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. 2021 Sep 13;23(11):72. doi: 10.1007/s11883-021-00962-z

Table 2.

Endocrinopathies and mechanism for causing hypertriglyceridemia

Disorder Mechanism
Hypothyroidism [16]

Decreased clearance via HL/LPL [17]

Increased AngPTL3 expression [18]

Note: not observed in subclinical disease [19, 20]

Cushing’s syndrome [21] Insulin resistance, changes in FFA metabolism and adipocyte function, typically accompanied by diabetes and obesity [22]
Acromegaly [23] Growth hormone (GH) direct inhibitory inhibits HL/LPL accompanied by insulin resistance and metabolic diseases [24, 25]
Male hypogonadism [26] Unclear, possible confounding by comorbid and correlated obesity and metabolic syndrome [27, 28]
Hyperprolactinemia [29] Proposed mechanisms include hypothalamic-pituitary–gonadal axis disruption, weight changes and subsequent insulin resistance, or possibly direct LPL effects [3032]
Polycystic ovary syndrome [33] Insulin resistance, hyperandrogenism, often exacerbated by obesity and/or diabetes [34]

List of endocrinopathies that contributes to hypertriglyceridemia and proposed mechanisms