Abstract
The content and concentration of immunoreactive growth hormone (GH) were measured in 117 human fetal pituitary glands from 68 days of gestation to term and in the pituitary glands of 20 children 1 month to 9 yr of age. Physicochemical and immunochemical properties of GH of fetal pituitary glands and GH from adult pituitary glands were indistinguishable by disc gel electrophoresis, immunoelectrophoresis, starch gel electrophoresis, and radioimmunoassay techniques. In the fetal pituitary gland, the GH content rose from mean levels of 0.44±0.2 μg at 10-14 wk of gestation, to 9.21±2.31 μg at 15-19 wk, to 59.38±11.08 μg at 20-24 wk, to 225.93±40.49 μg at 25-29 wk, to 577.67±90 μg at 30-34 wk, and to 675.17±112.33 μg at 35-40 wk. There was a significant positive correlation between growth hormone content of the pituitary and gestational age, crown-rump length, and the weight of the pituitary gland.
The content and concentration (micrograms/milligram) of human growth hormone (HGH) in the fetal pituitary showed significant increments (P < 0.001) for each 4 wk period of gestation until 35 wk. Further increases in the HGH content were noted in pituitaries of children aged 1-9 yr (range of 832 to 11.211 μg).
Immunoreactive GH was detected in fetal serum at a concentration of 14.5 ng/ml as early as 70 days gestation, the youngest fetus assayed. At 10-14 wk, the mean concentration of serum growth hormone was 65.2±7.6 ng/ml; at 15-19 wk 114.9±12.5 ng/ml; at 20-24 wk 119.3±19.8 ng/ml; at 25-29 wk 72.0±11.5 ng/ml; and 33.5±4.2 ng/ml at term. A significant negative correlation of serum growth hormone with advancing gestational age after 20-24 wk was observed (P < 0.001). In 17 fetuses paired serum and pituitary samples were assayed; no significant correlation between the concentration of serum GH and the pituitary content or concentration of GH was demonstrable.
The serum concentration of chorionic somatomammotropin (HCS) in the fetus was unrelated to gestational age. Insulin (1-30 μU/ml) was detected in 42 of 46 fetal sera assayed.
These data suggest that the appearance and development of the secretory capacity for GH by the human fetal pituitary gland coincides with developmental changes in the portal system and hypothalamus. Maturation of inhibitory central nervous system control mechanisms for secretion of GH may not occur until infancy.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- 'espinasse P. G. The Development of the Hypophysio-portal System in Man. J Anat. 1933 Oct;68(Pt 1):11–18.5. [PMC free article] [PubMed] [Google Scholar]
- Adam P. A., Teramo K., Raiha N., Gitlin D., Schwartz R. Human fetal insulin metabolismearly in gestation. Response to acutelevation of the fetal glucose concentration and placental tranfer of human insulin-I-131. Diabetes. 1969 Jun;18(6):409–416. doi: 10.2337/diab.18.6.409. [DOI] [PubMed] [Google Scholar]
- Adesanya T., Grillo I., Shima K. Insulin content and enzyme histochemistry of the human foetal pancreatic islet. J Endocrinol. 1966 Oct;36(2):151–158. doi: 10.1677/joe.0.0360151. [DOI] [PubMed] [Google Scholar]
- Alexander D. P., Britton H. G., Mashiter K., Nixon D. A., Smith F. G., Jr The response of the foetal sheep in utero to intravenous glucose. Biol Neonate. 1970;15(56):361–367. doi: 10.1159/000240241. [DOI] [PubMed] [Google Scholar]
