Skip to main content

Anabolic Effects of Growth Hormone Administration in Adults

  • Conference paper
Growth Hormone and Somatomedins during Lifespan

Abstract

The metabolic effects of human growth hormone (GH) administration in adults without GH deficiency have been well documented over the past 5 decades. Studies in the 1950s demonstrated nitrogen retention in burn patients (Prudden et al. 1956) and nitrogen, potassium, phosphorus, sodium and chloride retention in adult subjects given pituitary-derived GH (Ikkos et al. 1958).Classical nutrient balance studies clearly documented anabolic effects of pituitary GH in humans (Henneman et al. 1960 Henneman and Henneman 1960). Retention of cellular constituents (nitrogen, phosphorus, potassium, sodium, magnesium and calcium) occurred during GH treatment in non-GH deficient adults and also in children with presumed hypopituitarism. Nutrient retention occurred in proportions characteristic of lean tissue and bone (Henneman et al. 1960). Additionally, fat mobilization with elevated free fatty acids and associated glucose intolerance were observed with GH administration (Henneman and Henneman 1960). The metabolic and protein-anabolic effects of GH observed in adults were consistent with findings of stimulated linear growth and loss of body fat in children receiving GH (Collip et al. 1973; Henneman et al. 1960).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bak JF, Moller N, Schmitz O (1991) Effects of growth hormone on fuel utilization and muscle glycogen synthase activity in normal humans. Am J Physiol 260:E736–E742.

    PubMed  CAS  Google Scholar 

  • Bengtsson B-A, Brummer R-J, Bosaeus I (1990) Growth hormone and body composition. Horm Res 33[Supple 4]:19–24.

    Article  PubMed  Google Scholar 

  • Bennet WM, Haymond MW (1992) Growth hormone and lean tissue catabolism during long-term glucocorticoid administration. Clin Endocrinol 36:161–164.

    Article  CAS  Google Scholar 

  • Byrne T, Morrissey T, Ziegler TR, Gatzen C, Wilmore DW (1992) Growth hormone, glutamine and fiber enhance adaptation of remnant bowel following massive intestinal resection. Surg Forum 43:151–153.

    Google Scholar 

  • Clemmons DR, Underwood LE (1991) Nutritional regulation of IGF-I and IGF binding proteins. Annu Rev Nutr 11:393–412.

    Article  PubMed  CAS  Google Scholar 

  • Clemmons DR, Snyder DK, Williams R, Underwood LE (1987) Growth hormone conserves lean body mass during dietary restriction in obese subjects. J Clin Endocrinol Metab 64:878–883.

    Article  PubMed  CAS  Google Scholar 

  • Clemmons DR, Smith-Banks A, Underwood LE (1992) Reversal of diet-induced catabolism by infusion of recombinant insulin-like growth factor-I in humans. J Clin Endocrinol Metab 75:234–238.

    Article  PubMed  CAS  Google Scholar 

  • Collip PJ, Curti V, Thomas J, Sharma RK, Maddaiah VT, Cohn SE (1973) Body composition changes in children receiving growth hormone. Metabolism 22:589–595.

    Article  Google Scholar 

  • Crist DM, Peake GT, Egan PA, Waters DL (1988) Body composition response to exogenous GH during training in highly conditioned adults. J Appl Physiol 65:579–584.

    PubMed  CAS  Google Scholar 

  • Douglas RG, Humberstone DA, Haystead A, Shaw JH (1990) Metabolic effects of recombinant human growth hormone: isotopic studies in the postoperative state and during total parenteral nutrition. Br J Surg 77:785–790.

    Article  PubMed  CAS  Google Scholar 

  • Fong Y, Rosenbaum M, Hesse DG, Tracey KJ, Gertner J, Lowry SF (1988) Influence of substrate background on peripheral tissue responses to growth hormone. J Surg Res 44:702–708.

    Article  PubMed  CAS  Google Scholar 

  • Fong Y, Rosenbaum M, Tracey KJ, Raman G, Hesse DG, Matthews DE, Leibel RL, Gertner JM, Fischman DA, Lowry SF (1989) Recombinant growth hormone enhances muscle myosin heavy-chain mRNA accumulation and amino acid accrual in humans. Proc Natl Acad Sci USA 86:3371–3374.

