It is now well established that hypothalamic hormones stimulate the release of all the known hormones from the anterior pituitary gland except prolactin which is primarily under an inhibitory influence.1 The hypothalamus also inhibits the release of melanocyte-stimulating hormone (MSH) from the intermediate lobe of the pituitary.2,3 The structure and synthesis of thyrotropin-releasing hormone (TRH) was recently announced,4,5 and it is probable that this will be accomplished soon for other hypothalamic hormones. When available, these materials should be of value both for diagnosis and therapy.
The hypothalamic hormones will theoretically provide a means of differentiating primary hypothalamic from pituitary disorders, a distinction which until now has been difficult or impossible to make. It would be expected that release of pituitary hormones by the stimulatory hypothalamic hormones would only occur when sufficient pituitary reserve remained.
Clinical tests have already been performed with synthetic TRH6-11 and
Kastin AJ, Schally AV, Gonzalez-Barcena D, Schalch DS, Lee L. Different Responses to Two Hypothalamic Hormones in Acromegalics. Arch Intern Med. 1972;130(6):923–927. doi:10.1001/archinte.1972.03650060113021
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: