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Elevated Growth Hormone Secretory Rate in Premature InfantsDeconvolution Analysis of Pulsatile Growth Hormone Secretion in the Neonate

 

作者: NANCY WRIGHT,   FRANCES NORTHINGTON,   JOHN MILLER,   JOHANNES VELDHUIS,   ALAN ROGOL,  

 

期刊: Pediatric Research  (OVID Available online 1992)
卷期: Volume 32, issue 3  

页码: 286-290

 

ISSN:0031-3998

 

年代: 1992

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Premature infants have higher circulating concentrations of growth hormone (GH) than term infants. Previous investigations of these differences have used sampling frequencies of every 30 min with subsequent application of pulse detection algorithms, such as the CLUSTER program, to assess serum GH pulse parameters. To determine differences in GH secretory rates or GH t1/2values between premature and term infants, we have sampled 11 neonates at 15-min intervals. We performed deconvolution analysis of the resultant plasma GH values to estimate GH secretory and clearance parameters. Five premature infants (gestational age range 24–34 wk) and six term infants (gestational age range 38–42 wk) were sampled every 15 min for 6 h. All subjects had indwelling arterial catheters. GH was measured (in duplicate) by RIA using 10 μL of plasma. Premature infants had higher secretory burst amplitudes (2.2 ± 0.13 μg/L/minversus1.4 ± 0.27 μg/L/min,p= 0.02), higher production rates (product of the total number of bursts and the mean mass of GH secreted per burst, 811 ± 173 μg/L/6 h versus 283 ± 77 μg/L/6 h,p= 0.03), and a higher mass of GH per secretory burst (106 ± 25 μg/Lversus38 ± 11 μg/L,p= 0.049) than term infants. The integrated plasma GH concentration exhibited a strong trend toward a higher value in the) premature infants (18 100 ± 800μg/Lversus10 200 ± 2 700 μg/L,p= 0.067). There were no differences between GH secretory burst frequency (7.8 ± 0.2 pulses/6 hversus7.7 ± 0.6 pulses/6 h), GH t1/2, (20 ± 4 minversus24 ± 6 min), half-duration of burst (the time elapsed at half-maximal amplitude, 45 ± 11 min versus 25 ± 4 min), or mean interval between peaks (48 ± 2 minversus48 ± 3 min) comparing the premature and term groups, respectively. In summary, we have demonstrated an elevation in GH secretory burst amplitude, GH production rate, and the mass of GH secreted per burst in premature compared with term infants. Because the estimated GH t1/2, is similar between these two groups, amplified secretion rather than decreased clearance accounts for the differences in circulating GH concentrations. We suggest that the augmented GH secretory activity in premature infants reflects an increase in hypothalamic GH-releasing hormone activity and/or reduced somatostatin tone. (Pediatr Res 32: 286–290, 1992)

 

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