Abstract
GH secretion is under complex neurotransmitter and hormonal control. GH releasing hormone (GHRH) is released from the hypothalamus into the hypothalamic-hypophyseal circulation, stimulating pulsatile GH secretion. Hypothalamic somatostatin, on the other hand, inhibits GH release. GH stimulates the synthesis of insulin-like growth factor I in several peripheral tissues, which mediates some, but not all, of GH hormone action. Completing the feedback-loop paradigm, IGF-I directly interacts with specific IGF receptors on somatotropes, inhibiting further GH secretion. Moreover, IGF receptors are present in brain, and there is evidence that locally synthesized IGF-I can inhibit GHRH release and stimulate somatostatin secretion, thereby suppressing GH secretion (1). Finally, GH inhibits its own secretion at the level of the hypothalamus.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Rosenfeld RG, Ocrant I, Valentino KL, Hoffman AR. Interaction of IGF with the hypothalamus and pituitary. In: LeRoith D, Raizada MK, eds. Molecular and cellular biology of insulin-like growth factors and their receptors. New York: Plenum Press, 1990:39–56.
Rudman D, Kutner MH, Rogers CM, Lubin MF, Fleming GA, Bain RP. Impaired GH secretion in the adult population: relation to age and adiposity. J Clin Invest 1981;67:1361–9.
Hoffman AR, Griffin C, Kalinyak JE, Perkins SN, Ceda GP. The hypothalamic-somatotroph-somatomedin axis and aging. In: Valenti G, ed. Psychoneuroendocrinology of aging: basic and clinical aspects. Fidia Research Series, vol 16. Berlin: Springer-Verlag, 1988:43–60.
Ceda G, Denti L, Hoffman AR, Ceresini G, Valenti G. Aging and pituitary responses to hypothalamic peptides. In: Segal HL, ed. Protein metabolism in aging. New York: Wiley-Liss, 1990:335–44.
Ceda GP, Valenti G, Butturini U, Hoffman AR. Diminished pituitary responsiveness to growth hormone releasing factor in aging male rats. Endocrinology 1986;118:2109–14.
Ceda GP, Ceresini G, Denti L, Cortellini P, Hoffman AR, Valenti G. Androgens do not regulate the growth hormone response to GHRH in elderly men. Horm Metab Res 1989;21:695–6.
Robberecht P, Gillard M, Waelbroeck M, Camus JC, De Neef P, Christophe J. Decreased stimulation of adenylate cyclase by growth hormone releasing factor in the anterior pituitary of old rats. Neuroendocrinology 1986;44:429–32.
Abribat T, Deslauriers N, Brazeau P, Gaudreau P. Alterations of pituitary GHRH binding sites in aging rats. Endocrinology 1991;128:633–5.
De Gennaro Colonna V, Zoli M, Cocchi D, et al. Reduced growth hormone-releasing factor (GHRF)-like immunoreactivity and GHRF gene expression in hypothalamus of aged rats. Peptides 1989;10:705–9.
Ho KY, Evans WS, Blizzard RM, et al. Effects of sex and age on the 24-hour profile of growth hormone secretion in man: importance of endogenous estradiol concentrations. J Clin Endocrinol Metab 1987;64:51–8.
Shibasaki T, Shizume K, Nakahara M, et al. Age-related changes in plasma growth hormone response to growth hormone releasing factor in man. J Clin Endocrinol Metab 1984;58:212–4.
Pavlov EP, Harman SM, Merriam GR, Gelato MC, Blackman MR. Reponses of growth hormone (GH) and somatomedin-C to GH-releasing hormone in healthy aging men. J Clin Endocrinol Metab 1986;62:595–600.
Bando H, Zhang C, Takada Y, Yamasaki R, Saito S. Impaired secretion of growth hormone-releasing hormone, growth hormone and IGF-I in elderly men. Acta Endocrinol (Copenh) 1991;124:31–6.
Daughaday WH, Trivedi B, Andrews BA. The ontogeny of serum GH binding protein in man: a possible indicator of hepatic GH receptor development. J Clin Endocrinol Metab 1987;65:1072–4.
