HORMONAL-REGULATION OF SERUM LIPOPROTEIN(A) LEVELS - CONTRASTING EFFECTS OF GROWTH-HORMONE AND INSULIN-LIKE GROWTH-FACTOR-I

被引:56
作者
OLIVECRONA, H
JOHANSSON, AG
LINDH, E
LJUNGHALL, S
BERGLUND, L
ANGELIN, B
机构
[1] HUDDINGE UNIV HOSP,KAROLINSKA INST,DEPT MED,S-14186 HUDDINGE,SWEDEN
[2] HUDDINGE UNIV HOSP,KAROLINSKA INST,DEPT SURG,METAB UNIT,S-14186 HUDDINGE,SWEDEN
[3] HUDDINGE UNIV HOSP,KAROLINSKA INST,DEPT CLIN CHEM,S-14186 HUDDINGE,SWEDEN
[4] HUDDINGE UNIV HOSP,KAROLINSKA INST,CTR NUTR & TOXICOL,MOLEC NUTR UNIT,S-14186 HUDDINGE,SWEDEN
[5] UNIV UPPSALA HOSP,DEPT INTERNAL MED,S-75185 UPPSALA,SWEDEN
关键词
GROWTH HORMONE; INSULIN-LIKE GROWTH FACTOR-I; LIPOPROTEIN;
D O I
10.1161/01.ATV.15.7.847
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In response to treatment with growth hormone, serum levels of lipoprotein(a) increase, while those of LDL cholesterol decrease. To establish if increased levels of insulinlike growth factor-I may be of importance for these changes, we analyzed serum lipoprotein concentrations in 11 male patients with idiopathic osteoporosis who were treated with growth hormone (2 IU . m(-2) . d(-1)) or insulin-like growth factor-I (80 mu g kg(-1) . d(-1)) in a randomized, double-blind, crossover study. LDL cholesterol was reduced by 0.7 mmol/L (P<.01) during growth hormone treatment but was not affected when the same patients received insulin-like growth factor-I. In contrast, mean lipoprotein(a) levels increased from 519 to 571 mg/L (P<.03) in response to growth hormone but were reduced from 538 to 478 mg/L (P<.04) during treatment with insulin-like growth factor-I. These results indicate that growth hormone exerts its effects on lipoprotein metabolism independent of insulin-like growth factor-I. Furthermore, the results suggest that treatment with insulin-like growth factor-I may reduce lipoprotein(a) levels.
引用
收藏
页码:847 / 849
页数:3
相关论文
共 26 条
[1]  
Utermann G., The mysteries of lipoprotein (a), Science, 246, pp. 904-910, (1989)
[2]  
Scanu A.M., Fless G.M., Lipoprotein (a): Heterogeneity and biological relevance, J Clin Invest, 85, pp. 1709-1715, (1990)
[3]  
Rhoads G.G., Dahlen G., Berg K., Morton N.E., Dannenberg A.L., Lp(a) lipoprotein as risk factor for myocardial infarction, JAMA, 256, pp. 2540-2544, (1986)
[4]  
Henriksson P., Angelin B., Berglund L., Hormonal regulation of serum Lp (a) levels: Opposite effects after estrogen treatment and orchidectomy in males with prostatic carcinoma, J Clin Invest, 89, pp. 1166-1171, (1992)
[5]  
Soma M.R., Osnago-Gadda I., Paoletti R., Fumagalli R., Morrisett J.D., Meschia M., Crosignani P., The lowering of lipoprotein (a) induced by estrogen plus progesterone replacement therapy in postmenopausal women, Arch Intern Med, 153, pp. 1462-1468, (1993)
[6]  
Sacks F.M., McPherson R., Walsh B.W., Effect of postmenopausal estrogen replacement on plasma Lp(a) lipoprotein concentrations, Arch Intern Med, 154, pp. 1106-1110, (1994)
[7]  
Eden S., Wiklund O., Oscarsson J., Rosen T., Bengtsson B.-A., Growth hormone treatment of growth hormone-deficient adults results in a marked increase in Lp(a) and HDL cholesterol concentrations, Arterioscler Thromb, 13, pp. 296-301, (1993)
[8]  
Olivecrona H., Ericsson S., Berglund L., Angelin B., Increased concentrations of serum lipoprotein (a) in response to growth hormone treatment, Br Med J, 306, pp. 1726-1727, (1993)
[9]  
Angelin B., Olivecrona H., Reihner E., Rudling M., Stahlberg D., Eriksson M., Ewerth S., Henriksson P., Einarsson K., Hepatic cholesterol metabolism in estrogen-treated men, Gastroenterology, 103, pp. 1657-1663, (1992)
[10]  
Rudling M., Norstedt G., Olivecrona H., Reihner E., Gustafsson J.-A., Angelin B., Importance of growth hormone for the induction of hepatic low density lipoprotein receptors, Proc Natl Acad Sci U S A, 89, pp. 6983-6987, (1992)