- BAIRD J. D., FARQUHAR J. W. Insulin-secreting capacity in newborn infants of normal and diabetic women. Lancet. 1962 Jan 13;1(7220):71–74. doi: 10.1016/s0140-6736(62)91720-8. [DOI] [PubMed] [Google Scholar]
- BLIZZARD R. M., ALBERTS M. Hypopituitarism, hypoadrenalism, and hypogonadism in the newborn infant. J Pediatr. 1956 Jun;48(6):782–792. doi: 10.1016/s0022-3476(56)80210-2. [DOI] [PubMed] [Google Scholar]
- Bassett J. M., Alexander G. Insulin, growth hormone and corticosteroids in neonatal lambs. Normal concentrations and the effects of gold. Biol Neonate. 1971;17(1):112–125. doi: 10.1159/000240306. [DOI] [PubMed] [Google Scholar]
- Bassett J. M., Thorburn G. D. The regulation of insulin secretion by the ovine foetus in utero. J Endocrinol. 1971 May;50(1):59–74. doi: 10.1677/joe.0.0500059. [DOI] [PubMed] [Google Scholar]
- Bassett J. M., Thorburn G. D., Wallace A. L. The plasma growth hormone concentration of the foetal lamb. J Endocrinol. 1970 Oct;48(2):251–263. doi: 10.1677/joe.0.0480251. [DOI] [PubMed] [Google Scholar]
- CARDELL B. S. The infants of diabetic mothers; a morphological study. J Obstet Gynaecol Br Emp. 1953 Dec;60(6):834–853. doi: 10.1111/j.1471-0528.1953.tb07282.x. [DOI] [PubMed] [Google Scholar]
- CONKLIN J. L. Cytogenesis of the human fetal pancreas. Am J Anat. 1962 Sep;111:181–193. doi: 10.1002/aja.1001110204. [DOI] [PubMed] [Google Scholar]
- CORNBLATH M., PARKER M. L., REISNER S. H., FORBES A. E., DAUGHADAY W. H. SECRETION AND METABOLISM OF GROWTH HORMONE IN PREMATURE AND FULL-TERM INFANTS. J Clin Endocrinol Metab. 1965 Feb;25:209–218. doi: 10.1210/jcem-25-2-209. [DOI] [PubMed] [Google Scholar]
- Chez R. A., Hutchinson D. L., Salazar H., Mintz D. H. Some effects of fetal and maternal hypophysectomy in pregnancy. Am J Obstet Gynecol. 1970 Oct 15;108(4):643–650. doi: 10.1016/0002-9378(70)90246-2. [DOI] [PubMed] [Google Scholar]
- Chez R. A., Mintz D. H., Horger E. O., 3rd, Hutchinson D. L. Factors affecting the response to insulin in the normal subhuman pregnant primate. J Clin Invest. 1970 Aug;49(8):1517–1527. doi: 10.1172/JCI106369. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chez R. A., Mintz D. H., Hutchinson D. L. Effect of theophylline on glucagon and glucose-mediated plasma insulin responses in subhuman primate fetus and neonate. Metabolism. 1971 Aug;20(8):805–815. doi: 10.1016/s0026-0495(71)80010-0. [DOI] [PubMed] [Google Scholar]
- Coltart T. M., Beard R. W., Turner R. C., Oakley N. W. Blood glucose and insulin relationships in the human mother and fetus before onset of labour. Br Med J. 1969 Oct 4;4(5674):17–19. doi: 10.1136/bmj.4.5674.17. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Conklin J. L. The development of the human fetal adenohypophysis. Anat Rec. 1968 Jan;160(1):79–91. doi: 10.1002/ar.1091600108. [DOI] [PubMed] [Google Scholar]
- Daughaday W. H., Hall K., Raben M. S., Salmon W. D., Jr, van den Brande J. L., van Wyk J. J. Somatomedin: proposed designation for sulphation factor. Nature. 1972 Jan 14;235(5333):107–107. doi: 10.1038/235107a0. [DOI] [PubMed] [Google Scholar]
- Daughaday W. H. Regulation of skeletal growth by sulfation factor. Adv Intern Med. 1971;17:237–263. [PubMed] [Google Scholar]
