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1 Clinical Translational Research Unit, Mayo Medical and Graduate Schools, Rochester, Minnesota, United States
2 Department of Statistics, University of Virginia, Charlottesville, Virginia, United States
3 Medicine/Endocrinology, Tulane University Health Sciences Center, New Orleans, Louisiana, United States
* To whom correspondence should be addressed. E-mail: veldhuis.johannes{at}mayo.edu.
Estradiol (E2) drives growth-hormone (GH) secretion via estrogen receptors (ER) located in the hypothalamus and pituitary gland. ER
is expressed in GH releasing-hormone (GHRH) neurons and GH-secreting cells (somatotropes). Moreover, estrogen regulates receptors for somatostatin, GH-releasing peptide (GHRP, ghrelin) and GH itself, while potentiating signaling by IGF-I. Given this complex network, one cannot a priori predict the selective roles of hypothalamic vis-a-vis pituitary ER pathways. To make such a distinction, we introduce an investigative model comprising: (i) specific ER
blockade with a pure antiestrogen, fulvestrant, that does not penetrate the blood-brain barrier; (ii) graded transdermal E2 administration, which doubles GH concentrations in postmenopausal women; (iii) stimulation of fasting GH secretion by pairs of GHRH, GHRP-2 (a ghrelin analog) and L-arginine (to putatively limit somatostatin outflow); and (iv) implementation of a flexible-waveform deconvolution model to estimate the shape of secretory bursts independently of their size. The combined strategy unveiled that: (a) E2 prolongs GH secretory bursts via fulvestrant-antagonizable mechanisms; (b) fulvestrant extends GHRH/GHRP-2-stimulated secretory bursts; (c) L-arginine/GHRP-2 stimulation lengthens GH secretory bursts whether or not E2 is present; (d) E2 limits the capability of L-arginine/GHRP-2 to expand GH secretory bursts, and fulvestrant does not inhibit this effect; and (e) E2 and/or fulvestrant do not alter the time evolution of L-arginine/GHRH-induced GH secretory bursts. The collective data indicate that peripheral ER
-dependent mechanisms determine the shape (waveform) of in vivo GH secretory bursts and that such mechanisms operate with secretagogue selectivity.
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