To possibly improve protein balance, we studied the effects of growth hormone (GH) on whole body protein metabolism and on synthesis of hepatic export proteins albumin and VLDL apolipoprotein B in 10 patients after liver transplantation. Five patients received only standard postoperative treatment (controls), 5 patients were given additionally GH (2x8 I.U. per day for 14 days). Calorimetry and 4h-tracer leucine infusions were performed 5 days after surgery. Tracer incorporation was measured for albumin by IRMS (N=6), for apoB by GCMS (N=10). The clinical course was similar for both groups. Cumulative urea nitrogen excretion (days 1-4, X D(SD) tended to be lower after GH: CO 60. Differences in leucine oxidation , protein breakdown 145 and non-oxidative leucine disposal were not statistically significant. Plasma albumin levels , fractional synthetic rates (0.22(0.13 vs 0.15(0.07 pools/day) and albumin production were similar. In conclusion, after major surgery, GH tends to lower nitrogen excretion and increase total body protein turnover without affecting hepatic export protein synthesis.

Agency
National Institute of Health (NIH)
Institute
National Center for Research Resources (NCRR)
Type
Biotechnology Resource Grants (P41)
Project #
5P41RR000954-22
Application #
6118488
Study Section
Project Start
1998-08-01
Project End
1999-07-31
Budget Start
1997-10-01
Budget End
1998-09-30
Support Year
22
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Washington University
Department
Type
DUNS #
062761671
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
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