- Davis J. R., Beck P., Colwill J. R., Makowski E. L., Meschia G., Battaglia F. C. Insulin response to fructose and glucose infusions into the sheep fetus. Proc Soc Exp Biol Med. 1971 Mar;136(3):972–975. doi: 10.3181/00379727-136-35408. [DOI] [PubMed] [Google Scholar]
- Dubois P. Données ultrastructurales sur l'antéhypophyse d'un embryon humain à la huitième semaine de son développement. C R Seances Soc Biol Fil. 1968 Oct 19;162(3):689–692. [PubMed] [Google Scholar]
- Dunn J. M. Anterior pituitary and adrenal absence in a live-born normocephalic infant. Am J Obstet Gynecol. 1966 Nov 15;96(6):893–894. doi: 10.1016/0002-9378(66)90688-0. [DOI] [PubMed] [Google Scholar]
- Ellis S. T., Beck J. S., Currie A. R. The cellular localisation of growth hormone in the human foetal adenohypophysis. J Pathol Bacteriol. 1966 Jul;92(1):179–183. doi: 10.1002/path.1700920118. [DOI] [PubMed] [Google Scholar]
- Espinosa de los Monteros, Driscoll S. G., Steinke J. Insulin release from isolated human fetal pancreatic islets. Science. 1970 May 29;168(3935):1111–1112. doi: 10.1126/science.168.3935.1111. [DOI] [PubMed] [Google Scholar]
- FALIN L. I. The development of human hypophysis and differentiation of cells of its anterior lobe during embryonic life. Acta Anat (Basel) 1961;44:188–205. doi: 10.1159/000141721. [DOI] [PubMed] [Google Scholar]
- FERGUSON K. A., WALLACE A. L. Starch-gel electrophoresis of anterior pituitary hormones. Nature. 1961 May 13;190:629–630. doi: 10.1038/190629a0. [DOI] [PubMed] [Google Scholar]
- Finkelstein J. W., Anders T. F., Sacher E. J., Roffwarg H. P., Hellman L. D. Behavioral state, sleep stage and growth hormone levels in human infants. J Clin Endocrinol Metab. 1971 Mar;32(3):368–371. doi: 10.1210/jcem-32-3-368. [DOI] [PubMed] [Google Scholar]
- Fisher D. A., Hobel C. J., Garza R., Pierce C. A. Thyroid function in the preterm fetus. Pediatrics. 1970 Aug;46(2):208–216. [PubMed] [Google Scholar]
- Frazier W. A., Angeletti R. H., Bradshaw R. A. Nerve growth factor and insulin. Science. 1972 May 5;176(4034):482–488. doi: 10.1126/science.176.4034.482. [DOI] [PubMed] [Google Scholar]
- GERSHBERG H. Growth hormone content and metabolic actions of human pituitary glands. Endocrinology. 1957 Aug;61(2):160–165. doi: 10.1210/endo-61-1-160. [DOI] [PubMed] [Google Scholar]
- GREENWOOD F. C., HUNTER W. M., GLOVER J. S. THE PREPARATION OF I-131-LABELLED HUMAN GROWTH HORMONE OF HIGH SPECIFIC RADIOACTIVITY. Biochem J. 1963 Oct;89:114–123. doi: 10.1042/bj0890114. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gailani S. D., Nussbaum A., McDougall W. J., McLimans W. F. Studies on hormone production by human fetal pituitary cell cultures. Proc Soc Exp Biol Med. 1970 May;134(1):27–32. doi: 10.3181/00379727-134-34720. [DOI] [PubMed] [Google Scholar]
- Geiger W., Kaiser R., Franchimont P. Comparative radioimmunological determination of human chorionic gonadotrophin, human placental lactogen, growth hormone and thyrotrophin in foetal and maternal blood after delivery. Acta Endocrinol (Copenh) 1971 Sep;68(1):169–182. doi: 10.1530/acta.0.0680169. [DOI] [PubMed] [Google Scholar]
- Gitlin D., Biasucci A. Ontogenesis of immunoreactive growth hormone, follicle-stimulating hormone, thyroid-stimulating hormine, luteinizing hormone, chorionic prolactin and chorionic gonadotropin in the human conceptus. J Clin Endocrinol Metab. 1969 Jul;29(7):926–935. doi: 10.1210/jcem-29-7-926. [DOI] [PubMed] [Google Scholar]
