Effect of physiological elevation of plasma growth hormone levels on ketone body kinetics and lipolysis in normal and acutely insulin-deficient man
- 1 February 1984
- journal article
- research article
- Published by Springer Nature in Diabetologia
- Vol. 26 (2) , 103-108
- https://doi.org/10.1007/bf00281115
Abstract
The effect of physiological elevation of growth hormone levels on ketone body kinetics was determined using a 14C-ketone body tracer technique in normal and acutely insulin-deficient man. Changes of ketone body production and metabolic clearance rates during growth hormone infusion (plasma levels of approximately 25 μg/l) were measured during basal conditions and during heparin-induced elevation of non-esterified fatty acid levels. Growth hormone administration to six subjects fasted overnight resulted in an increase in ketone body production which exceeded that observed in nine control subjects (5.5±0.5 versus 3.1±0.1μmol·kg-1·min-1, pn=7), growth hormone enhanced the increase in total ketone body production observed in six subjects receiving somatostatin alone (8.4±0.8 versus 4.1±0.7μmol·kg-1·min-1, p<0.01). Total ketone body metabolic clearance decreased by 50% during somatostatin and remained uninfluenced by growth hormone. Non-esterified fatty acids and glycerol levels increased during somatostatin, and growth hormone failed to alter nonesterified fatty acid levels significantly. The results demonstrate a stimulatory effect of high physiological growth hormone levels on ketogenesis which is largely explained by an enhancement of lipolysis and thus increase in substrate supply for ketogenesis. Growth hormone administration during acute insulin deficiency enhanced ketogenesis in the absence of alterations in plasma non-esterified fatty acid levels, suggesting a direct hepatic ketogenic effect.This publication has 36 references indexed in Scilit:
- Metabolic effects of acute and prolonged growth hormone excess in normal and insulin-deficient manDiabetologia, 1981
- The effect of surgical operation on growth hormone levels in plasma.1975
- Acute Metabolic Effects of Human Growth HormoneDiabetes, 1974
- Abnormal serum growth hormone response to exercise in juvenile diabeticsJournal of Clinical Investigation, 1970
- Hepatic metabolism of free fatty acids in normal and diabetic dogsJournal of Clinical Investigation, 1970
- Hepatic and Splanchnic Uptake and Oxidation of Free Fatty AcidsExperimental Biology and Medicine, 1969
- THE ROLE ÔF GROWTH HORMONE IN THE MOBILIZATION OF FUEL FOR MUSCULAR EXERCISEQuarterly Journal of Experimental Physiology and Cognate Medical Sciences, 1965
- EFFECT OF HUMAN GROWTH HORMONE IN HYPOPHYSECTOMISED DIABETIC SUBJECTSThe Lancet, 1958
- Effect of Anterior Pituitary Growth Hormone on Synthesis of Acetoacetate by Surviving Slices of Rat LiverAmerican Journal of Physiology-Legacy Content, 1954
- DIABETOGENIC ACTION OF PURIFIED ANTERIOR PITUITARY HORMONESEndocrinology, 1949