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Growth hormone neurosecretory dysfunction.

B B Bercu, F B Diamond

    Clinics in Endocrinology and Metabolism
    |August 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Disorders in the neuroregulation of growth hormone (GH) secretion, potentially GH neurosecretory dysfunction (GHND), may cause short stature. Disruptions in neurotransmitter-neurohormonal pathways are implicated in poor growth velocity.

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    Area of Science:

    • Neuroendocrinology
    • Pediatric Endocrinology
    • Neuroscience

    Background:

    • Understanding clinical disorders of growth hormone (GH) secretion relies on the complex central nervous system (CNS)-hypothalamic-pituitary axis.
    • Evidence from animal and human studies supports neurosecretory control over GH secretion, involving neurohormones, neurotransmitters, and neuropeptides.

    Purpose of the Study:

    • To explore the hypothesis that a disorder in neurosecretion, termed GH neurosecretory dysfunction (GHND), causes short stature.
    • To investigate the role of disrupted neuroregulatory control in GH secretion.

    Main Methods:

    • Review of anatomical, physiological, and pharmacological evidence for neurosecretory control of GH secretion.
    • Observation of defects in neuroregulatory control of GH secretion in CNS-irradiated subjects.

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    Main Results:

    • CNS irradiation in humans and animals revealed defects in the neuroregulatory control of GH secretion.
    • This observation supports the hypothesis of GH neurosecretory dysfunction (GHND) as a cause of short stature.

    Conclusions:

    • A disruption in the neurotransmitter-neurohormonal functional pathway is speculated to modify GH secretion.
    • This disruption may manifest as poor growth velocity and short stature in children with heterogeneous conditions.