- Gitlin D., Kumate J., Morales C. Metabolism and maternofetal transfer of human growth hormone in the pregnant woman at term. J Clin Endocrinol Metab. 1965 Dec;25(12):1599–1608. doi: 10.1210/jcem-25-12-1599. [DOI] [PubMed] [Google Scholar]
- Grasso S., Messina A., Saporito N., Reitano G. Serum-insulin response to glucose and aminoacids in the premature infant. Lancet. 1968 Oct 5;2(7571):755–756. doi: 10.1016/s0140-6736(68)90954-9. [DOI] [PubMed] [Google Scholar]
- Greenberg A. H., Czernichow P., Reba R. C., Tyson J., Blizzard R. M. Observations on the maturation of thyroid function in early fetal life. J Clin Invest. 1970 Oct;49(10):1790–1803. doi: 10.1172/JCI106397. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Grumbach M. M., Kaplan S. L., Sciarra J. J., Burr I. M. Chorionic growth hormone-prolactin (CGP): secretion, disposition, biologic activity in man, and postulated function as the "growth hormone" of the 2d half of pregnancy. Ann N Y Acad Sci. 1968 Feb 5;148(2):501–531. doi: 10.1111/j.1749-6632.1968.tb20372.x. [DOI] [PubMed] [Google Scholar]
- Grunt J. A., Reynolds D. W. Insulin, blood sugar, and growth hormone levels in an anencephalic infant before and after intravenous administration of glucose. J Pediatr. 1970 Jan;76(1):112–116. doi: 10.1016/s0022-3476(70)80139-1. [DOI] [PubMed] [Google Scholar]
- Hellman B. The development of the mammalian endocrine pancreas. Biol Neonat. 1965;9(1):263–278. [PubMed] [Google Scholar]
- JOST A. Hormonal factors in the development of the fetus. Cold Spring Harb Symp Quant Biol. 1954;19:167–181. doi: 10.1101/sqb.1954.019.01.023. [DOI] [PubMed] [Google Scholar]
- KAPLAN S. L., GRUMBACH M. M. IMMUNOASSAY FOR HUMAN CHORIONIC "GROWTH HORMONE-PROLACTIN" IN SERUM AND URINE. Science. 1965 Feb 12;147(3659):751–753. doi: 10.1126/science.147.3659.751. [DOI] [PubMed] [Google Scholar]
- KAPLAN S. L., GRUMBACH M. M. Nonspecific inhibitors in serum and the immunoassay of human growth hormone. J Clin Endocrinol Metab. 1962 Nov;22:1153–1156. doi: 10.1210/jcem-22-11-1153. [DOI] [PubMed] [Google Scholar]
- Kaplan S. L., Grumbach M. M. Serum chorionic "growth hormone-prolactin" and serum pituitary growth hormone in mother and fetus at term. J Clin Endocrinol Metab. 1965 Oct;25(10):1370–1374. doi: 10.1210/jcem-25-10-1370. [DOI] [PubMed] [Google Scholar]
- Kaplan S. L., Gurpide E., Sciarra J. J., Grumbach M. M. Metabolic clearance rate and production rate of chorionic growth hormone-prolactin in late pregnancy. J Clin Endocrinol Metab. 1968 Oct;28(10):1450–1460. doi: 10.1210/jcem-28-10-1450. [DOI] [PubMed] [Google Scholar]
- King K. C., Butt J., Raivio K., Räihä N., Roux J., Teramo K., Yamaguchi K., Schwartz R. Human maternal and fetal insulin response to arginine. N Engl J Med. 1971 Sep 9;285(11):607–612. doi: 10.1056/NEJM197109092851105. [DOI] [PubMed] [Google Scholar]
- LEVI-MONTALCINI R., HAMBURGER V. Selective growth stimulating effects of mouse sarcoma on the sensory and sympathetic nervous system of the chick embryo. J Exp Zool. 1951 Mar;116(2):321–361. doi: 10.1002/jez.1401160206. [DOI] [PubMed] [Google Scholar]
