Objective To assess possible correlations between serum growth hormone(GH) and ghrelin values during the GH provocative tests in children with short stature. Methods Fifty seven prepubertal children with short stature were recruited in the study.Using the results of two GH-provocative tests(L-dopa and insulin),the children with short stature were divided into two groups:GHD and NGH.In both groups,serum GH and ghrelin levels were determined and possible correlations between GH and ghrelin values were assessed during the GH provocative tests. Results 1)Serum ghrelin levels had no statistical differences between GHD and NGH groups(P>0.05)during the GH provocative tests,either baseline ghrelin or peak ghrelin.2)No correlations were observed between ghrelin and GH levels either baseline or peak levels,both in GHD group and NGH group.3)Serum ghrelin levels were correlated with height,weight and BMI.But weight was the independent determinant on serum ghrelin levels. Conclusions No significantly correlations are observed between the ghrelin and GH levels in short stature children during the GH provocative tests.The results suggest that ghrelin do not play a main role during the control of GH secretion,although ghrelin possessing a strong growth hormone-releasing activity.
Key words
ghrelin /
growth hormone /
children with short stature /
GH provocative tests
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References
[1] Kojima M,Hosoda H,Date Y,et al.Ghrelin is a growth hormone-releasing acylated peptide from stomach[J].Nature,1999,402:656-660.
[2] Seim I,El-Salhy M,Hausken T,et al.Ghrelin and the brain-gut axis as a pharmacological target for appetite control[J].Curr Pharm Des,2012,18(6):768-775.
[3] Takaya K,Ariyasu H,Kanamoto N,et al.Ghrelin strongly stimulates growth hormone release in humans[J].J Clin Endocrinol Metab,2000,85:4908-4911.
[4] Nass R,Gaylinn BD,Thorner MO.The role of ghrelin in GH secretion and GH disorders[J].Mol Cell Endocrinol,2011,340(1):10-14.
[5] Stawerska R,Smyczynska J,Czkwianianc E,et al.Ghrelin concentration is correlated with IGF-I/IGFBP-3 molar ratio but not with GH secretion in children with short stature[J].Neuro Endocrinol Lett,2012,33(4):412-418.
[6] Matsuoka H,Hosoda H,Sugawara H,et al.Short-term secretory regulation of ghrelin during growth hormone provocative tests in prepubertal children with various growth hormone secretory capacities[J].Horm Res,2005,64(6):274-279.
[7] Stylianou C,Galli-Tsinopoulou A,Grammatikopoulou MG,et al.Ghrelin and growth hormone serum levels during the clonidine test in children with short stature and variable growth hormone status[J].Hormones (Athens),2011,10(1):39-45.
[8] Broglio F,Gottero C,Prodam F,et al.Ghrelin secretion is inhibited by glucose load and insulin- induced hypoglycaemia but unaffected by glucagon and arginine in humans[J].Clin Endocrinol (Oxf),2004,61(4):503-509.
[9] Huber J,Reiterer EE,Sudi K,et al.Ghrelin does not regulate the GH response to insulin-induced hypoglycaemia in children but could be involved in the regulation of cortisol secretion[J].Clin Endocrinol (Oxf),2007,66(1):143-147.
[10] 李永昶.小儿内分泌学[M].北京:人民卫生出版社,1991:61-62.