Thyrotropin Secretion Patterns in Health and Disease

Thyroid hormones are extremely important for metabolism, development, and growth during the lifetime. The hypothalamo-pituitary-thyroid axis is precisely regulated for these purposes. Much of our knowledge of this hormonal axis is derived from experiments in animals and mutations in man. This review...

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Veröffentlicht in:Endocrine reviews 2013-10, Vol.34 (5), p.619-657
Hauptverfasser: Roelfsema, Ferdinand, Veldhuis, Johannes D
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description Thyroid hormones are extremely important for metabolism, development, and growth during the lifetime. The hypothalamo-pituitary-thyroid axis is precisely regulated for these purposes. Much of our knowledge of this hormonal axis is derived from experiments in animals and mutations in man. This review examines the hypothalamo-pituitary-thyroid axis particularly in relation to the regulated 24-hour serum TSH concentration profiles in physiological and pathophysiological conditions, including obesity, primary hypothyroidism, pituitary diseases, psychiatric disorders, and selected neurological diseases. Diurnal TSH rhythms can be analyzed with novel and precise techniques, eg, operator-independent deconvolution and approximate entropy. These approaches provide indirect insight in the regulatory components in pathophysiological conditions.
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subjects Adult
Animals
Circadian Rhythm
Female
Health Status
Hormones
Humans
Hypothalamo-Hypophyseal System - physiopathology
Hypothyroidism
Hypothyroidism - physiopathology
Infant, Newborn
Male
Mental disorders
Mental Disorders - physiopathology
Middle Aged
Nervous System Diseases - physiopathology
Neurological diseases
Obesity - physiopathology
Pituitary
Pituitary Diseases - physiopathology
Pregnancy
Sex Factors
Thyroid
Thyroid Diseases - physiopathology
Thyroid Gland - physiopathology
Thyroid Hormone Resistance Syndrome - physiopathology
Thyroid hormones
Thyroid-stimulating hormone
Thyrotropin - blood
Thyrotropin - secretion
Thyroxine - blood
Triiodothyronine - blood
title Thyrotropin Secretion Patterns in Health and Disease
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