    Article  PubMed  CAS  Google Scholar 

  • Fryburg DA, Gelfand RA, Barrett EJ (1991) Growth hormone acutely stimulates forearm muscle protein synthesis in normal humans. Am J Physiol 260:E499–E504.

    PubMed  CAS  Google Scholar 

  • Gatzen C, Scheltinga MR, Kimbrough TD, Jacobs DO, Wilmore DW (1992) Growth hormone attenuates the abnormal distribution of body water in critically ill surgical patients. Surgery 112:181–187.

    PubMed  CAS  Google Scholar 

  • Gore DC, Honeycutt D, Jahoor F, Wolfe RR, Heradon DN (1991a) Effect of exogenous growth hormone on whole-body and isolated-limb protein kinetics in burned children. Arch Surg 126:38–43.

    Article  PubMed  CAS  Google Scholar 

  • Gore DC, Honeycutt D, Jahoor F, Wolfe RR, Herndon DN (1991b) Effect of exogenous growth hormone on glucose utilization in burned patients. J Surg Res 51:518–523.

    Article  PubMed  CAS  Google Scholar 

  • Henneman DH, Henneman PH (1960) Effects of human growth hormone on levels of blood and urinary carbohydrate and fat metabolites in man. J Clin Invest 39:1239–1245.

    Article  PubMed  CAS  Google Scholar 

  • Henneman PH, Forbes AP, Moldawer M, Dempsey EF, Carroll EL (1960) Effects of human growth ormone in man. J Clin Invest 39:1223–1238.

    Article  PubMed  CAS  Google Scholar 

  • Herndon DN, Barrow RE, Kunkel KR, Broemeling L, Rutan RL (1990) Effects of recombinant human growth hormone on donor-site healing in severely burned children. Ann Surg 212:424–429.

    Article  PubMed  CAS  Google Scholar 

  • Ikkos D, Luft R, Gemzell CA (1958) The effect of human growth hormone in man. Lancet 1:720–721.

    Article  PubMed  CAS  Google Scholar 

  • Jiang ZM, He GZ, Zhang SY, Wang X-R, yang N-F, Zhu Y, Wilmore DW (1989) Low-dose growth hormone and hypocaloric nutrition attenuate the protein-catabolic response after major operation. Ann Surg 210:513–524.

    Article  PubMed  CAS  Google Scholar 

  • Johnston IDA, Hadden DR (1963) Effect of human growth hormone on the metabolic response to surgical trauma. Lancet 1:584–586.

    Article  Google Scholar 

  • Kimbrough T, Shernan S, Ziegler TR, Scheltinga M, Wilmore DW (1991) Insulin-like growth factor I (IGF-I) response is comparable following intravenous and subcutaneous administration of growth hormone. J Surg Res 51:472–476.

    Article  PubMed  CAS  Google Scholar 

  • Liljedahl S, Gemzell C, Plantin L, Birkin G (1961) Effect of human growth hormone in patients with severe burns. Acta Chir Scand 122:1–14.

    PubMed  CAS  Google Scholar 

  • Lundeberg S, Belfrage M, Wernerman J, von der Decken A, Thunell S, Vinnars E (1991) Growth hormone improves muscle protein metabolism and whole body nitrogen economy in man during a hyponitrogenous diet. Metabolism 40:315–322.

    Article  PubMed  CAS  Google Scholar 

  • Manson J McK, Wilmore DW (1986) Positive nitrogen balance with human growth hormone and hypocaloric intravenous feeding. Surgery 100:188–197.

    PubMed  CAS  Google Scholar 

  • Manson J Mck, Smith RJ, Wilmore DW (1988) Growth hormone stimulates protein synthesis during hypocaloric parenteral nutrition: Role of hormonal-substrate environment. Ann Surg 208:136–142.

