101. Improvement of growth and food utilization by human recombinant growth hormone in uremia
- Author
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Otto Mehls, Ernst-B Hunziker, Peter Eggli, Eberhard Ritz, Udo Heinrich, and Jürgen Zapf
- Subjects
medicine.medical_specialty ,Subtotal nephrectomy ,Nephrectomy ,law.invention ,Food conversion ,Osmotic minipump ,law ,Internal medicine ,medicine ,Animals ,Humans ,Insulin-Like Growth Factor I ,Recombinant growth hormone ,Uremia ,Tibia ,business.industry ,Human growth hormone ,Body Weight ,Rats, Inbred Strains ,medicine.disease ,Body Height ,Rats ,Endocrinology ,Nephrology ,Growth Hormone ,Recombinant DNA ,Animal Nutritional Physiological Phenomena ,Female ,business - Abstract
Improvement of growth and food utilization by human recombinant growth hormone in uremia. We compared growth rate, food conversion ratio and morphology of the growth zone in female Sprague-Dawley rats with subtotal nephrectomy or sham operation. Both groups were either given vehicle or 1.4 IU/day recombinant human growth hormone (GH) by s.c. osmotic minipump, or 2.5IU twice daily intraperitoneally for 14 or 20 days, respectively. Compared to uremic rats infused with vehicle, infusion of GH significantly (P < 0.01) improved growth; that is, it increased gain of weight (Δ27.0 ± 7.7g vs. 11.6 ± 4.9g) and length (Δ1.8 ± 0.3cm vs. 1.12 ± 0.44cm) in ad libitum fed uremic rats. This was accompanied by increased food utilization ratio (0.146 vs. 0.065g weight gain per g food intake). A similar increment of growth and food utilization ratio was also observed in GH versus solvent infused controls, either pairfed as for the uremic animals or fed ad libitum. Despite administration of GH, growth was not completely restored to normal in uremic animals. Circulating immunoreactive IGF I was not significantly increased by GH infusion in either uremic animals or controls. Histological analyses of the proximal tibia showed increased rate of longitudinal growth, as evaluated by tetracyclin-labeling, and increased volumetric density of primary spongiosa with unchanged width of primary spongiosa trabecules when GH was infused in uremic animals. The data suggest that growth impairment in the uremic rat is partially responsive to GH, and this is not accompanied by an increase of circulating IGF I. Therapeutic trials with recombinant GH in uremic children appear justified.
- Published
- 1988
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