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. 2023 Aug 30;3(1):e230006. doi: 10.1530/EO-23-0006

Table 3.

Changes of endocrinological parameters after metyrosine (αMPT) administration or surgical treatment.

Parameters Pretreatment After-αMPT After surgery αMPT/pretreatmentb Surgery/pretreatmentc
Change rate, % P Change rate, % P
Prolactin, ng/dL 12.7 (7.5–17.7)d (n = 9) 39.4 (25.3–55.5)d (n = 9) 17.4 (13.0–25.7) (n = 8) 251.7 ± 141.6 <0.001 46.4 (37.8–145.9) 0.016
TSH, μU/mL 0.90 (0.59–2.69) (n = 10) 1.54 (1.32–3.17) (n = 10) 2.16 (0.71–4.08)a (n = 8) 72.0 ± 76.4 0.024 26.2 ± 64.8 0.37
Free thyroxine, ng/dL 1.06 ± 0.19 (n = 10) 1.05 ± 0.20 (n = 10) 1.17 ± 0.30 (n = 8) −0.6 ± 9.9 0.43 2.6 (−2.3 to 30) 0.11
Growth hormone, ng/dL 0.47 (0.08–3.12) (n = 9) 0.37 (0.07–0.84)a (n = 9) 0.48 (0.19–2.35) (n = 9) −55.0 (−84.8 to 50.4) 0.098 149.5 ± 227.6 0.68
IGF1, s.d. valued −1.2 ± 0.6 (n = 8) −1.1 ± 0.7 (n = 8) −1.6 ± 0.8 (n = 8) 0.1 ± 0.8 0.70 0.7 (−0.2 to 1.7) 0.007
PRA, ng/mL/h 1.1 (0.6–2.4)a (n = 10) 0.4 (0.2–0.7) (n = 10) 0.3 (0.2–0.7) (n = 9) −73.2 (−78.7 to −32.1) 0.010 −44.4 (−90.2 to −23.2) 0.022
PAC, pg/mL 140.4 ± 55.6 (n = 10) 102.3 ± 43.7 (n = 10) 90.4 ± 33.0 (n = 9) −14.5 ± 52.8 0.93 −23.1 ± 34.5 0.038
ARR (PAC/PRA) 114 (88–184) (n = 10) 180 (120–574) (n = 10) 217 (100–681)a (n = 9) 83.8 (31.5–192.5) (n = 10) 0.009 58.8 (−6.4 to 532.6) (n = 9) 0.037

Normally distributed and non-normally distributed variables are presented as the mean ± s.d. and the median (interquartile range), respectively. aNormally distributed variables; however, presented as median (interquartile range) to compare with non-normal distributed variables. bChange rates were calculated as (post-αMPT value – pre-αMPT value)/pre-αMPT value × 100%. cChange rates were calculated as (postsurgery value – pre-αMPT value)/pre-αMPT value × 100%. dIGF1 value is presented as s.d. value standardized by sex and age. Each value was analyzed using a paired t-test and Wilcoxon’s signed-rank test for normally and non-normally distributed variables, respectively. P-values of <0.05 are considered significant (bold).

αMPT, α-methyl-para-tyrosine (metyrosine); ARR, aldosterone-to-renin ratio; IGF1, insulin-like growth factor 1; PAC, plasma aldosterone concentration; PRA, plasma renin activity; PRL, prolactin; TSH, thyroid stimulation hormone