Skip to main content
The Journal of Clinical Investigation logoLink to The Journal of Clinical Investigation
. 1968 Sep;47(9):2079–2090. doi: 10.1172/JCI105893

Growth hormone secretion during sleep

Y Takahashi 1, D M Kipnis 1, W H Daughaday 1
PMCID: PMC297368  PMID: 5675428

Abstract

Plasma growth hormone (GH), insulin, cortisol, and glucose were measured during sleep on 38 nights in eight young adults. Blood was drawn from an indwelling catheter at 30-min intervals; EEG and electrooculogram were recorded throughout the night. In seven subjects, a plasma GH peak (13-72 mμg/ml) lasting 1.5-3.5 hr appeared with the onset of deep sleep. Smaller GH peaks (6-14 mμg/ml) occasionally appeared during subsequent deep sleep phases. Peak GH secretion was delayed if the onset of sleep was delayed. Subjects who were awakened for 2-3 hr and allowed to return to sleep exhibited another peak of GH secretion (14-46 mμg/ml). Peak GH secretion was not correlated with changes in plasma glucose, insulin, and cortisol. The effects of 6-CNS-active drugs on sleep-related GH secretion were investigated. Imipramine (50 mg) completely abolished GH peaks in two of four subjects, whereas chlorpromazine (30 mg), phenobarbital (97 mg), diphenylhydantoin (90 mg), chlordiazepoxide (20 mg), and isocarboxazid (30 mg) did not inhibit GH peaks. Altered hypothalamic activity associated with initiation of sleep results in a major peak of growth hormone secretion unrelated to hypoglycemia or changes in cortisol and insulin secretion.

