Abstract
The aim of this study was to investigate the involvement of
endogenous growth hormone-releasing hormone (GHRH) in the growth hormone (GH)
release during strenuous exercise (EX). Eight healthy male subjects (age:
22.1 ± 0.8 yr, body mass index:
22.2 ± 0.9 kg/m2,
V˙O2max: 52.2 ± 0.5 ml/min/kg [mean
± SEM]) were exposed to incremental EX until volitional exhaustion
(cycle ergometry), and in random order to a maximally stimulating bolus
injection of 100 μg GHRH, or to combined administration of
100 μg GHRH and EX (GHRH+EX). Serial blood samples in the fasted
state were taken immediately before the start of each trial, and at appropriate
intervals over 2 h. Total GH availability was calculated as area under the
response curve (AUC), corrected for differences in baseline values. The results
showed that peak serum GH levels to GHRH alone and EX alone were not
significantly different: 41.5 ± 9.0 μg/l and
64.1 ± 8.1(mean ± SEM). Peak GH level to
GHRH+EX was 156.1 ± 19.9 μg/l, which was
significantly greater than to either stimulus alone (p < 0.02)
or additively (105.6 ± 17.1 μg/l,
p < 0.02). AUC’s to GHRH alone and EX alone were not
significantly different (3242 ± 839 vs.
2472 ± 408 μg/l × 120 min).
AUC to GHRH+EX
(7807 ± 1221μg/l × 120 min)
was greater than to either stimulus alone (p < 0.02) or
additively
(5714 ± 1247 μg/l × 120 min,
p < 0.02). This indicates a potentiating (synergistic) effect
between GHRH and EX. We postulate that GH responses to strenuous EX are only
partially due to maximal GHRH activation. Next to complete inhibition of
hypothalamic somatostatin activity, which is achieved by strenuous exercise,
activation of endogenous GH-releasing peptides, such as Ghrelin, must be
operative.
Key words
Growth hormone - GHRH - Ghrelin - exercise - cycle ergometry
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W. R. de Vries, M.D., Ph.D.
Department of Medical Physiology and Sports Medicine ·
University Medical Center Utrecht
PO Box 85060 · 3508 AB Utrecht · The Netherlands
·
Phone: (31) 30 2538900
Fax: (31) 30 2539036
Email: W.R.deVries@med.uu.nl