Circadian and Pulsatile Thyrotropin Secretion in Euthyroid Man Under the Influence of Thyroid Hormone and Glucocorticoid Administration*

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Abstract
The inhibitory action of thyroid hormones (TH) and glucocorticoids on circadian and pulsatile TSH secretion was investigated in groups of five normal men by sampling blood every 10 min for 24 h (start, 1750 h). Serum TSH was measured by a sensitive immunoradiometric assay. Continuous infusion of 50 .mu.g T3 or 250 .mu.g T4 for 8 h (1900-0300 h) significantly suppressed serum TSH levels (T3, P < 0.025; T4, P < 0.05; by paired t test). Administration of 3 g sodium ipodate 7 h before TH infusion did not alter the TSH response to T3, but T4-dependant suppression was abolished. Pulsatile TSH secretion [basally, 5.8 .+-. 1.3 (.+-. SD) pulses/24 h, as analyzed by the PULSAR PROGRAM: 6.8 .+-. 1.9 by the Cluster program] was not significantly altered by any of the experimental conditions. The additional finding of blunting of the TSH response to TRH after TH alone or ipodate and T3 suggests a predominantly pituitary feedback action of TH exerted via conversion of T4 to T3. In contrast, bolus injections of 4 mg dexamethasone (dex) at 1900 and 2200 h abolished TSH pulses for at least 6 h (PULSAR, 6.6 .+-. 1.6 pulses/24 h basally vs. 3.6 .+-. 3.0 under dex; Cluster, 7.0 .+-. 2.7 pulses/24 h basally vs. 1.6 .+-. 1.6 under dex). Dex administration also resulted in a prompt, sustained, and significant suppression of basal TSH (P < 0.0005). Together with a normal serum TSH response to TRH (in separate experiments 1, 9, and 19 h after dex adminstration), these data suggest that glucocorticoid feedback occurs at a suprapituitary level.