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pubmed-article:10084779pubmed:abstractTextGlucocorticoids in pharmacological doses interfere with the integrity of the somatotropics hormone axis. However, the apparent discrepancies between the in vitro and in vivo studies, short-term vs. long-term exposure, and species-specific changes complicate a clear assessment of these interactions. The growth-depressing effects of glucocorticoids are multifactorial and involve suppression of pituitary GH release by stimulating hypothalamic somatostatin tone, down-regulation of hepatic GH receptors, inhibition of GH bioactivity by the induction of IGF inhibitors, complex alteration of the IGFBP serum profile, and a direct suppressive effect on tissue matrix production and synthesis of local growth factors.lld:pubmed
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pubmed-article:10084779pubmed:articleTitleInteractions between glucocorticoids and the growth hormone-insulin-like growth factor axis.lld:pubmed
pubmed-article:10084779pubmed:affiliationDivision of Pediatric Nephrology, Heidelberg University Children's Hospital, Germany. Burkhard_Toenshoff@krzmail.krz.uni-heidelberg.delld:pubmed
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