Short-term effects of growth hormone on myocardial glucose uptake in healthy humans

H E Bøtker1, H Wiggers, M Bøttcher

  • 1Department of Cardiology, Skejby Hospital, University Hospital in Aarhus, DK-8200 Aarhus N, Denmark. heb@dadlnet.dk

Insights

Growth hormone (GH) causes whole-body insulin resistance but does not affect insulin-stimulated glucose uptake in the heart. This suggests myocardial insulin resistance is not a direct result of systemic insulin resistance.

Area of Science:

  • Cardiology
  • Endocrinology
  • Metabolism

Background:

  • Cardiac muscle exhibits insulin resistance in specific heart conditions like coronary artery disease and congestive heart failure.
  • Generalized disorders such as diabetes mellitus and essential hypertension do not inherently cause cardiac insulin resistance without cardiac manifestations.

Purpose of the Study:

  • To investigate the insulin-antagonistic effects of growth hormone (GH) on the heart.
  • To determine if GH administration impacts insulin-stimulated myocardial glucose uptake.

Main Methods:

  • A 3.5-hour euglycemic-hyperinsulinemic clamp was performed on eight healthy males.
  • Insulin-stimulated whole-body and myocardial glucose uptake were measured with and without GH administration.
  • Myocardial glucose uptake was assessed using positron emission tomography (PET) with 2-deoxy-2-[(18)F]fluoro-D-glucose tracer kinetic analysis.

Main Results:

  • GH administration significantly decreased whole-body insulin-stimulated glucose disposal by 26% (P < 0.02).
  • GH did not alter the heart's rate-pressure product.
  • Insulin-stimulated myocardial glucose uptake remained similar with and without GH administration (P = 0.18).

Conclusions:

  • Growth hormone exerts a significant insulin-antagonistic effect on the whole body.
  • Despite systemic effects, GH does not impair insulin-stimulated glucose uptake in the heart.
  • Myocardial insulin resistance is not an inevitable consequence of whole-body insulin resistance.

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