Not males. This is the state of the science:
From:
Tamoxifen Inhibition of Estrogen Receptor-–Negative Mouse Mammary Tumorigenesis, Daniel Medina, Cancer Research 65, 3493-3496, April 15, 2005
"Tamoxifen treatment also attenuates GH release in both rats (40) and humans (41) and decreases insulin-like growth factor-I (IGF-I) concentration in serum of rats (42) and humans (41)."
41 -
Inhibitory action on GHRH-induced GH secretion of chronic tamoxifen treatment in breast cancer, De Marinis L, Mancini A, Izzi D, et al, Clin Endocrinol 2000;52:681–5
OBJECTIVE: Previous in vitro and in vivo studies on animal models have demonstrated that tamoxifen (TAM) inhibits GH secretion. Studies in humans are conflicting. The aim of this study was to evaluate the effect of chronic TAM treatment on GH secretory dynamics in the presence of negligible endogenous oestrogens, in postmenopausal women with breast cancer.
PATIENTS: Ten female patients were studied over a 6 - 12-month period after surgical therapy, before medical therapy, and during chronic treatment with TAM (20 mg/day p.o.).
...
DISCUSSION:
In agreement with experimental studies on animals, we have confirmed our preliminary data (De Marinis et al., 1996) demonstrating that chronic TAM treatment is able to reduce GH release induced by GHRH when considering both single time points, peak response and AUC values. Moreover, circulating IGF-1 levels are significantly reduced by TAM treatment. Different studies have investigated the effect of TAM on GH secretion in humans, coming to different conclusions. In postmenopausal women with breast cancer some authors showed no change in basal GH levels (Paterson et al., 1983; Lonning et al., 1992). These data agree with the results of our study where basal GH levels remained unchanged during TAM treatment. On the other hand, in a similar set of patients, other authors observed a trend towards increase an in basal GH levels (Fornander et al., 1993).
The GH response to GHRH has been evaluated in other studies. No change in GHRH-induced GH secretion was found during TAM chronic administration in postmenopausal women with breast cancer (Corsello et al., 1998). Similarly, in healthy premenopausal women short-term TAM treatment (30 mg daily for 2 days) did not significantly modify GHRH-induced GH response (Casanueva et al., 1987).
It is important to consider that the length of TAM treatment in these reports was shorter than in our study (6-12 months): GH levels were measured after 8 weeks (Paterson et al., 1983; Corsello et al., 1998), after 3 months (Fornander et al., 1993), after 1-6 months (Lonning et al., 1992) and after 2 days (Casanueva et al., 1987) of TAM treatment. Moreover, in a series of these patients, old age (mean age 75 years) may explain the low mean response of GH to GHRH before and after TAM treatment (Corsello et al., 1998).
A slight but significant increase of GH levels, but no change in GHRH-induced GH release was observed during chronic TAM treatment (60 days) in a study performed in acromegalic subjects (Cozzi et al., 1997). These results must be considered in relation to the particular subset of patients studied.
The stimulatory role of oestrogen on GH secretory dynamics is well known, as thoroughly reviewed by Giustina & Veldhuis (1998). It has been suggested that the effects of TAM on GH secretion could be ascribed to its anti-oestrogenic action (Frohlander & von Schoultz, 1988; Weissberger & Ho, 1993; Metzger & Kerrigan, 1994). On the other hand, since TAM effects have been observed in postmenopausal patients, in the presence of negligible endogenous oestrogens, this action of TAM may be hypothesized to be exerted at a different level than the OR. Alternative hypotheses are that TAM may interfere with GH dynamics at a central level, blocking GHRH secretion and/or inducing an increase in the somatostatinergic tone, or at the pituitary level.
The hypothesis that the effect of TAM on GH secretion may be ascribed to an increase of somatostatinergic tone is supported by a study in rats (Tannenbaum et al., 1992). TAM, administrated subcutaneously, caused a reduction in the amplitude of spontaneous GH secretory bursts as well as mean plasma GH levels. Of considerable interest is the fact that the inhibitory effect of TAM on the in vivo secretion of GH was diminuished by an anti-somatostatin antiserum ('somatostatinmediated' effect).
On the other hand, supporting the hypothesis that TAM directly inhibits GH pituitary secretion, Malaab et al. (1992) have conducted a study using cultures of immature lamb pituitary cells. They demonstrated that, during acute as well as chronic treatment, clinically relevant concentration of TAM (1-10 mmol/l) have a direct dose-related inhibitory effect on GH release from pituitary somatotrophs. The ability of the cultured cells to respond to GHRH was markedly attenuated.
A peripheral action of TAM on IGF-1 synthesis has to be considered. Numerous studies in recent years have demonstrated the important role that IGF-1 has as a mitogen for breast cancer, as well as for other malignancies (Stracke et al., 1988; Yee et al., 1989; Pollak et al., 1991; Cocconi et al., 1992; Pollak et al., 1992).
TAM modulates IGF-1 action by the stimulation of IGF-BP3 local production and, on the other hand, influences IGF-1 concentrations in the microenvironment of tumour cells. Studies on animals demonstrated that TAM inhibits IGF-1 gene expression in the liver and the lung (Huynh et al., 1993), and influences local production by neighbouring cells, including stromal tissue. Several studies have demonstrated that in humans TAM significantly reduces circulating levels of IGF-1 (Colletti et al., 1989; Pollak et al., 1990; Friedl et al., 1992; Lonning et al., 1992; Fornander et al., 1993; Corsello et al., 1998). TAM could exert this action in peripheral sites, partly due to its weak oestrogenic activity (Murphy & Friesen, 1998). Even if our data do not allow definite conclusions to be drawn on TAM-induced inhibition of spontaneous GH secretion, they suggest that the IGF-1 decrease can be due, at least in part, to reduced GH release after endogenous GHRH secretion. Moreover, considering the negative feedback of IGF-1 on GH secretion (Berelowitz et al., 1981), the inhibitory effect of TAM on GH secretory dynamics despite the reduction of serum IGF- 1 levels further supports the hypothesis of a TAM central action on the GHRH-GH-IGF-1 axis.
A significant inverse correlation between SHBG and IGF-1 circulating levels has been found. Previous studies suggested an influence of IGF-1 on SHBG: first, both proteins are profoundly affected by nutrition in opposite manners; second, it has been suggested that IGF-1 stimulates the process of cellular uptake of SHBG (von Schoultz & Carlstrom, 1989). Our group has previously demonstrated, in a study conducted in pre- and postmenopausal patients with benign breast disease, that lower levels of IGF-1 are present in patients with higher levels of SHBG. This phenomenon occurred only in postmenopausal patients, since IGF-1 is obviously higher and clearly related to GH secretion in premenopausal women (Mancini et al., 1992). However, since it was not present in the group of subjects studied before TAM treatment, partial oestrogenization seems to be necessary to highlight such a relationship.
It is known that TAM increases plasma levels of SHBG in postmenopausal breast cancer patients, probably acting as an oestrogen agonist (Lonning et al., 1995). Yet our results suggest a link with the drug's inhibitory effect on GHRH-GH-IGF-1 axis
In conclusion, our data reinforce the hypothesis of a central action of tamoxifen resulting in inhibition of GH and IGF-1 levels in humans. Keeping in mind the demonstrated mitogenic role of IGF-1 in cancer proliferation, the results of this study may contribute to clarifying the mechanism by which tamoxifen exerts its antiproliferative effect.