| Literature DB >> 24363451 |
Pouneh K Fazeli1, Anne Klibanski.
Abstract
States of undernutrition are characterized by GH resistance. Decreased total energy intake, as well as isolated protein-calorie malnutrition and isolated nutrient deficiencies, result in elevated GH levels and low levels of IGF1. We review various states of malnutrition and a disease state characterized by chronic undernutrition - anorexia nervosa - and discuss possible mechanisms contributing to the state of GH resistance, including fibroblast growth factor 21 and Sirtuin 1. We conclude by examining the hypothesis that GH resistance is an adaptive response to states of undernutrition, in order to maintain euglycemia and preserve energy.Entities:
Keywords: IGF; growth hormone; neuroendocrinology; pituitary
Mesh:
Substances:
Year: 2014 PMID: 24363451 PMCID: PMC3994591 DOI: 10.1530/JOE-13-0477
Source DB: PubMed Journal: J Endocrinol ISSN: 0022-0795 Impact factor: 4.286