    Article  PubMed  CAS  Google Scholar 

  • Marcus R, Butterfield G, Holloway L, Gilliland L, Baylink DJ, Hintz RL, Sherman BM (1990) Effects of short term administration of recombinant human growth hormone to elderly people. J Clin Endocrinol Metab 70:519–527.

    Article  PubMed  CAS  Google Scholar 

  • Mjaaland M, Vnneberg K, Hotvedt R, Revhaug A (1991) Nitrogen retention caused by growth hormone in patients undergoing gastrointestinal surgery with epideral analgesia and parenteral nutrition. Eur J Surg 157:21–27.

    PubMed  CAS  Google Scholar 

  • Mulligan K, Grunfeld C, Hellerstein M, Schambelan M (1992) Growth hormone treatment of HIV-associated catabolism. FASEB J 6:A1942 (abstract)

    Google Scholar 

  • Pape GS, Friedman M, Underwood LE, Clemmons DR (1991) The effect of growth hormone on weight gain and pulmonary function in patients with chronic obstructive lung disease. Chest 99:1495–1500.

    Article  PubMed  CAS  Google Scholar 

  • Pearson E, Sorhoff HS, Prudden JF, Schwarz MS (1960) Studies on growth hormone. V: effect on the mineral and nitrogen balances of burned patients. Am J Med Sci 239:17–25.

    Article  PubMed  CAS  Google Scholar 

  • Piccolboni D, de Vincentiis L, Guerriero G, Belli A, Romano L, Zofra S, Maglione A, de Vincentiis E (1991) Nutritional and hormonal effects of biosynthetic human growth hormone in surgical patients on total parenteral nutrition. Nutrition 7:177–184.

    PubMed  CAS  Google Scholar 

  • Ponting GA, Halliday D, Teale JD, Sim AJW (1988) Postoperative positive nitrogen balance with intravenous hyponutrition and growth hormone. Lancet 1:438–440.

    Article  PubMed  CAS  Google Scholar 

  • Ponting GA, Ward HC, Halliday D, Sim AJ (1990) Protein and energy metabolism with biosynthetic human growth hormone in patients on full intravenous nutritional support. JPEN J Parenter Enteral Nutr 14:437–441.

    Article  PubMed  CAS  Google Scholar 

  • Prudden JF, Pearson E, Sorhoff HS (1956) Studies on growth hormone. II. The effect on nitrogen metabolism in severely burned patients. Surg Gynecol Obstet 102:695–701.

    PubMed  CAS  Google Scholar 

  • Roe CF, Kinney J (1962) The influence of human growth hormone on energy sources in convalescence. Surg Forum 13:369–371.

    PubMed  CAS  Google Scholar 

  • Rozin RR, Sorhoff HS, Mooty J (1968) The effects of human growth hormone on the metabolic balance and energy utilization following burns. Ann NY Acad Sci 150:690–699.

    Article  PubMed  CAS  Google Scholar 

  • Rudman D, Feller AG, Nagraj HS, Gergans GA, Lalitha PY, Goldberg AF, Schlenker RA, Cohn L, Rudman IW, Mattson DE (1990) Effects of human growth hormone in men over 60 years old. N Engl J Med 323:1–6.

    Article  PubMed  CAS  Google Scholar 

  • Shernan SK, Demling RH, LaLonde C, Lowe D, Eriksson E, Wilmore DW (1989) Growth hormone enhances re-epithelialization of human split-thickness skin graft doner sites. Surg Forum 40:37–39.

    Google Scholar 

  • Snyder DK, Clemmons DR, Underwood LE (1988) Treatment of obese, diet-restricted subjects with growth hormone for 11 weeks: effects on anabolism, lipolysis, and body composition. J Clin Endocrinol Metab 67:54–61.

    Article  PubMed  CAS  Google Scholar 

  • Snyder DK, Clemmons DR, Underwood LE (1989) Dietary carbohydrate content determines tissue responsiveness to growth hormone in energy-restricted humans. J Clin Endocrinol Metab 69:745–752.

    Article  PubMed  CAS  Google Scholar 

  • Snyder DK, Clemmons DR, Underwood LE (1990) Anabolic effects of growth hormone in obese dietrestricted subjects are dose dependent. Am J Clin Nutr 52:431–437.

