GROWTH HORMONE-RELEASING PEPTIDE-6 STIMULATES SLEEP, GROWTH-HORMONE, ACTH AND CORTISOL RELEASE IN NORMAL MAN

被引:106
作者
FRIEBOES, RM
MURCK, H
MAIER, P
SCHIER, T
HOLSBOER, F
STEIGER, A
机构
[1] Max Planck Institute of Psychiatry, Clinical Institute, Department of Psychiatry, Munich
关键词
GROWTH HORMONE; GROWTH HORMONE RELEASING PEPTIDES; CORTICOTROPINS; ADRENAL STEROIDS; CLINICAL NEUROENDOCRINOLOGY; SLEEP;
D O I
10.1159/000126883
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The synthetic hexapeptide growth hormone-releasing peptide (GHRP-6) stimulates growth hormone (GH) release in animals and man. GH-releasing hormone (GHRH) has the same effect. In addition, pulsatile administration of GHRH in normal men results in increased slow-wave sleep (SWS) and blunted cortisol levels. The effect of GHRP on nocturnal hormone secretion and on the sleep electroencephalogram (EEG) is still unknown. We compared the effect of repetitive i.v. boluses (4 x 50 mu g) of GHRP and placebo (PL) on the sleep EEG (23.00 to 07.00 h) and on the secretion profiles of GH, ACTH and cortisol (20.00 to 07.00 h) in normal male controls. After GHRP, the GH concentration (22.00 to 03.00 h) increased(15.4 +/- 9.6 ng/ml after GHRP vs. 5.5 +/- 4.0 ng/ml after FL, p < 0.02), as did the ACTH level (22.00 to 02.00 h: 21.0 +/- 5.3 pg/ml after GHRP vs. 16.6 +/- 3.1 pg/ml after FL, p < 0.02). During the total night, and particularly during the first half of the night, cortisol secretion was enhanced (22.00 to 03.00 h: 56.0 +/- 31.0 ng/ml after GHRP vs. 25.2 +/- 9.0 ng/ml after FL, p < 0.02). Stage 2 sleep increased (270.1 +/- 25.3 min after GHRP vs. 245.4 +/- 25.8 min after FL, p < 0.02), whereas other sleep-EEG variables including SWS remained unchanged. Our data demonstrate that GHRP stimulates not only GH release but also hypothalamic-pituitary-adrenocortical hormone secretion. The latter effect is opposite to the blunting of cortisol after GHRH. Both GHRP and GHRH promote sleep. However, GHRP enhances stage 2 sleep and does not affect SWS. The different actions of GHRP and GHRH are a further indication that they act at different receptors.
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页码:584 / 589
页数:6
相关论文
共 40 条
[1]  
Bowers C.Y., GH releasing peptides: Structures and kinetics, J Pcdiatr Endocrinol, 6, pp. 21-31, (1993)
[2]  
Huhn W.C., Hartman M.L., Pezzoli S.S., Thomer M.O., Twenty-four-hour grow th hormone (í ïl I)-rclcasing peptide (GIIRP) infusion enhances pulsatile GH secretion and specifically attenuates the response to a subsequent GI IRP bolus, J Clin Endocrinol Metab, 76, pp. 1202-1208, (1993)
[3]  
Bowers C.Y., Sartor A.O., Reynolds G.A., Badger T.M., On the actions of the growth hormone-releasing hexapeptide, GIIRP. Endocrinology, 128, pp. 2027-2035, (1991)
[4]  
DeBell W.K., Pezzoli S., Thomer M.O., Growth hormone (GH) secretion during continuous infusion of GH-releasing peptide: Partial response attenuation, J Clin Endocrinol Metab, 72, pp. 1312-1316, (1991)
[5]  
Hartman M.L., Farello G., Pezzoli S.S., Thomer M.O., Oral administration of growth hormone (GH)-rclcasing peptide stimulates GH secretion in normal men, J Clin Endocrinol Metab, 74, pp. 1378-1384, (1992)
[6]  
Hayashi S., Okimura Y., Yagi I.I., Uchiyama T., Takeshima Y., Shakutsui S., Oohashi S., Bowers C.Y., Chihara K., Intranasal administration of His-W-Trp-Ala-Trp-ü-Phe-l.ysNH
[7]  
(growth hormone releasing peptide) increased plasma growth hormone and insulin-like growth fac-tor-l levels in normal men, Endocrinol Jpn, 38, pp. 15-21, (1991)
[8]  
Penalva A., Pombo M., Carballo A., Barreiro J., Casanueva I.T., Dieguez C., Influence of sex, Age and adrenergic pathways on the growth hormone response to GHRP-6. Clin Endocrinol, 38, pp. 87-91, (1993)
[9]  
Penalva A., Carballo A., Pombo M., Casanueva I.T., Dieguez C., Effect of growth hormone (GH)-relcasing hormone (GHRH), Atropine, pyridostigmine, or hypoglycemia on GIIRP-6-induced GH secretion in man. J Clin Endocrinol Metab, 76, pp. 168-171, (1993)
[10]  
Robinson B.M., DeMott Fribcrg R., Bowers C.Y., Barkan A.L., Acute growth hormone (GH) response to GH-releasing hexapeptide iii humans is independent of endogenous GH-releasing hormone, J Clin Endocrinol Metab, 75, pp. 1121-1124, (1992)