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肌肉注射生长激素对血浆生长调节素活性的早期影响(作者译)

[Early effects of intramuscular growth hormone on plasma somatomedin activity (author's transl)].

作者信息

Garnier P E, Schimpff R M, Donnadieu M, Martinez M J, Repellin A M, Job J C

出版信息

Arch Fr Pediatr. 1980;37 Suppl 2:XXI-XXV.

PMID:7447616
Abstract

The early effects of intramuscular injection of human growth hormone (hGH) on plasma sulfation activity (Sm) have been followed for 72 hours: 1) after one injection of 6 mg in control children and in pituitary dwarfs (isolated idiopathic GH deficiency, multiple idiopathic pituitary deficiencies, and post-surgical or post-radiotherapic hypopituitarism); 2) after 6 injections of 1 mg every 12 hours in idiopathic pituitary dwarfs. Following injection of 6 mg, Sm decreases during 2-4 hours in all groups studied, then rises and peaks at 24 hours. The early decrease of Sm could relate to a rise of Sm-binding protein, as suggested by data obtained in the dog after intravenous injection of bovine GH. Following 6 injections of 1 mg, the rise of Sm is slower but higher and more protracted than with one injection of 6 mg. This fact suggests that the clinical effects of fractionation of treatment with HGH require further study. The lack of correlation between the biological data obtained and the clinical effects of hGH treatment upon the growth of pituitary dwarfs shows that the short-term hGH test used does not allow to foresee the effects of treatment.

摘要

对肌肉注射人生长激素(hGH)后72小时内血浆硫酸化活性(Sm)的早期影响进行了跟踪研究:1)在对照儿童和垂体性侏儒(孤立性特发性生长激素缺乏症、多发性特发性垂体功能减退症以及手术后或放疗后垂体功能减退症)中单次注射6毫克后;2)在特发性垂体性侏儒中每12小时注射1毫克,共注射6次后。注射6毫克后,在所研究的所有组中,Sm在2至4小时内下降,然后上升并在24小时达到峰值。Sm的早期下降可能与Sm结合蛋白的增加有关,这是在静脉注射牛生长激素的犬类中获得的数据所表明的。注射6次1毫克后,Sm的上升较为缓慢,但比单次注射6毫克时更高且更持久。这一事实表明,生长激素分次治疗的临床效果需要进一步研究。所获得的生物学数据与生长激素治疗对垂体性侏儒生长的临床效果之间缺乏相关性,这表明所使用的短期生长激素测试无法预测治疗效果。

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