    PubMed  CAS  Google Scholar 

  • Soroff HS, Rozin RR, Mooty J, Lister J, Raben MS (1967) Role of human growth hormone in the response to trauma. I. Metabolic effects following burns. Ann Surg 166:739–752.

    Article  PubMed  CAS  Google Scholar 

  • Suchner U, Rothkopt MM, Stanislaus G, Elwyn DH, Kvetan V, Askanazi J (1990) Growth hormone and pulmonary disease. Metabolic effects in patients receiving parenteral nutrition. Arch Intern Med 150:1225–1230.

    Article  PubMed  CAS  Google Scholar 

  • Thompson WA, Coyle SM, Lazarus D, Fisher C, Van Zee K, Rock C, Moldawer LL, Lowry SF (1991) The metabolic effects of a continuous infusion of insulin-like growth factor-I (IGF-I) in parenterally fed men. Surg Forum 42:23–25.

    Google Scholar 

  • Ward HC, Halliday D, Sim AJW (1987) Protein and energy metabolism with biosynthetic human growth hormone after gastrointestinal surgery. Ann Surg 206:56–61.

    Article  PubMed  CAS  Google Scholar 

  • Wilmore DW (1991) Catabolic illness: Strategies for enhancing recovery. N Engl J Med 325:695–702.

    Article  PubMed  CAS  Google Scholar 

  • Wilmore DW, Moylan JA, Bristow BF, Mason AD, Pruitt BA (1974) Anabolic effects of human growth hormone and high caloric feedings following thermal injury. Surg Gynecol Obstet 138:875–884.

    PubMed  CAS  Google Scholar 

  • Wolf RF, Heslin MJ, Newman E, Pearlstone DB, Gonenne A, Brennan MF (1992) Growth hormone and insulin combine to improve whole-body and skeletal muscle protein kinetics. Surgery 112:284–292.

    PubMed  CAS  Google Scholar 

  • Yarasheski KE, Campbell JA, Smith K, Rennie MJ, Holloszy JO, Bier DM (1992) Effect of growth hormone and resistance exercise on muscle growth in young men. Am J Physiol 262:E261–E267.

    PubMed  CAS  Google Scholar 

  • Ziegler TR, Young LS, Manson J Mck, Wilmore DW (1988) Metabolic effects of recombinant human growth hormone in patients receiving parenteral nutrition. Ann Surg 208:6–16.

    Article  PubMed  CAS  Google Scholar 

  • Ziegler TR, Young LS, Ferrari-Baliviera E, Demling RH, Wilmore DW (1990) Use of human growth hormone combined with nutritional support in a critical care unit. JPEN J Parent Enteral Nutr 14:574–581.

    Article  CAS  Google Scholar 

  • Ziegler TR, Barbieri RL, Young LS, Ferrari-Baliviera E, Wilmore DW (1991a) Effects of growth hormone administration on dehydroepiandrosterone sulfate, androstenedione, testosterone, and cortisol metabolism during nutritional repletion. Clin Endocrinol (Oxf) 34:281–287.

    Article  CAS  Google Scholar 

  • Ziegler TR, Lazarus JM, Young LS, Hakim R, Wilmore DW (1991b) Effects of recombinant human growth hormone in adults receiving maintenance hemodialysis. J Am Soc Nephrol 2:1130–1135.

    PubMed  CAS  Google Scholar 

  • Ziegler TR, Rombeau J, Young LS, Fong Y, Marano M, Lowry SJ, Wilmore DW (1992) Administration of recombinant human growth hormone enhances the metabolic efficacy of parenteral nutrition: a double-blind, randomized, controlled study. J Clin Endocrinol Metab 74:865–873.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Ziegler, T.R., Wilmore, D.W. (1993). Anabolic Effects of Growth Hormone Administration in Adults. In: Müller, E.E., Cocchi, D., Locatelli, V. (eds) Growth Hormone and Somatomedins during Lifespan. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78217-6_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-78217-6_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-78219-0

  • Online ISBN: 978-3-642-78217-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics