Neuroendocrine Control of Growth Hormone Secretion, EUGENIO E. MULLER, VITTORIO LOCATELLI, AND DANIELA COCCHI, PHYSIOLOGICAL REVIEWS Vol. 79, No. 2, April 1999
Department of Pharmacology, Chemotherapy, and Toxicology, University of Milan, Milan; and
Department of Biomedical and Biotechnology Sciences, University of Brescia, Brescia, Italy
Amino acids are a potent stimulus for GH secretion, either as selected nutrients or when included in a proteinrich meal (99, 283, 516). Parenteral administration of an amino acid solution raises GH secretion by acting on pulsatility and pulse amplitude, an effect presumably mediated by increased GHRH secretion (791).
Arginine is the most striking stimulant, although lysine, ornithine, tyrosine, glycine, and tryptophan are all effective GH releasers (564). An oral mixture of arginine and lysine evokes a sevenfold increase of plasma GH levels (516), and a similar effect is observed after arginine aspartate (99, 163). Arginine-induced GH secretion in humans is blocked by antagonists of a-adrenergic and cholinergic neurotransmission (153, 178), a carbohydrate-rich diet (710), hyperglycemia (711) and NEFA, anti-E2 (878). Estrogens enhance arginine-induced GH secretion in men or women (711).
The effect of arginine on GH secretion appears to be exerted through suppression of hypothalamic SS release, as suggested by neuropharmacological studies (22, 413, 414). Alternatively, the effect of arginine on GH and other pituitary hormones (56, 366) may depend on its conversion to NO, a gaseous neurotransmitter (734). Arginine is in fact a more effective GH releaser than muscarinic cholinergic agonists (414) which inhibit SS release (629). ...L-arginine is a potent GH secretagogue in humans (711); however, its effect does not appear to be linked to NO production...
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