MRCEM Notes

Growth hormone

Growth hormone (GH) is an anabolic hormone secreted by the somatotroph cells of the anterior lobe of the pituitary gland. It has actions on multiple organ systems and is important in postnatal growth and development. Growth hormone is also responsible for changes in protein, lipid, and carbohydrate metabolism

NotesFurther detail
SourceAnterior pituitary
FunctionPostnatal growth and development
Numerous actions on protein, carbohydrate and fat metabolism (including increasing lipolysis and gluconeogenesis)
Mechanism of action
  • acts on a transmembrane receptor for growth factor
  • binding of GH to the receptor leads to receptor dimerization
  • acts directly on tissues and also indirectly via insulin-like growth factor 1 (IGF-1), primarily secreted by the liver
RegulationIncreases secretion
  • growth hormone releasing hormone (GHRH): released in pulses by the hypothalamus
  • fasting
  • exercise
  • sleep

Decreases secretion
  • glucose
  • somatostatin (itself increased by somatomedins, circulating insulin-like growth factors, IGF-1 and IGF-2)
Conditions associated with GH disorders
  • excess GH: acromegaly
  • GH deficiency: resulting in short stature
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