Document Detail


Blockade of cholinergic muscarinic receptors by pirenzepine and GHRH-induced GH secretion in the acute and recovery phase of anorexia nervosa and atypical eating disorders.
MedLine Citation:
PMID:  1908328     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In view of the important role played by the cholinergic system in the neural regulation of growth hormone (GH) secretion, the ability of pirenzepine, a selective antagonist of muscarinic cholinergic receptors, to blunt the GH response to GH-releasing hormone (GHRH) was studied in adolescent females with anorexia nervosa in the acute (AN-AP) five AN-AP patients, administration of GHRH 1-40 (1 microgram/kg IV) evoked a significantly higher GH response than in controls at established intervals, whereas in eight AN-RP and seven AED patients it was higher than in controls at only one (150-min) and two (150-min, 180-min) time intervals, respectively. In the AN-AP patients, pretreatment with pirenzepine (0.6 mg/kg IV) only partially blocked the GH response to GHRH, whereas in the same AN-AP patients tested during recovery, and in AN-RP and AED patients, the drug completely suppressed the GH response to GHRH, as it did in controls. In view of pirenzepine's mechanism of action, these findings are best explained by the existence in the hypothalamus of AN-AP patients of a cholinergic hypertone and/or a diminished somatostatinergic function. Evaluation of the clinical and hormonal characteristics of the anorectic patients studied would indicate that factors other than undernutrition and its biological consequences, which subside in the recovery stage of the disease and are not present in AED patients, contribute to the anomalous GH response pattern of AN-AP patients.
Authors:
M Rolla; A Andreoni; D Belliti; R Cristofani; M Ferdeghini; E E Müller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Biological psychiatry     Volume:  29     ISSN:  0006-3223     ISO Abbreviation:  Biol. Psychiatry     Publication Date:  1991 Jun 
Date Detail:
Created Date:  1991-09-26     Completed Date:  1991-09-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0213264     Medline TA:  Biol Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1079-91     Citation Subset:  IM    
Affiliation:
I Clinica Medica, U.O. di Fisiopatologia dell'Adolescenza, Università di Pisa, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anorexia Nervosa / blood,  drug therapy*,  psychology
Body Weight / drug effects,  physiology
Brain / drug effects,  physiopathology
Bulimia / blood,  drug therapy*,  psychology
Estradiol / blood
Female
Follicle Stimulating Hormone / blood
Follow-Up Studies
Gonadotropin-Releasing Hormone / diagnostic use*
Growth Hormone / blood*
Humans
Hydrocortisone / blood
Luteinizing Hormone / blood
Pirenzepine / therapeutic use*
Prolactin / blood
Receptors, Muscarinic / drug effects*,  physiology
Testosterone / blood
Thyrotropin / blood
Triiodothyronine / blood
Chemical
Reg. No./Substance:
0/Receptors, Muscarinic; 28797-61-7/Pirenzepine; 33515-09-2/Gonadotropin-Releasing Hormone; 50-23-7/Hydrocortisone; 50-28-2/Estradiol; 58-22-0/Testosterone; 6893-02-3/Triiodothyronine; 9002-62-4/Prolactin; 9002-67-9/Luteinizing Hormone; 9002-68-0/Follicle Stimulating Hormone; 9002-71-5/Thyrotropin; 9002-72-6/Growth Hormone

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