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胰岛素诱导的低血糖对儿童血浆生长激素释放激素和生长抑素循环水平的影响。

Effect of insulin-induced hypoglycemia on circulating levels of plasma growth hormone-releasing hormone and somatostatin in children.

作者信息

Rosskamp R, Becker M, Tegeler A, Klumpp J

机构信息

Department of Pediatrics, University of Bonn, FRG.

出版信息

Horm Res. 1987;27(3):121-5. doi: 10.1159/000180799.

DOI:10.1159/000180799
PMID:2891599
Abstract

In response to insulin-induced hypoglycemia (0.1 U insulin/kg body weight, i.v.) plasma levels of growth hormone-releasing hormone (GHRH), somatostatin (SLI), and growth hormone (GH) were measured by radioimmunoassay in 10 children with short stature. Insulin injection resulted in a significant increase in plasma GHRH values at 15 min (10.0 +/- 0.5 vs. 17.1 +/- 3.1 pg/ml; p less than 0.05) preceding the increase in plasma GH levels (1.5 +/- 0.4 vs. 13.6 +/- 1.2 ng/ml; p less than 0.001). SLI concentrations peaked between 15 and 60 min after insulin injection (20.9 +/- 1.2 vs. 47.1 +/- 6.2 pg/ml; p less than 0.01). No correlation was present between plasma GHRH or SLI levels and plasma GH concentrations. A significant negative correlation could be established between maximum increments of plasma GHRH and SLI levels (r = -0.843; p less than 0.01) in response to insulin injection. This finding suggests a possible relationship between these two hormones at peripheral level.

摘要

通过放射免疫分析法,对10名身材矮小儿童在静脉注射胰岛素诱发低血糖(0.1 U胰岛素/千克体重)后,测量其血浆生长激素释放激素(GHRH)、生长抑素(SLI)和生长激素(GH)水平。胰岛素注射后15分钟,血浆GHRH值显著升高(10.0±0.5对17.1±3.1 pg/ml;p<0.05),随后血浆GH水平升高(1.5±0.4对13.6±1.2 ng/ml;p<0.001)。SLI浓度在胰岛素注射后15至60分钟达到峰值(20.9±1.2对47.1±6.2 pg/ml;p<0.01)。血浆GHRH或SLI水平与血浆GH浓度之间无相关性。胰岛素注射后,血浆GHRH和SLI水平的最大增量之间可建立显著的负相关(r = -0.843;p<0.01)。这一发现提示这两种激素在外周水平可能存在某种关系。

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