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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0001554,
umls-concept:C0012621,
umls-concept:C0019932,
umls-concept:C0028754,
umls-concept:C0037663,
umls-concept:C0120348,
umls-concept:C0205195,
umls-concept:C0332120,
umls-concept:C0522501,
umls-concept:C0681850,
umls-concept:C1327616,
umls-concept:C1519424,
umls-concept:C1550501,
umls-concept:C1706089,
umls-concept:C1706203,
umls-concept:C2349001,
umls-concept:C2697811,
umls-concept:C2698977
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pubmed:issue |
4
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pubmed:dateCreated |
1993-5-18
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pubmed:abstractText |
GH secretion in response to all provocative stimuli is decreased in patients with obesity. However, the precise mechanism causing this impairment in GH release is unknown. His-DTrp-Ala-Trp-DPhe-Lys-NH2 (GHRP-6) is a synthetic compound that releases GH in a dose-related and specific manner in several species, including man. To gain further insight into disrupted GH secretion in obesity, GHRP-6 and GH-releasing hormone (GHRH) at a dose of 100 micrograms, i.v., were administered either alone or in combination in a group of 19 obese subjects. In a group of obese patients, GHRP-6 induced GH secretion, with a GH peak (mean +/- SEM) of 15.7 +/- 4.4 micrograms/L and an area under the curve (AUC) of 674 +/- 187, which were larger than those after GHRH stimulation (6.8 +/- 1.1 and 412 +/- 71, respectively). Enhancement of the endogenous cholinergic tone was obtained in another group of obese subjects by means of pyridostigmine (120 mg, orally). Pyridostigmine administered 60 min before GHRP-6, increased both the mean GH peak (32.2 +/- 6.9) and the AUC (1413 +/- 537) after GHRP-6 administration. In a separate group of subjects, the combined administration of GHRP-6 and GHRH induced a massive discharge of GH, with individual responses ranging from 14-86 micrograms/L. GHRP-6 plus GHRH induced a mean GH peak of 42.2 +/- 10.9 and an AUC of 1894 +/- 784 (P < 0.05), clearly indicating a potentiating (synergic) action when the two compounds were administered together. These data show that GH responses to GHRP-6 were almost twice those to GHRH in obese patients. The stimulatory effect exerted by pyridostigmine on GHRP-6-induced GH secretion supported the view of increased somatostatinergic tone in obesity. Finally, the massive GH discharge that followed the administration of GHRH plus GHRP-6 was not observed after any stimulus in obesity, clearly indicating that the impaired GH secretion is a functional and potentially reversible state.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Drug Combinations,
http://linkedlifedata.com/resource/pubmed/chemical/Growth Hormone,
http://linkedlifedata.com/resource/pubmed/chemical/Growth Hormone-Releasing Hormone,
http://linkedlifedata.com/resource/pubmed/chemical/Oligopeptides,
http://linkedlifedata.com/resource/pubmed/chemical/Pyridostigmine Bromide,
http://linkedlifedata.com/resource/pubmed/chemical/growth hormone releasing hexapeptide
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0021-972X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
76
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
819-23
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8473389-Adolescent,
pubmed-meshheading:8473389-Adult,
pubmed-meshheading:8473389-Drug Combinations,
pubmed-meshheading:8473389-Female,
pubmed-meshheading:8473389-Growth Hormone,
pubmed-meshheading:8473389-Growth Hormone-Releasing Hormone,
pubmed-meshheading:8473389-Humans,
pubmed-meshheading:8473389-Injections, Intravenous,
pubmed-meshheading:8473389-Male,
pubmed-meshheading:8473389-Middle Aged,
pubmed-meshheading:8473389-Obesity,
pubmed-meshheading:8473389-Oligopeptides,
pubmed-meshheading:8473389-Pituitary Gland, Anterior,
pubmed-meshheading:8473389-Pyridostigmine Bromide
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pubmed:year |
1993
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pubmed:articleTitle |
Massive growth hormone (GH) discharge in obese subjects after the combined administration of GH-releasing hormone and GHRP-6: evidence for a marked somatotroph secretory capability in obesity.
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pubmed:affiliation |
Endocrine Section Hospital General de Galicia, Santiago de Compostela, Spain.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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