Iranmanesh A, Lizarralde G, Veldhuis JD. Age and relative adiposity are specific negative determinants of the frequency and amplitude of growth hormone (GH) secretory bursts and the half-life of endogenous GH in elderly men. J Clin Endocrinol Metab 1991;73:1081–8.
Corpas E, Harman SM, Pineyro MA, Roberson R, Blackman MR. Growth hormone (GH)-releasing hormone-(l-29) twice daily reverses the decreased GH and insulin-like growth factor-I levels in old men. J Clin Endocrinol Metab 1992;75:530–5.
Donahue LR, Hunter SJ, Sherblom AP, Rosen C. Age-related changes in serum insulin-like growth factor-binding proteins in women. J Clin Endocrinol Metab 1990;71:575–9.
Gibson GE, Peterson C, Jenden DJ. Brain acetylcholine synthesis declines with senescence. Science 1981;213:674–6.
Massara F, Ghigo E, Demislis K, et al. Cholinergic involvement in the growth hormone releasing factor-induced growth hormone release: studies in normal and acromegalic subjects. Neuroendocrinology 1986;43:670–5.
Ceda GP, Ceresini G, Denti L, et al. Effects of cytidine 5′-diphosphocholine administration on basal and growth hormone-releasing hormone-induced growth hormone secretion in elderly subjects. Acta Endocrinol (Copenh) 1991;124:516–20.
Ghigo E, Goffi S, Arvat E, et al. Pyridostigmine partially restores the GH responsiveness to GHRH in normal aging. Acta Endocrinol (Copenh) 1990;123:169–72.
Ceda GP, Ceresini G, Denti L, et al. Alpha-glycerylphosphorylcholine administration increases the GH responses to GHRH to young and elderly subjects. Horm Metab Res 1992;24:119–21.
Imperato A, De Mei C, Scrocco MG, Angelucci L. Attività colinergica di alfa-GFC a livello ippocampale e striatale. Studio “in vivo” mediante microdialisi cerebrale. Le Basi Razionali della Terapia 1990;20(suppl 1):17–22.
Ghigo E, Goffi S, Mazza E, et al. Repeated GHRH administration unravels different GH secretory patterns in normal adults and children. Acta Endocrinol (Copenh) 1989;120:598–601.
Sonntag WE, Forman LJ, Miki N, et al. Effects of CNS active drugs and somatostatin antiserum on GH release in young and old male rats. Neuroendocrinology 1981;33:73–8.
Sartorio A, Spada A, Arosio M, Conti A, Faglia G. Effects of consecutive doses of GHRH on GH secretion. Clin Endocrinol (Oxf) 1991;35:187–8.
Massara F, Ghigo E, Molinatti P, et al. Potentiation of cholinergic tone by pyridostigmine bromide re-instates and potentiates the GH responsiveness to intermittent administration of GHRH in man. Acta Endocrinol (Copenh) 1986;113:12–6.
Iovino M, Monteleone P, Steardo L. Repetitive GHRH administration restores the attenuated GH responses to GHRH testing in normal aging. J Clin Endocrinol Metab 1989;69:910–2.
Franchimont P, Urban-Choffray D, Lambelin P, Fontaine MA, Frangin G, Reginster JY. Effects of repetitive administration of GHRH on GH secretion, IGF-I and bone metabolism in postmenopausal women. Acta Endocrinol (Copenh) 1989;120:121–4.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1994 Springer-Verlag New York, Inc.
About this paper
Cite this paper
Ceda, G.P. et al. (1994). Effects of an Acetylcholine Precursor on GH Secretion in Elderly Subjects. In: Bercu, B.B., Walker, R.F. (eds) Growth Hormone II. Serono Symposia USA Norwell, Massachusetts. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8372-7_25
Download citation
DOI: https://doi.org/10.1007/978-1-4613-8372-7_25
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4613-8374-1
Online ISBN: 978-1-4613-8372-7
eBook Packages: Springer Book Archive