REGULATION OF GROWTH
HORMONE SECRETION
Arginine
exercise
STRESS
preREM Sleep
+
+
-
THERE ARE 6 DISTINCT
IGF BINDING PROTEINS
IGFBP(1-6) . ONE OF THEM IS
 THE EXTRACELLULAR PORTION
OF THE GH RECEPTOR
+
-
HYPOTHALAMUS
-
-
+
TRANSPORT IN BLOOD
SOMATOSTATIN / GHIH
GHRH
-
“SOMATOMEDIN”
PITUITARY
FREE IGF’s            BOUND IGF’s
GROWTH HORMONE
BASAL GH ~ 10-10M
TOO LOW TO MEASURE
ACCURATELY
“SOMATOMEDIN”
GROWTH HORMONE
IS SPECIES-SPECIFIC
BONE AND CARTILAGE
SKELETAL
GROWTH EFFECTS
LIVER AND FIBROBLASTS
IGF-1 AND IGF-2 SECRETION
MANY TISSUES
METABOLIC EFFECTS:
INCREASED LIPOLYSIS
AND PROTEIN SYNTHESIS
DECREASED GLUCOSE USE
Text Box: “SOMATOMEDIN” = GHIH = IGF-1/1GF-2