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Lecture notes

Growth Hormone

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Uploaded on
August 29, 2024
Number of pages
8
Written in
2024/2025
Type
Lecture notes
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Dr cathy and dr rana
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Growth hormone.

 Tissue growth can arise as a result of:
 Increase in cell size- individual cells get physically bigger.
 Increased cell number- increased number of cells within that tissue as a result of cell
division.
 A tissue can get physically bigger due to cell differentiation- a cell will differentiate
into a particular cell type, which may have a bigger size.
 All of these processes have one common factor: they all require the synthesis of new
material.
 Increased cell division, the cell needs to replicate its genome, so it needs to
synthesize more DNA.
 In all 3 cases we need to increase cell membrane and the number of cell organelles.
 Because all of these processes require the synthesis of new material, they are
anabolic processes.

Growth: environmental regulation.
 Growth needs to be highly regulated.
 Growth is promoted when the nutritional environment is favorable.
 When nutrients are in excess, growth will increase.
 Example, birth weight against body mass weight of the mother.
 There is a positive correlation, when the mother has a higher body mass index, the
developing fetus is exposed to more nutrients, the resulting birth weight of the baby
will be bigger.

Growth: temporal regulation.
 Growth is also regulated as a function of time.
 In an average lifespan there are periods of rapid growth in dispersed by periods of
slower growth and even negative growth, during old age.
 Periods between 0-20 years growth rates are very rapid for height.
 In adulthood there is very minimal growth.
 In old age growth starts to decline.
 Growth is regulated over time.

Growth: spatial regulation.
 We also need to regulate growth in terms of space.
 We need growth to occur in all tissues at the same rate, at the same time.

Growth hormones/growth factors.
 Growth is tightly regulated by a selection of hormones/growth factors:
 Growth hormone (GH)
 Insulin-like growth factors (IGFs)
 Insulin
 Other factors (less common/important, some cell specific

Growth hormone.
 Growth hormone is a peptide hormone, so it is transcribed from a gene.

,  Gene for growth hormone is located on chromosome 17.
 The matured fully processed peptide hormone is 191 amino acids long.
 It has a molecular weight of 20KDA.
 Average human will produce 500ug of growth hormone everyday.
 The amount of growth hormone within the bloodstream are kept quite low 0-
30ng/ml.
 Growth hormone has a very short half life. It only lasts around 20 minutes after it is
first synthesized.

Growth hormone release.
 Levels of growth hormone within the circulation do not stay constant all the time.
 They fluctuate over a 24hr period and this is the diurnal or daily pattern of secretion.
 The graph shows:
 We plot growth hormone serum levels as a function of time over 2 24 hour periods.
 When growth hormone levels are low, they frequently fluctuate.
 We can see daily surges of growth hormone secretion, that happen in a regular
pattern.

 Growth hormone secretion is stimulated whilst in the sleeping state.
 During deep sleep there is a surge in secretion which occurs during first 2 hours of
sleep.
 They peak early morning just before awakening.
 The lowest levels of growth hormone within the circulation are apparent when you
are awake during the day.
 This poses some issues when we are trying to measure growth hormone in the clinic.
 peak secretion early morning before awakening
 lowest levels when awake during the day

external regulators of growth hormone secretion.
 There are a number of external or environmental regulators that will both stimulate
and inhibit growth hormone secretion.
 Growth hormones will be stimulated to be released by: Physical stress, Fasting, Deep
sleep.
 Growth hormone will be inhibited by: Psychological stress, Feeding, Hypothyroidism,
Growth hormone itself, Ageing.
 Fasting and feeding as stimulants and inhibitors of growth hormone may seem
counter intuitive.
 Because growth is favored when nutritional environment is rich.
 Growth hormone plays an important role in regulating blood sugar levels.

Growth hormone/somatotrophic axis.
 Endocrine axis that regulates growth hormone secretion is the growth hormone/
somatotropic axis.
 Every endocrine axis starts with some kind of stimulus.
 The stimulus will either poke the higher brain centers which will then talk to the
hypothalamus.
 Or the stimulus will stimulate the hypothalamus itself.
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