Groesbeck M D, Parlow A F, Daughaday W H
Endocrinology. 1987 May;120(5):1963-75. doi: 10.1210/endo-120-5-1963.
A supranormal rate of growth in intact, prepubertal, 26-day-old female rats was evoked by administration of large doses of highly purified rat GH (rGH). In response to daily doses of 1 and 5 mg/rat (13.6 mg/kg BW and 68 mg/kg BW), sc, for 20 days, body weight (BW) gain increased 51% and 73%, and skeletal growth increased 27% and 40%, respectively. Serum rGH in treated rats rose as much as 69-fold greater than that of controls. Feed efficiency, the ratio of weight gained to feed consumed, increased from 19.8% to 32.0%. This rGH treatment depleted pituitary GH content as much as 58% and caused hepatomegaly. These effects, as well as the accelerated growth rate, reverted to normal after cessation of rGH treatment. Onset of puberty in rGH-treated rats was delayed an average of 2.7 days. A similar stimulatory effect on BW gain, but not skeletal growth, as well as depletion of pituitary GH content, and hepatomegaly, was elicited by rGH treatment in adult, plateaued female rats. These effects in plateaued rats reverted to normal after cessation of GH treatment, and 50% of the body weight gain was rapidly lost. The largest dose of rGH used, 5 mg/day, was apparently toxic, resulting in a 20% higher mortality rate in treated prepubertal and plateaued female rats. Antibody formation was not the cause of the toxicity, since antibodies against rGH were undetectable at the lowest dilutions of serum tested. Serum rat insulin-like growth factor I (RIA), 3.5 U/ml in untreated intact prepubertal rats, increased to 4.7 and 5.0 U/ml, respectively, after 20 days of rGH treatment. In hypophysectomized rats, serum rat insulin-like growth factor I (RIA), undetectable in controls, was increased to 1.63 U/ml after 14 days treatment with 1 mg rGH/day. This study demonstrates that greater than normal growth can be stimulated in normal female rats by administration of large doses of homologous GH, but at the risk of serious adverse effects. Possible implications for the administration of GH to non-GH-deficient children, to promote taller stature, are clear.
给26日龄完整的青春期前雌性大鼠注射大剂量高度纯化的大鼠生长激素(rGH),可引起其超常生长速率。每天皮下注射1和5毫克/只大鼠(13.6毫克/千克体重和68毫克/千克体重),持续20天,体重增加分别提高了51%和73%,骨骼生长分别增加了27%和40%。经处理的大鼠血清rGH升高幅度比对照组高69倍。饲料效率,即体重增加量与饲料消耗量之比,从19.8%提高到32.0%。这种rGH处理使垂体GH含量减少多达58%,并导致肝脏肿大。这些影响以及加速的生长速率在停止rGH处理后恢复正常。经rGH处理的大鼠青春期开始平均延迟2.7天。在成年的、生长稳定的雌性大鼠中,rGH处理对体重增加有类似的刺激作用,但对骨骼生长无刺激作用,同时也导致垂体GH含量减少和肝脏肿大。生长稳定的大鼠中的这些影响在停止GH处理后恢复正常,且50%的体重增加迅速消失。所使用的最大剂量rGH,即5毫克/天,显然具有毒性,导致经处理的青春期前和生长稳定的雌性大鼠死亡率高出20%。抗体形成不是毒性的原因,因为在测试的血清最低稀释度下未检测到抗rGH抗体。未处理的完整青春期前大鼠血清大鼠胰岛素样生长因子I(放射免疫分析)为3.5 U/ml,经rGH处理20天后分别增加到4.7和5.0 U/ml。在垂体切除的大鼠中,对照组中未检测到的血清大鼠胰岛素样生长因子I(放射免疫分析),在每天用1毫克rGH处理14天后增加到1.63 U/ml。本研究表明,给正常雌性大鼠注射大剂量同源GH可刺激其生长超过正常水平,但存在严重不良反应的风险。对于给非生长激素缺乏的儿童注射GH以促进身高增长的潜在影响是显而易见的。