Released from the anterior
pituitary in response to
growth hormone releasing
hormone (GHRH) signals
Pulsatile release pattern
Growth hormone releasing
hormone antagonised by insulin
and growth hormone inhibiting
hormone
Somatostatin inhibits growth hormone
Effects include causing the liver to secrete
somatomedins/insulin like growth factors. These
cause uptake of amino acids and their incorporation
into proteins
Stimulates stem cell divisions in
chrondrocytes (cartilage). The increased
daughter cells ted to grow by
somatomedins
Glucose sparing agent - causes lipolysis
so that glycerol can be used to make
glucose and glucose can be used by the
brain
Defects
Dwarfism
Deficient GH secretion, higher
than normal body fat
Treated by synthetic growth hormone
Gigantism
Excess GH secretion in adolesence
Treated with sympathetic
somatostatin that inhibits
growth hormone
Acromegaly
Excess GH secretion in
adulthood. May be due to
pituitary tumours. Causes jaw
extension
Treated with sympathetic somatostatin that
inhibits growth hormone or surgical removal
of tumours
Synthetic human growth
hormone causes
anti-catabolic effects of
protein in the liver, bone
elongation, decreased glucose
and fat storage
Lean body mass and total body
weight increase but no difference to
strength
Can cause diabetes due to insulin
resistance, arthritis, large fingers
and toes, cardioomegaly and
increased muscle weakness