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在生长激素释放激素刺激生长激素(GH)分泌并使用生长抑素抑制后,正常男性内源性生长激素(GH)消失的半衰期。

Half-time of endogenous growth hormone (GH) disappearance in normal man after stimulation of GH secretion by GH-releasing hormone and suppression with somatostatin.

作者信息

Faria A C, Veldhuis J D, Thorner M O, Vance M L

机构信息

Department of Internal Medicine, University of Virginia Medical School, Charlottesville 22908.

出版信息

J Clin Endocrinol Metab. 1989 Mar;68(3):535-41. doi: 10.1210/jcem-68-3-535.

Abstract

The half-life (t1/2) of disappearance of endogenous GH from serum was studied using physiological effectors to stimulate and then suppress GH release. GH secretion was stimulated by a single iv injection of GHRH, followed 45 min later by an iv bolus dose and then a 2.5-h infusion of somatostatin (SRIH) to suppress further release. The in vivo t1/2 of GH in seven men was calculated from serum GH concentrations measured at frequent intervals after beginning the SRIH infusion. The mean t1/2 of endogenous GH was 18.9 +/- 0.8 (+/- SE) min by monoexponential analysis and 3.5 +/- 0.7 and 20.7 +/- 0.7 min by biexponential fitting. In these normal men, the decline in GH concentrations after GHRH and SRIH administration was similar to that after the administration of GHRH alone, which yielded a t1/2 of 20.3 +/- 1.9 min. We conclude that the physiological kinetics of endogenous GH removal/disappearance can be estimated in vivo in man using GHRH with or without SRIH infusion.

摘要

利用生理效应器刺激并随后抑制生长激素(GH)释放,研究了血清中内源性GH消失的半衰期(t1/2)。通过单次静脉注射生长激素释放激素(GHRH)刺激GH分泌,45分钟后静脉推注一剂,然后静脉输注2.5小时生长抑素(SRIH)以抑制进一步释放。在开始输注SRIH后,通过频繁测量血清GH浓度,计算出7名男性体内GH的t1/2。通过单指数分析,内源性GH的平均t1/2为18.9±0.8(±标准误)分钟,通过双指数拟合分别为3.5±0.7分钟和20.7±0.7分钟。在这些正常男性中,给予GHRH和SRIH后GH浓度的下降与单独给予GHRH后的下降相似,后者的t1/2为20.3±1.9分钟。我们得出结论,使用GHRH并输注或不输注SRIH,可在人体内对体内内源性GH清除/消失的生理动力学进行评估。

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