Selected Instructional Course Lectures The American Academy of Orthopaedic Surgeons

Growth Hormone : The Effect on Skeletal Renewal in the Adult Dog. 1)a. WILLnAM H. IlARans 1 and DR. ROBERT P. HEANEY 2 studied the role of growth hormone in the skeletal metabolism of the intact adult dog, using exogenous bovine growth hormone to produce the excess state armd hypophysectomy to prodtrce the deficiency state. Exogenous bovine growth hormone lead to a marked inmcrease in new-bormeformation. Regional differences in the responses of resorption were evidennced. Enidosteal resorption was decreased and intracortical resorptiors was increased. While time net effect on resorption of cortical boric cannot be quanmtitated definitively, the irmcrease iii nmew-bonie fornmat.ionm exceeded any change in resorption and a net. increase in skeletal mass occurred. Inmtracortical porosity rose only slightly. The findings indicate that. exogenous growth hormone carm induce a net inmcrea.se ins skeletal mass ins the intact dog arid that it. does this by stimulating new-boric fornmation in excess of any effect. on bonme resorptionm. Of particinlar interest is the observation that enidosteal resorption is reduced arid replaced by abundant enidosteal new-bone fornmationm. The kinetic studies done in conjunction with the tetracyclinie studies are (‘onmpatible with a redistribution of total calciunm retained by the skeleton, characterized by a decrease ins long-term exchange. Osteoporosis did riot develop. The alkaline phosphatase values remained unchanged despite the massive rise in new-bone formation. Bovine growth hornmonme did riot elicit antibody fornmation. Hypoplmyse( tom\lead to a marked decrease inn the rate of new-boric fornmationr. This could riot be offset IW the adnministrationm of exogenous bovine growth hormone in three of the four hypophysectonimized anminmmals. Growth hormone nmay play arm important role in nmornmal skeletal balance in the adult arid also may be iniportanmt both in the etiology arid the treatment of senile arid postmeno-

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