Growth hormone enhances thymic function in HIV-1–infected adults
J. Clin. Invest. Laura A. Napolitano, et al. 118:1085 doi:10.1172/JCI32830 [
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Figure 2GH treatment is associated with the emergence of dense thymus tissue in HIV-1–infected adults. Representative scans are shown for 9 study participants (numbered 1–9). (
A) Cross-sectional comparison of thymus scans from 3 control arm participants (1–3, left panel, no GH) and 3 GH arm participants (4–6, right panel, GH) during the first 6 months of the study. All baseline scans showed low attenuation grayish black adipose tissue in the anterior mediastinum (arrows), consistent with thymic involution. Repeat CT scans obtained 6 months after the baseline scans revealed a marked increase in thymic density in GH recipients (far-right column). This brighter higher-attenuation tissue is consistent with cellular thymus. In contrast, no changes were observed in the absence of GH (second column from left). (
B) Longitudinal display of serial thymus CT scans from 3 control arm participants (nos. 7–9) taken at study baseline; 6 months into the study in the absence of GH; pre-GH baseline 12 months into the study; and 18 months into the study after 6 months of GH treatment. As seen in the cross-sectional comparisons, thymus is involuted in the absence of GH, and GH treatment (far-right column) is associated with the emergence of dense thymus tissue.