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Effects of a growth hormone pulse on total and forearm substrate fluxes in humans
Abstract
Under physiological circumstances growth hormone (GH) is secreted in bursts after the onset of sleep and a few hours postprandially. Because most relevant studies have employed constant or repeated infusion of high doses of GH, the possible metabolic effects of such bursts are largely unknown. We have studied seven healthy, male subjects for 7 h after an intravenous bolus of 1) 140 micrograms GH and 2) saline. When injected, serum GH rose to a peak of 21 +/- 3 micrograms/l 10 min after injection. GH caused 1) a rapid, sustained 55% decrease in forearm glucose uptake (P less than 0.05) followed by increases toward control values, 2) a delayed 5 mg/100 ml decrease in plasma glucose (P less than 0.05), and 3) significant 60-250% increases (P less than 0.05) in all measured lipid intermediates (nonesterified fatty acids, 3-hydroxybutyrate, and glycerol) 120-160 min after administration followed by decreases to below control values (P less than 0.05). GH did not influence circulating levels of insulin, C-peptide, glucagon, or insulin-like growth factor I (IGF-I), or isotopically determined glucose turnover. Physiological bursts of GH secretion appear to have acute insulin antagonistic effects with maximal effect on lipolysis after 2 h. These effects are reversed after 4 h. Therefore, GH could play a key role in regulation of diurnal rhythms of substrate levels and fuel utilization in humans.
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“GHRH injection increased glucose levels at awakening by almost 50%56 and GH administration rapidly decreased muscular glucose uptake.55,57”
From Interacting epidemics? Sleep curtailment, insulin resistance, and obesity (2012) · cites this paper as [55]
In the citing paper
“The GH peak at sleep onset has insulin lowering effects.55”
From Interacting epidemics? Sleep curtailment, insulin resistance, and obesity (2012) · cites this paper as [55]
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Self-citation
Metadata
- Authors
- Moller, N., Jorgensen, J. O., Schmitz, O., Moller, J., Christiansen, J., Alberti, K. G., & Orskov, H.
- Affiliations
- Second University Clinic of Internal Medicine, Aarhus, Denmark.
- Aarhus University (DK)
- ORCID
- Christiansen, J.
- Venue
- American Journal of Physiology-Endocrinology and Metabolism
- Publisher
- American Physiological Society
- Published
- 1990-01-01
- Volume
- 258
- Issue
- 1
- Pages
- E86-E91
- ISSN
- 0193-1849 (ISSN-L)
- 1522-1555
- OpenAlex
- W1870120585
- Semantic Scholar
- 7c789df8e99e99d123e8060df65caa9dfebbf2b1
- Cited by
- 194
- References
- 21
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 2 · 2020: 7 · 2019: 4 · 2018: 5 · 2017: 4 · 2016: 5 · 2015: 6 · 2014: 3 · 2013: 6 · 2012: 7
- FWCI
- 5.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Physiology-Endocrinology and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pancreatic function and diabetes
- Keywords
- growth hormone, glucose uptake, lipolysis, free fatty acids, beta-hydroxybutyrate, glycerol, insulin antagonism, plasma glucose, diurnal cycle, substrate utilization, insulin-like growth factor I
- MeSH terms
- Adult, Analysis of Variance, Blood Glucose, C-Peptide, Fatty Acids, Nonesterified, Forearm, Glucagon, Glycerol, Humans, Hydroxybutyrates, Injections, Intravenous, Insulin, Kinetics, Male, Regional Blood Flow, Growth Hormone, Time Factors, 3-Hydroxybutyric Acid
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