PLASMA GROWTH HORMONE RESPONSE TO VASOPRESSIN:
ABSTRACT Plasma growth hormone (HGH) was determined in 12 normal volunteers during intravenous (iv) infusion of synthetic lysine-8-vasopressin (VP). Eight volunteers received only saline infusions but expected all the possible side effects of VP infusion. Significant increases in HGH occurred more often in females than in males during VP infusion. In the females, there was no apparent correlation between the HGH response and stress. Six patients with endocrinologically inactive intrasellar tumours with suprasellar extension and one patient with a suprasellar meningioma were studied with VP and with hypoglycaemia tests. None of the patients responded to VP infusion with an increase in HGH. Only the meningioma patient responded to hypoglycaemia. One patient did not respond to hypoglycaemia before, but responded after operative removal of the suprasellar part of the tumour. Responses of urinary 17-OHCS in metyrapone tests and of plasma cortisol during VP infusion were positive in several of the patients, demonstrating preservation of blood flow from the stalk median eminence to the anterior pituitary gland and the presence of functional anterior pituitary tissue. The blood sugar increased and immunoreactive insulin levels remained low in all subjects during VP tests. It is concluded, that iv VP offers no reliable test for HGH release at least in male subjects. Stress is not the only determinant of HGH release during iv infusion of VP in females. In males and females VP cannot differentiate pituitary from hypothalamic causes of diminished HGH release. In some cases of pituitary tumours, pressure of the tumour on the median eminence of the hypothalamus may be the cause of the impaired HGH release in response to provocation tests.