Clonidine pretreatment modifies the growth hormone secretory pattern induced by short-term continuous GRF infusion in normal man.
Lima. L L; Arce. V V; Diaz. M J MJ; Tresguerres. J A JA; Devesa. J J
Key Findings
- Clonidine alone caused a modest, short‑lived rise in GH levels.
- Continuous GRF‑1‑29 infusion increased the size of GH peaks but did not change how often they occurred.
- Pretreating with clonidine before GRF infusion significantly raised total GH output, increased the number of GH peaks, and made almost all GH released occur within those peaks.
Practical Outcomes
- If you’re already using GRF‑1‑29 to boost GH, a single 300 µg oral dose of clonidine taken about an hour before starting the GRF infusion may amplify the GH spikes and make the release pattern more physiological. Be aware that clonidine can lower blood pressure and cause drowsiness, so it should be used cautiously and isn’t recommended without medical oversight. More extensive studies are needed before this combo becomes a standard protocol.
Summary
In healthy young adults, taking a single oral dose of clonidine before a short, continuous infusion of the growth‑hormone‑releasing peptide GRF‑1‑29 makes the body release more growth hormone in bigger, more frequent bursts. This combination creates a more natural‑looking GH pattern than GRF alone.
Abstract
The aim of this study was to investigate the effect of a single dose of clonidine on the pattern of GH release in response to a 10-hour continuous GRF infusion in normal man. Plasma GH was analysed in samples withdrawn at 20-minute intervals, from 0900 to 1900 h, according to the following protocols: in a control study, a placebo was given at 1000 h; in other experiments, clonidine (300 micrograms, orally) was given at 1000 h, alone or together with a continuous intravenous infusion of GRF 1-29 (0.3 micrograms/kg/h) starting at this time. In another experiment, the continuous infusion of GRF 1-29 was preceded by placebo administration at 1000 h. Eight normal volunteers (four women and four men), aged 19-24 years were studied. Plasma GH levels were measured by RIA. Analysis of the pattern of GH secretion was performed using cluster analysis. Clonidine induced a slight but significant increase in plasma GH values, peaking 60 to 120 minutes later; however, no significant changes were observed in indices of total and pulsatile GH release for the whole sampling period in this study. Continuous GRF administration led to increased episodic GH secretion, by augmenting GH peak amplitude, although peak frequency was not modified. An increase in interpulse GH values was also observed during GRF infusion. Pretreatment with clonidine clearly changed the pattern of GH release during GRF infusion: the amount of GH secreted was significantly higher, the number of GH peaks significantly increased, and almost all the GH was secreted within them. These data concord with our previous demonstration that clonidine disrupts the hypothalamic-somatotroph rhythm by inhibiting the hypothalamic release of somatostatin. Given that clonidine pretreatment induced a more physiological episodic pattern of GRF-induced GH release, the possibility of combining clonidine and GRF therapy for short stature in children is envisaged.
Study Information
pubmed
1991
1991-08-01T00:00:00.000Z
10.1111/j.1365-2265.1991.tb03510.x
10
53