- LITTLE B., SMITH O. W., JESSIMAN A. G., SELENKOW H. A., VAN'T HOFF W., EGLIN J. M., MOORE F. D. Hypophysectomy during pregnancy in a patient with cancer of the breast: case report with hormone studies. J Clin Endocrinol Metab. 1958 May;18(5):425–443. doi: 10.1210/jcem-18-5-425. [DOI] [PubMed] [Google Scholar]
- Lanman J. T., Schaffer A. Gestational effects of fetal decapitation in sheep. Fertil Steril. 1968 Jul-Aug;19(4):598–605. doi: 10.1016/s0015-0282(16)36734-6. [DOI] [PubMed] [Google Scholar]
- Laron Z., Mannheimer S., Pertzelan A., Nitzan M. Serum growth hormone concentration in full term infants. Isr J Med Sci. 1966 Nov-Dec;2(6):770–773. [PubMed] [Google Scholar]
- Laron Z., Pertzelan A., Karp M. Pituitary dwarfism with high serum levels of growth hormone. Isr J Med Sci. 1968 Jul-Aug;4(4):883–894. [PubMed] [Google Scholar]
- Levina S. E. Endocrine features in development of human hypothalamus, hypophysis, and placenta. Gen Comp Endocrinol. 1968 Aug;11(1):151–159. doi: 10.1016/0016-6480(68)90116-0. [DOI] [PubMed] [Google Scholar]
- Liggins G. C., Kennedy P. C. Effects of electrocoagulation of the foetal lamb hypophysis on growth and development. J Endocrinol. 1968 Mar;40(3):371–381. doi: 10.1677/joe.0.0400371. [DOI] [PubMed] [Google Scholar]
- Matsuzaki F., Irie M., Shizume K. Growth hormone in human fetal pituitary glands and cord blood. J Clin Endocrinol Metab. 1971 Dec;33(6):908–911. doi: 10.1210/jcem-33-6-908. [DOI] [PubMed] [Google Scholar]
- Milner R. D. The secretion of insulin from foetal and postnatal rabbit pancreas in vitro in response to various substances. J Endocrinol. 1969 Jun;44(2):267–272. doi: 10.1677/joe.0.0440267. [DOI] [PubMed] [Google Scholar]
- Milner R. D., Wright A. D. Blood glucose, plasma insulin and growth hormone response to hyperglycaemia in the newborn. Clin Sci. 1966 Oct;31(2):309–315. [PubMed] [Google Scholar]
- Mintz D. H., Chez R. A., Horger E. O., 3rd Fetal insulin and growth hormone metabolism in the subhuman primate. J Clin Invest. 1969 Jan;48(1):176–186. doi: 10.1172/JCI105966. [DOI] [PMC free article] [PubMed] [Google Scholar]
- NIEMINEVA K. Observations on the development of the hypophysial-portal system. Acta Paediatr. 1950;39(4-5):366–377. doi: 10.1111/j.1651-2227.1950.tb08534.x. [DOI] [PubMed] [Google Scholar]
- ORNSTEIN L. DISC ELECTROPHORESIS. I. BACKGROUND AND THEORY. Ann N Y Acad Sci. 1964 Dec 28;121:321–349. doi: 10.1111/j.1749-6632.1964.tb14207.x. [DOI] [PubMed] [Google Scholar]
- OSSERMAN E. F. A modified technique of immunoelectrophoresis facilitating the identification of specific precipitin arcs. J Immunol. 1960 Jan;84:93–97. [PubMed] [Google Scholar]
- PASTEELS J. L., BRAUMAN H., BRAUMAN J. [Comparative study of the secretion of somatotropic hormone by the human pituitary gland in vitro, and of its lactogenic activity]. C R Hebd Seances Acad Sci. 1963 Feb 25;256:2031–2033. [PubMed] [Google Scholar]
- PASTEELS J. L. RECHERCHES MORPHOLOGIQUES ET EXP'ERIMENTALES SUR LA S'ECR'ETION DE PROLACTINE. Arch Biol (Liege) 1963;74:439–553. [PubMed] [Google Scholar]
- Parmelee A. H., Jr, Schulte F. J., Akiyama Y., Wenner W. H., Schultz M. A., Stern E. Maturation of EEG activity during sleep in premature infants. Electroencephalogr Clin Neurophysiol. 1968 Apr;24(4):319–329. doi: 10.1016/0013-4694(68)90193-4. [DOI] [PubMed] [Google Scholar]
