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Am J Physiol Endocrinol Metab (June 2, 2009). doi:10.1152/ajpendo.00136.2009
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Submitted on March 2, 2009
Revised on May 28, 2009
Accepted on June 2, 2009

Regulation of Basal, Pulsatile and Entropic (Patterned) Modes of GH Secretion in a Putatively Low-Somatostatin Milieu in Women

Johannes D. Veldhuis1*, Susan A. Hudson1, Joy N. Bailey1, and Dana Erickson1

1 Mayo School of Graduate Medical Education, Center for Translational Science Activities

* To whom correspondence should be addressed. E-mail: veldhuis.johannes{at}mayo.edu.

Somatostatin (SS) released by hypothalamic neurons inhibits GH exocytosis noncompetitively. Therefore, we postulated that attenuation of GH feedback-induced SS outflow would help to unmask covariates of endogenous secretagogue drive. To this end, 42 healthy pre- and postmenopausal women (PRE, POST) were randomly assigned to receive leuprolide plus estradiol (E2) or leuprolide plus placebo (Pl). A putatively low-SS milieu was imposed by L-arginine infusion. Deconvolution and regularity analyses were applied to 6-h GH concentration-time profiles. By 2-way ANOVA, age negatively (P < 0.001) and E2 positively (P = 0.001) determined pulsatile GH secretion in the presumptively SS-deficient milieu (P < 0.001). Comparable effects were exerted on the mass of GH secreted per burst per unit distribution volume (age P = 0.001, E2 P < 0.001, overall P < 0.001). E2 alone predicted basal (nonpulsatile) GH secretion (P = 0.004). Stepwise forward-selection multivariate regression demonstrated that age (P = 0.0017) and E2 (P = 0.0002) together explained 46% of intersubject variability in pulsatile GH secretion (P < 0.001), and fully replaced the negative univariate effect of abdominal visceral fat (R2 = 0.32, P < 0.001). Moreover, age and E2 (but not AVF) interacted to supervise GH regularity (P = 0.007). We conclude that age and E2 availability individually and together constitute primary predictors of basal, pulsatile and patterned GH secretion in an inferentially feedback-silenced context in healthy women. Therefore, both factors must be considered in framing hypotheses of endogenous GH drive.







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