thymic-factor--circulating and Acromegaly

Topics: Acromegaly; Adolescent; Adult; Child; Diabetes Mellitus, Type 1; Endocrine System Diseases; Growth Hormone; Humans; Hyperthyroidism; Hypothyroidism; Male; Pituitary Neoplasms; Prolactinoma; Thymic Factor, Circulating; Thymus Gland; Zinc

We have investigated the role of GH and insulin-like growth factor-I (IGF-I) in controlling the secretion of thymulin, a hormone produced by thymic epithelial cells (TEC). Thymulin plasma concentrations (mean +/- SD) were increased in 21 patients with acromegaly compared to those in 30 controls, as assessed by bioassay (4.24 +/- 0.97 vs. 2.67 +/- 0.87; P less than 0.001) and RIA (561 +/- 241 vs. 315 +/- 113 pg/L; P less than 0.01). Good correlations were observed between plasma levels of thymulin and IGF-I (P less than 0.001). In vitro experiments demonstrated that both recombinant human GH and IGF-I significantly increased thymulin production in culture supernatants of normal human TEC and a rat TEC line. In parallel, IGF-I also significantly stimulated the proliferation of human TEC, as measured by bromodeoxyuridine incorporation. Additionally, the stimulatory effect of GH on thymulin production was abrogated by both an anti-IGF-I antibody and an anti-IGF-I receptor antibody. These results support a role for GH and IGF-I in the control of thymic hormonal function in man and suggest that the effect of GH may be mediated by local secretion of IGF-I within the thymus.

Topics: Acromegaly; Adult; Cell Division; Epithelial Cells; Growth Hormone; Humans; Insulin-Like Growth Factor I; Middle Aged; Recombinant Proteins; Thymic Factor, Circulating; Thymus Gland; Thymus Hormones

The production of thymulin by the thymic epithelium is under complex control involving the endocrine system. Experimental models have suggested that prolactin (PRL) and growth hormone (GH) participate in this regulation but this has not been documented in humans. Using a bioassay we measured circulating thymulin levels in patients with hyperprolactinemia (n = 21), acromegaly (n = 15), or both (n = 6). Thymulin was elevated in these three groups of patients compared with normal subjects or with patients with pituitary disease but no excess in PRL or GH. Contrasting with observations in control groups, thymulin did not decrease as a function of age in patients. No correlation between thymulin and PRL or GH levels was observed while thymulin and insulin-like growth factor 1 levels were correlated. A new radioimmunoassay used in some patients for thymulin determination yielded similar results. Overall these data demonstrate that PRL and GH are involved in the hormonal control of thymulin production by the thymic epithelium in the human.

Topics: Acromegaly; Adult; Aged; Aging; Female; Growth Hormone; Humans; Hyperprolactinemia; Male; Middle Aged; Pituitary Diseases; Prolactin; Radioimmunoassay; Thymic Factor, Circulating; Thymus Hormones