- Paterson P., Page D., Taft P., Phillips L., Wood C. Study of fetal and maternal insulin levels during labour. J Obstet Gynaecol Br Commonw. 1968 Sep;75(9):917–921. doi: 10.1111/j.1471-0528.1968.tb01616.x. [DOI] [PubMed] [Google Scholar]
- Pavlova E. B., Pronina T. S., Skebelskaya Y. B. Histostructure of adenohypophysis of human fetuses and contents of somatotropic and adrenocorticotropic hormones. Gen Comp Endocrinol. 1968 Apr;10(2):269–276. doi: 10.1016/0016-6480(68)90035-x. [DOI] [PubMed] [Google Scholar]
- Picon L. Effect of insulin on growth and biochemical composition of the rat fetus. Endocrinology. 1967 Dec;81(6):1419–1421. doi: 10.1210/endo-81-6-1419. [DOI] [PubMed] [Google Scholar]
- Pildes R. S., Hart R. J., Warrner R., Cornblath M. Plasma insulin response during oral glucose tolerance tests in newborns of normal and gestational diabetic mothers. Pediatrics. 1969 Jul;44(1):76–83. [PubMed] [Google Scholar]
- RAIHA N., HJELT L. The correlation between the development of the hypophysial portal system and the onset of neurosecretory activity in the human fetus and infant. Acta Paediatr. 1957 Nov;46(6):610–616. doi: 10.1111/j.1651-2227.1957.tb14491.x. [DOI] [PubMed] [Google Scholar]
- READ C. H., BRYAN G. T. The immunological assay of human growth hormone. Recent Prog Horm Res. 1960;16:187–218. [PubMed] [Google Scholar]
- REID J. D. Congenital absence of the pituitary gland. J Pediatr. 1960 May;56:658–664. doi: 10.1016/s0022-3476(60)80341-1. [DOI] [PubMed] [Google Scholar]
- RINNE U. K., KIVALO E., TALANTI S. Maturation of human hypothalamic neurosecretion. Biol Neonat. 1962;4:351–364. doi: 10.1159/000239845. [DOI] [PubMed] [Google Scholar]
- ROSENBERG P. Temporary adrenal insufficiency with associated pyloric stenosis. J Pediatr. 1956 Jan;48(1):63–65. doi: 10.1016/s0022-3476(56)80118-2. [DOI] [PubMed] [Google Scholar]
- Rastogi G. K., Letarte J., Fraser T. R. Immunoreactive insulin content of 203 pancreases from foetuses of healthy mothers. Diabetologia. 1970 Aug;6(4):445–446. doi: 10.1007/BF01212080. [DOI] [PubMed] [Google Scholar]
- Rice B. F., Ponthier R., Jr, Sternberg W. Luteinizing hormone and growth hormone activity of the human fetal pituitary. J Clin Endocrinol Metab. 1968 Jul;28(7):1071–1072. doi: 10.1210/jcem-28-7-1071. [DOI] [PubMed] [Google Scholar]
- Rimoin D. L., Holzman G. B., Merimee T. J., Rabinowitz D., Barnes A. C., Tyson J. E., McKusick V. A. Lactation in the absence of human growth hormone. J Clin Endocrinol Metab. 1968 Aug;28(8):1183–1188. doi: 10.1210/jcem-28-8-1183. [DOI] [PubMed] [Google Scholar]
- SALTER J., BEST C. H. Insulin as a growth hormone. Br Med J. 1953 Aug 15;2(4832):353–356. doi: 10.1136/bmj.2.4832.353. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SCHEIDEGGER J. J. Une micro-méthode de l'immuno-electrophorèse. Int Arch Allergy Appl Immunol. 1955;7(2):103–110. [PubMed] [Google Scholar]
- SMITH P. E. Continuation of pregnancy in rhesus monkeys (Macaca mulatta) following hypophysectomy. Endocrinology. 1954 Nov;55(5):655–664. doi: 10.1210/endo-55-5-655. [DOI] [PubMed] [Google Scholar]
- Shaywitz B. A., Finkelstein J., Hellman L., Weitzman E. D. Growth hormone in newborn infants during sleep-wake periods. Pediatrics. 1971 Jul;48(1):103–109. [PubMed] [Google Scholar]