Full text

PDF
2081

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. CAIRNCROSS K. D., GERSHON S., GUST I. D. Some aspects of the mode of action of imipramine. J Neuropsychiatr. 1963 Apr;4:224–231. [PubMed] [Google Scholar]
  2. DEMENT W., KLEITMAN N. Cyclic variations in EEG during sleep and their relation to eye movements, body motility, and dreaming. Electroencephalogr Clin Neurophysiol. 1957 Nov;9(4):673–690. doi: 10.1016/0013-4694(57)90088-3. [DOI] [PubMed] [Google Scholar]
  3. FRANTZ A. G., RABKIN M. T. HUMAN GROWTH HORMONE. CLINICAL MEASUREMENT, RESPONSE TO HYPOGLYCEMIA AND SUPPRESSION BY CORTICOSTEROIDS. N Engl J Med. 1964 Dec 31;271:1375–1381. doi: 10.1056/NEJM196412312712701. [DOI] [PubMed] [Google Scholar]
  4. Frantz A. G., Rabkin M. T. Effects of estrogen and sex difference on secretion of human growth hormone. J Clin Endocrinol Metab. 1965 Nov;25(11):1470–1480. doi: 10.1210/jcem-25-11-1470. [DOI] [PubMed] [Google Scholar]
  5. Frohman L. A., Horton E. S., Lebovitz H. E. Growth hormone releasing action of a Pseudomonas endotoxin (piromen). Metabolism. 1967 Jan;16(1):57–67. doi: 10.1016/0026-0495(67)90159-x. [DOI] [PubMed] [Google Scholar]
  6. GLICK S. M., ROTH J., YALOW R. S., BERSON S. A. THE REGULATION OF GROWTH HORMONE SECRETION. Recent Prog Horm Res. 1965;21:241–283. [PubMed] [Google Scholar]
  7. Greenwood F. C., Landon J. Assessment of hypothalamic pituitary function in endocrine disease. J Clin Pathol. 1966 May;19(3):284–292. doi: 10.1136/jcp.19.3.284. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hunter W. M., Friend J. A., Strong J. A. The diurnal pattern of plasma growth hormone concentration in adults. J Endocrinol. 1966 Feb;34(2):139–146. doi: 10.1677/joe.0.0340139. [DOI] [PubMed] [Google Scholar]
  9. Hunter W. M., Rigal W. M. The diurnal pattern of plasma growth hormone concentration in children and adolescents. J Endocrinol. 1966 Feb;34(2):147–153. doi: 10.1677/joe.0.0340147. [DOI] [PubMed] [Google Scholar]
  10. Knopf R. F., Conn J. W., Floyd J. C., Jr, Fajans S. S., Rull J. A., Guntsche E. M., Thiffault C. A. The normal endocrine response to ingestion of protein and infusions of amino acids. Sequential secretion of insulin and growth hormone. Trans Assoc Am Physicians. 1966;79:312–321. [PubMed] [Google Scholar]
  11. MURPHY B. E., PATTEE C. J. DETERMINATION OF PLASMA CORTICOIDS BY COMPETITIVE PROTEIN-BINDING ANALYSIS USING GEL FILTRATION. J Clin Endocrinol Metab. 1964 Sep;24:919–923. doi: 10.1210/jcem-24-9-919. [DOI] [PubMed] [Google Scholar]
  12. Mandell A. J., Mandell M. P. Biochemical aspects of rapid eye movement sleep. Am J Psychiatry. 1965 Oct;122(4):391–401. doi: 10.1176/ajp.122.4.391. [DOI] [PubMed] [Google Scholar]
  13. Murphy B. E. Some studies of the protein-binding of steroids and their application to the routine micro and ultramicro measurement of various steroids in body fluids by competitive protein-binding radioassay. J Clin Endocrinol Metab. 1967 Jul;27(7):973–990. doi: 10.1210/jcem-27-7-973. [DOI] [PubMed] [Google Scholar]
  14. PERKOFF G. T., EIK-NES K., NUGENT C. A., FRED H. L., NIMER R. A., RUSH L., SAMUELS L. T., TYLER F. H. Studies of the diurnal variation of plasma 17-hydroxycorticosteroids in man. J Clin Endocrinol Metab. 1959 Apr;19(4):432–443. doi: 10.1210/jcem-19-4-432. [DOI] [PubMed] [Google Scholar]
  15. Parker M. L., Hammond J. M., Daughaday W. H. The arginine provocative test: an aid in the diagnosis of hyposomatotropism. J Clin Endocrinol Metab. 1967 Aug;27(8):1129–1136. doi: 10.1210/jcem-27-8-1129. [DOI] [PubMed] [Google Scholar]
  16. Quabbe H. J., Schilling E., Helge H. Pattern of growth hormone secretion during a 24-hour fast in normal adults. J Clin Endocrinol Metab. 1966 Oct;26(10):1173–1177. doi: 10.1210/jcem-26-10-1173. [DOI] [PubMed] [Google Scholar]
  17. ROTH J., GLICK S. M., YALOW R. S., BERSON S. A. Secretion of human growth hormone: physiologic and experimental modification. Metabolism. 1963 Jul;12:577–579. [PubMed] [Google Scholar]
  18. SCHALCH D. S., PARKER M. L. A SENSITIVE DOUBLE ANTIBODY IMMUNOASSAY FOR HUMAN GROWTH HORMONE IN PLASMA. Nature. 1964 Sep 12;203:1141–1142. doi: 10.1038/2031141a0. [DOI] [PubMed] [Google Scholar]
  19. Schalch D. S. The influence of physical stress and exercise on growth hormone and insulin secretion in man. J Lab Clin Med. 1967 Feb;69(2):256–269. [PubMed] [Google Scholar]
  20. WILLIAMS R. L., AGNEW H. W., Jr, WEBB W. B. SLEEP PATTERNS IN YOUNG ADULTS: AN EEG STUDY. Electroencephalogr Clin Neurophysiol. 1964 Oct;17:376–381. doi: 10.1016/0013-4694(64)90160-9. [DOI] [PubMed] [Google Scholar]
  21. Weitzman E. D., Schaumburg H., Fishbein W. Plasma 17-hydroxycorticosteroid levels during sleep in man. J Clin Endocrinol Metab. 1966 Feb;26(2):121–127. doi: 10.1210/jcem-26-2-121. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Investigation are provided here courtesy of American Society for Clinical Investigation

RESOURCES