Henrik Wiggers

Short-term effects of growth hormone on myocardial glucose uptake in healthy humans.

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  • Department of Pharmacology
  • The Department of Cardiological Medicine B
  • Positron Emission Tomography Center
Cardiac muscle is characterized by insulin resistance in specific heart diseases such as coronary artery disease and congestive heart failure, but not in generalized disorders like diabetes mellitus and essential hypertension when cardiac manifestations are absent. To examine whether the insulin antagonistic effect of growth hormone (GH) acts upon the heart, we compared insulin-stimulated whole body and myocardial glucose uptake with and without GH administration during a 3.5-h euglycemic-hyperinsulinemic clamp in eight healthy males. Myocardial 2-deoxy-2-[(18)F]fluoro-D-glucose uptake was measured with positron emission tomography. The data were converted to myocardial glucose uptake by tracer kinetic analysis. GH did not change the rate-pressure product. GH decreased whole body insulin-stimulated glucose disposal by 26% (48.0 +/- 12.1 vs. control 62.8 +/- 6.1 micromol. kg(-1). min(-1), P < 0.02). Free fatty acids were suppressed to a similar extent with and without GH during the insulin clamp. Insulin-stimulated myocardial glucose uptake was similar in the presence and in the absence of GH (0.34 +/- 0.05 and 0.31 +/- 0.03 micromol. g(-1). min(-1), P = 0.18). In conclusion, GH does not impair insulin-stimulated myocardial glucose uptake despite a considerable whole body insulin antagonistic effect. Myocardial insulin resistance is not an inherent consequence of whole body insulin resistance.
Original languageEnglish
JournalAmerican Journal of Physiology: Endocrinology and Metabolism
Volume278
Issue6
Pages (from-to)E1053-9
ISSN0193-1849
Publication statusPublished - 2000

    Research areas

  • Adult, Blood Glucose, Deoxyglucose, Fluorine Radioisotopes, Glucose, Glucose Clamp Technique, Human Growth Hormone, Humans, Insulin, Insulin Resistance, Male, Myocardium

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