- Solomon I. L., Grant D. B., Burr I. M., Kaplan S. L., Grumbach M. M. Correlation between immunoreactive growth hormone and prolactin activity in human and simian pituitary cell cultures. Proc Soc Exp Biol Med. 1969 Nov;132(2):505–508. doi: 10.3181/00379727-132-34247. [DOI] [PubMed] [Google Scholar]
- Steinke J., Driscoll S. G. The extractable insulin content of pancreas from fetuses and infants of diabetic and control mothers. Diabetes. 1965 Sep;14(9):573–578. doi: 10.2337/diab.14.9.573. [DOI] [PubMed] [Google Scholar]
- Stern E., Parmelee A. H., Akiyama Y., Schultz M. A., Wenner W. H. Sleep cycle characteristics in infants. Pediatrics. 1969 Jan;43(1):65–70. [PubMed] [Google Scholar]
- Stubbe P., Wolf H. Glucosebelastungen aund Arginin-Infusionen bei Neugeborenen. Einfluss auf Wachstumshormon, Blutzucker, Fettsäuren und Glycerin. Klin Wochenschr. 1970 Aug 1;48(15):918–923. doi: 10.1007/BF01487631. [DOI] [PubMed] [Google Scholar]
- Stubbe P., Wolf H. The effect of stress on growth hormone, glucose and glycerol levels in newborn infants. Horm Metab Res. 1971 May;3(3):175–179. doi: 10.1055/s-0028-1095027. [DOI] [PubMed] [Google Scholar]
- Thorell J. I. Plasma insulin levels in normal human foetuses. Acta Endocrinol (Copenh) 1970 Jan;63(1):134–140. doi: 10.1530/acta.0.0630134. [DOI] [PubMed] [Google Scholar]
- Tjoa G. T., De Nijs Bik H., Schopman W. Diabetes mellitus in a 2 month old female infant. Biol Neonat. 1968;13(1):113–120. doi: 10.1159/000240138. [DOI] [PubMed] [Google Scholar]
- Turner R. C., Schneeloch B., Paterson P. Changes in plasma growth hormone and insulin of the human foetus following hysterotomy. Acta Endocrinol (Copenh) 1971 Apr;66(4):577–586. doi: 10.1530/acta.0.0660577. [DOI] [PubMed] [Google Scholar]
- Tyson J. E., Barnes A. C., Merimee T. J., McKusick V. A. Isolated growth hormone deficiency: studies in pregnancy. J Clin Endocrinol Metab. 1970 Aug;31(2):147–152. doi: 10.1210/jcem-31-2-147. [DOI] [PubMed] [Google Scholar]
- Van Wyk J. J., Hall K., Van den Brande J. L., Weaver R. P. Further purification and characterization of sulfation factor and thymidine factor from acromegalic plasma. J Clin Endocrinol Metab. 1971 Mar;32(3):389–403. doi: 10.1210/jcem-32-3-389. [DOI] [PubMed] [Google Scholar]
- Vigneri R., D'Agata R. Growth hormone release during the first year of life in relation to sleep-wake periods. J Clin Endocrinol Metab. 1971 Sep;33(3):561–563. doi: 10.1210/jcem-33-3-561. [DOI] [PubMed] [Google Scholar]
- WRENSHALL G. A., BOGOCH A., RITCHIE R. C. Extractable insulin of pancreas; correlation with pathological and clinical findings in diabetic and nondiabetic cases. Diabetes. 1952 Mar-Apr;1(2):87–107. doi: 10.2337/diab.1.2.87. [DOI] [PubMed] [Google Scholar]
- Wellmann K. F., Volk B. W., Brancato P. Ultrastructure and insulin content of the endocrine pancreas in the human fetus. Lab Invest. 1971 Aug;25(2):97–103. [PubMed] [Google Scholar]
- Youlton R., Kaplan S. L., Grumbach M. M. Growth and growth hormone. IV. Limitations of the growth hormone response to insulin and arginine and of the immunoreactive insulin response to arginine in the assessment of growth hormone deficiency in children. Pediatrics. 1969 Jun;43(6):989–1004. [PubMed] [Google Scholar]