clin. Endocrinol. Metab. 1992, 74: 1432–1435.

    PubMed  CAS  Google Scholar 

  12. Insler V., Shoham Z., Barash A., et al. Polycystic ovaries in non-obese and obese patients: possible pathophysiological mechanism based on new interpretation of facts and findings. Hum. Reprod. 1993, 8: 379–386.

    PubMed  CAS  Google Scholar 

  13. Morales A.J., Laughlin G.A., Butzow T., Maheshwari H., Baumann G., Yen S.S.C. Insulin, somatotropic and luteinizing hormone axes in lean and obese women with polycystic ovary syndrome: common and distinct features. J. Clin. Endocrinol. Metab. 1996, 81: 2854–2864.

    PubMed  CAS  Google Scholar 

  14. Holst N., Jenssen T.G., Burhol P.G., Haug E., Forsdahl F. Plasma gastrointestinal hormones during spontaneous and induced menstrual cycles. J. Clin. Endocrinol. Metab. 1989, 68: 1160–1166.

    Article  PubMed  CAS  Google Scholar 

  15. Fisker S., Frystyk J., Skriver L., Vestbo E., Ho K.K., Orskov H. A simple, rapid immunometric assay for determination of functional and growth hormone-occupied growth hormone-binding protein in human serum. Eur. J. Clin. Invest. 1996, 26: 779–785.

    Article  PubMed  CAS  Google Scholar 

  16. Legro R.S., Finegood D., Dunaif A. A fasting glucose to insulin ratio is a useful measure of insulin sensitivity in women with polycystic ovary syndrome. J.Clin. Endocrinol. Metab. 1998, 83: 2694–2698.

    PubMed  CAS  Google Scholar 

  17. Kopelman P.G. Hormones and obesity. Bailliers Clin. Endocrinol. Metab. 1994, 8: 549–575.

    Article  CAS  Google Scholar 

  18. Dunaif A., Finegood D.T. Beta-cell dysfunction independent of obesity and glucose intolerance in the polycystic ovary syndrome. J. Clin. Endocrinol. Metab. 1996, 81: 942–947.

    PubMed  CAS  Google Scholar 

  19. Nestler J.E., Strauss J.F. Insulin as an effector of human ovarian and adrenal steroid metabolism. Endocrinol. Metab. Clin. North Am. 1991, 20: 807–823.

    PubMed  CAS  Google Scholar 

  20. Devoto L., Christenson L.K., McAllister J.M., Makrigiannakis A., Strauss J.F. 3rd. Insulin and insulin-like growth factor-I and -II modulate human granulosa-lutein cell steroidogenesis: enhancement of steroidogenic acute regulatory protein (StAR) expression. Mol. Hum. Reprod. 1999, 5: 1003–1010.

    Article  PubMed  CAS  Google Scholar 

  21. Zhang L.H., Rodriguez H., Ohno S. Miller W.L. Serine phosphorylation of human P450c17 increases 17, 20 lyase activity: implications for adrenarche and polycystic ovary syndrome. Proc. Natl. Acad. Sci. U.S.A. 1995, 92: 10619–10623.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  22. Ovesen P., Moller J., Ingerslev H.J., et al. Normal basal and insulin-stimulated fuel metabolism in lean women with the polycystic ovary syndrome. J. Clin. Endocrinol. Metab. 1993, 77: 1636–1640.

    PubMed  CAS  Google Scholar 

  23. Holte J., Bergh T., Berne C., Berglund L., Lithell J. Enhanced early insulin response to glucose in relation to insulin resistance in women with polycystic ovary syndrome and normal glucose tolerance. J. Clin. Endocrinol. Metab. 1994, 78: 1052–1058.

    PubMed  CAS  Google Scholar 

  24. Wu X.K., Sallinen K., Zhou S.Y., Su Y., Pollanen P., Erkkola R. Androgen excess contributes to altered growth hormone/ insulin-like growth factor-I axis in nonobese women with polycystic ovary syndrome. Fertil. Steril. 2000, 73: 730–734.

    Article  PubMed  CAS  Google Scholar 

  25. Tropeano G., Barini A., Caroli G., et al. Effects of oral glucose administration on plasma growth hormone levels in women with polycystic ovary syndrome. Fertil. Steril. 1997, 68: 987–991.

