Translational neuroendocrinology: control of human growth

P E Clayton1, M S Gill, V Tillmann

  • 1Centre for Paediatrics & Child Health, Institute of Human Development, Faculty of Medical & Human Sciences, University of Manchester, Manchester, UK; Royal Manchester Children's Hospital, Central Manchester University Hospitals Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.

Insights

Human growth relies on hormones like growth hormone (GH). Irregular GH secretion patterns, not daily doses, correlate with better growth rates in children and rats.

Area of Science:

  • Endocrinology
  • Developmental Biology
  • Physiology

Background:

  • Human growth is regulated by hormones, primarily the growth hormone (GH)-insulin-like growth factor (IGF)-1 axis.
  • Understanding growth coordination is vital for normal development and identifying/treating growth disorders.
  • Both humans and model organisms like C. elegans exhibit growth characterized by periods of rapid growth and stasis.

Purpose of the Study:

  • To investigate the relationship between growth hormone (GH) secretion patterns and growth rate.
  • To determine if GH profile 'disorderliness' impacts growth.
  • To explore optimal GH treatment regimens based on physiological principles.

Main Methods:

  • Measured urinary GH as a surrogate for GH secretion to identify multi-day rhythms.
  • Assessed GH profile disorderliness using approximate entropy.
  • Tested varying GH administration regimens in dwarf rats to evaluate long bone growth.

Main Results:

  • Disorderliness in GH profiles, rather than consistent daily secretion, was linked to improved growth rate in healthy children.
  • Dwarf rats showed better long bone growth with week-to-week or random GH dose variations compared to standard daily doses.
  • GH secretion exhibits rhythms with frequencies of several days, distinct from daily pulsatility.

Conclusions:

  • Growth rate is influenced by the variability and disorderliness of GH secretion profiles.
  • Non-standardized, variable GH administration may be more effective for promoting growth than fixed daily doses.
  • Findings have implications for optimizing clinical GH treatment strategies based on physiological secretion patterns.

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