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Plasma growth hormone-releasing hormone levels in type 1 (insulin-dependent) diabetic children following a mixed meal

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Summary

Following a mixed meal, plasma hormone responses were measured in four type 1 diabetic children and in eight short normal children. Between 60 and 150 min after ingestion of the mixed meal there was a significant increase in circulating growth hormone-releasing hormone values both in diabetic and in normal children. Mean plasma GHRH peak values were not different between diabetic patients (27.0±3.9 ng/l) and controls (24.6±4.9 ng/l). No time relationship to spontaneous growth hormone peaks was observed. Whereas normal children showed a characteristic biphasic plasma somatostatin response, somatostatin plasma levels in diabetic children did not change. In normal children plasma insulin values increased between 30 and 150 min, but remained unchanged in type 1 diabetic patients. Blood glucose response was more pronounced in diabetic children than in short normal children. These results indicate that circulating growth hormone-releasing hormone does not play a dominant role in the regulation of insulin and somatostatin.

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Abbreviations

GHRH:

growth hormone-releasing hormone

GH:

growth hormone

SRIF:

somatotropin inhibiting factor

RIA:

radioimmunoassay

SEM:

standard error of the mean

References

  1. Argente J, Evain-Brion D, Munoz-Villa A, Garnier P, Hermandez M, Donnadieu M (1986) Relationship of plasma growth hormone-releasing hormone levels to pubertal changes. J Clin Endocrinol Metab 63:680–682

    Google Scholar 

  2. Chihara K, Kashio Y, Kita T, Okimura Y, Kaji H, Abe H, Fujita T (1986)l-Dopa stimulates release of hypothalamic growth hormone-releasing hormone in humans. J Clin Endocrinol Metab 62:466–473

    Google Scholar 

  3. Christofides ND, Stephanou A, Suzuki H, Yiangou Y, Bloom SR (1948) Distribution of immunoreactive growth hormone-releasing hormone in the human brain and intestine and its production by tumours. J Clin Endocrinol Metab 59:747–751

    Google Scholar 

  4. Donnadieu M, Evain-Brion D, Tonon MC, Vaudry H, Job J-C (1985) Variations of plasma growth hormone (GH)-releasing factor levels during GH stimulation tests in children. J Clin Endocrinol Metab 60:1132–1134

    Google Scholar 

  5. Gerber PPG, Trimble ER, Wollheim CB, Renold AE, Miller RE (1981) Effect of insulin on glucose- and arginine-stimulated somatostatin secretion from the isolated, perfused, rat pancreas. Endocrinology 109:279–283

    Google Scholar 

  6. Hermansen K, Kappelgaard AM, Esman J, Orskov H (1986) Synthetic pancreatic growth hormone-releasing factor (GRF-40) stimulates the secretion of the endocrine pancreas. Diabetes 35:119–123

    Google Scholar 

  7. Penman A, Wass JAH, Medbak S, Morgan L, Lewis JM, Besser GM, Rees LH (1981) Response of circulating immunoreactive somatostatin to nutritional stimuli in normal subjects. Gastroenterology 81:692–699

    Google Scholar 

  8. Rosskamp R, Becker M, Soetadji S (1987) Circulating somatomedin-C levels and the effect of growth hormone-releasing factor on plasma levels of growth hormone and somatostatin-like immunoreactivity in obese children. Eur J Pediatr 146:48–50

    Google Scholar 

  9. Rosskamp R, Schmid G, Klumpp J, Tegeler A (1987) Insulin hypoglycemia but not arginine infusion stimulates circulating growth hormone-releasing hormone (GHRH) concentrations in children. Horm Metab Res 19:434–436

    Google Scholar 

  10. Rosskamp R, Becker M, Haverkamp F, Thomas B, Brühl S, Klumpp J, Liappis N (1987) Plasma levels of growth hormone-releasing hormone and somatostatin in response to a mixed meal and during sleep in children. Acta Endocrinol 116:549–554

    Google Scholar 

  11. Shibasaki T, Kiyosawa Y, Masuda A, Nakahara M, Imaki T, Wakabayashi I, Demura H, Shizume K, Ling N (1984) Distribution of growth hormone-releasing hormone-like immunoreactivity in human tissue extracts. J Clin Endocrinol Metab 59:263–268

    Google Scholar 

  12. Sopwith AM, Penny ES, Besser GM, Rees LH (1985) Stimulation by food of peripheral plasma growth hormone releasing factor. Clin Endocrinol 22:337–340

    Google Scholar 

  13. Sopwith AM, Penny ES, Grossmann A, Savage MO, Besser GM, Rees LH (1986) Normal circulating immunoreactive growth hormone releasing factor (hGRF) concentrations in patients with hypothalamic hGRF deficiency. Clin Endocrinol 24:395–400

    Google Scholar 

  14. Sopwith AM, Penny ES, Lytras N, Besser GM, Rees LH (1987) Dissociation between circulating concentrations of immunoreactive growth hormone releasing factor and growth hormone in normal human subjects. Clin Sci 72:181–185

    Google Scholar 

  15. Uccioli L, Ghirlanda G, Cotroneo P, Bianchini G, Manto A, Solini A, Annese V, Greco AV (1986) Somatostatin response to a mixed meal in normals and in type 1 diabetics. Peptides [Suppl 1] 7:287–291

    Google Scholar 

  16. Vinik AI, Levitt NS, Pimstone BL, Wagner L (1981) Peripheral plasma somatostatin-like immunoreactive responses to insulin hypoglycemia and a mixed meal in healthy subjects and in noninsulin-dependent maturity-onset diabetics. J Clin Endocrinol Metab 52:330–337

    Google Scholar 

  17. Wass JAH, Penman E, Dryburgh JR, Tsiolakis D, Goldberg PL, Dawson AM, Besser GM, Rees LH (1980) Circulating somatostatin after food and glucose in man. Clin Endocrinol 12:569–574

    Google Scholar 

  18. Wass JAH, Penman E, Fairclough PD, Bodansky HJ, Williams J, Medbak S, Webb S, Rees LH (1980) Somatostatin secretion after food in normal and diabetic patients. Diabetologia 19:324 (Abstract)

    Google Scholar 

  19. Zyznar E, Pietri AO, Harris V, Unger RH (1981) Evidence for the hormonal status of somatostatin in man. Diabetes 30:883–885

    Google Scholar 

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This study was supported by the Deutsche Forschungsgemeinschaft (Ro 717/1-1)

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Rosskamp, R., Haverkamp, F., Thomas, B. et al. Plasma growth hormone-releasing hormone levels in type 1 (insulin-dependent) diabetic children following a mixed meal. Klin Wochenschr 66, 257–260 (1988). https://doi.org/10.1007/BF01748167

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  • DOI: https://doi.org/10.1007/BF01748167

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