    Article  PubMed  CAS  Google Scholar 

  26. Baumann G. Commentary: Growth hormone-binding proteins: state of the art. J. Endocrinol. 1994, 141: 1–6.

    Article  PubMed  CAS  Google Scholar 

  27. Amit T., Youdim M.B.H., Hochberg Z. Does serum growth hormone (GH) binding protein reflect human GH receptor function? J. Clin. Endocrinol. Metab. 2000, 85: 927–932.

    Article  PubMed  CAS  Google Scholar 

  28. Hermansson M., Wickelgren R.B., Hammarqvist F., et al. Measurement of human growth hormone receptor messenger ribonucleic acid by quantitative polymerase chain reactionbased assay: demonstration of reduced expression after elective surgery. J. Clin. Endocrinol. Metab. 1997, 82: 421–428.

    PubMed  CAS  Google Scholar 

  29. Fisker S., Kristensen K., Rosenfalck A.M., et al. Gene expression of a truncated and full-length growth hormone (GH) receptor in subcutaneous fat and skeletal muscle in GH-deficient adults: impact of GH treatment. J. Clin. Endocrinol. Metab. 2001, 86: 792–796.

    PubMed  CAS  Google Scholar 

  30. Martha P.M. Jr., Reiter E.O., Davila N., Shaw M.A., Holcombe J.H., Baumann G. The role of body mass in the response to growth hormone therapy. J. Clin. Endocrinol. Metab., 1992, 75: 1470–1473.

    PubMed  Google Scholar 

  31. Kanzaki M., Morris P.L. Growth hormone regulates steroidogenic acute regulatory protein expression and steroidogenesis in Leydig cell progenitors. Endocrinology 1999, 140: 1681–1686

    PubMed  CAS  Google Scholar 

  32. Bratush-Marrain P.R., Smith D., DeFronzo R.A. The effect of growth hormone on glucose metabolism and insulin secretion in man. J. Clin. Endocrinol. Metab. 1982, 55: 973–982.

    Article  Google Scholar 

  33. Rizza R.A., Mandarino L.J., Gerich J.E. Effects of growth hormone on insulin action in man. Mechanisms of insulin resistance, impaired supression of glucose production, and impaired stimulation of glucose utilisation. Diabetes 1982, 31: 663–669.

    Article  PubMed  CAS  Google Scholar 

  34. Leo V.D., Lancet D., D’Antona D., Danero S. Growth hormone secretion in premenopausal women before and after ovariectomy: effect of hormone replacement therapy. Fertil. Steril. 1993; 60: 268–271.

    PubMed  Google Scholar 

  35. Paoletti A.M., Cagnacci A., Soldani R., et al. Evidence that an altered prolactin release is consequent to abnormal activity in polycystic ovary syndrome. Fertil. Steril. 1995; 64: 1094–1098.

    PubMed  CAS  Google Scholar 

  36. Hatasaka H.H., Kazer R.R., Chatterton R.T., Unterman T.G., Glick R.P. The response of the growth hormone and insulin-like growth factor-I axis to medical castration in women with polycystic ovarian syndrome. Fertil. Steril. 1994, 62: 273–278.

    PubMed  CAS  Google Scholar 

  37. Fryburg D.A., Weltman A., Jahn L.A., et al. Short-term modulation of the androgen milieu alters pulsatile, but not exercise- or growth hormone (GH)-releasing hormonestimulated GH secretion in healthy men: impact of gonadal steroid and GH secretory changes on metabolic outcomes. J. Clin. Endocrinol. Metab. 1997; 82: 3710–3719.

    PubMed  CAS  Google Scholar 

  38. Norman R.J., Masters S.C., Hague W., Beng C., Pannall P., Wang J.X. Metabolic approaches to the subclasification of polycystic ovary syndrome. Fertil. Steril. 1995, 63: 329–335.

    PubMed  CAS  Google Scholar 

  39. Homburg R. Involvement of growth factors in the pathophysiology of polycystic ovary syndrome. Gynecol. Endocrinol. 1998, 12: 391–397.

    Article  PubMed  CAS  Google Scholar 

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Legan, M., Kocijančič, A., Preželj, J. et al. GH-IGF-I axis in non-obese women with functional hyperandrogenism. J Endocrinol Invest 25, 691–695 (2002). https://doi.org/10.1007/BF03345102

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