Evidence map›Paper›PMID 22990092›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2012

Sex steroids, GHRH, somatostatin, IGF-I, and IGFBP-1 modulate ghrelin's dose-dependent drive of pulsatile GH secretion in healthy older men.

Johannes D Veldhuis, Catalina Norman, John M Miles, Cyril Y Bowers

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Differential pulsatile secretagogue control of GH secretion in healthy men.American journal of physiology. Regulatory, integrative and comparative physiology · 2013
    Trial
  5. Review
  6. Review
  7. Review
  8. Article
  9. GH and ageing: Pitfalls and new insights.Best practice & research. Clinical endocrinology & metabolism · 2017
    Review
  10. Article
  11. Clinical review: The human experience with ghrelin administration.The Journal of clinical endocrinology and metabolism · 2013
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Johannes D VeldhuisEndocrine Research Unit, Mayo School of Graduate Medical Education, National Institutes of Health Center for Translational Science Activities, Mayo Clinic, Rochester, Minnesota 55905, USA. veldhuis.johannes@mayo.edu
Catalina Norman
John M Miles
Cyril Y Bowers
National Institutes of Health · USMayo Clinic · USTulane University · US

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
Obesity and Energy Metabolism CoreP30DK050456 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI CROW, SCOTT J · 1995 to 2015
$17.0M
ACTIONS OF TESTOSTERONE ON THE AGING MALE GH AXISR37AG019695 · NIA · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI VELDHUIS, JOHANNES D · 2001 to 2011
$3.2M
Actions of Testosterone on the Aging Male GH AxisR01AG019695 · NIA · MAYO CLINIC ROCHESTER · PI VELDHUIS, JOHANNES D · 2012 to 2016
$1.9M
NCRR NIH HHS 1 UL 1 RR024150-01NCRR NIH HHS UL1 RR024150NIA NIH HHS AG19695NIA NIH HHS R01 AG019695NIA NIH HHS R37 AG019695NIDDK NIH HHS DK050456NIDDK NIH HHS P30 DK050456
6 · The paper itself

Abstract

contextGhrelin is a potent endogenous stimulator of GH secretion. However, clinical factors that regulate ghrelin dose-responsiveness are incompletely defined.

objectiveThe aim of the study was to test the multipathway hypothesis that testosterone (T) and estradiol, GHRH, and somatostatin (SS) jointly modulate ghrelin's action. DESIGN/PARTICIPANTS/

settingHealthy older men (n = 21) participated in a double-blind, prospectively randomized, placebo (Pl)-controlled study in a Clinical Translational Research Center.

interventionsTo create a range of sex-steroid milieus, men received leuprolide + Pl (n = 10) or leuprolide + T addback (n = 11). Sixteen to 21 d later, subjects received three separate randomly ordered overnight constant i.v. infusions of saline, GHRH, and SS. Interactions between the peptide clamp and ghrelin were tested by superimposed injections of four randomly ordered bolus i.v. doses of ghrelin (0.03, 0.135, 0.60, and 2.7 μg/kg). GH was measured every 10 min, and GH responses were assessed by nonlinear dose-response analysis. Linear associations were assessed by stepwise regression. OUTCOME MEASURES/

resultsThe descending numerical order of ghrelin efficacy (maximal GH secretory-burst mass; micrograms/liter) was 107 (GHRH + Pl), 104 (GHRH + T), 73 (saline + T), 73 (SS + T), 60 (saline + Pl), and 52 (SS + Pl) [means], wherein SS + T exceeded SS + Pl. GHRH and IGF binding protein-1 augmented, whereas IGF-I attenuated ghrelin potency. Age and IGF-I decreased ghrelin/GHRH synergy. Ghrelin sensitivity was independent of interventions.

conclusionsThese studies introduce composite regulatory effects of sex hormones, GHRH, SS, IGF binding protein-1, and IGF-I on ghrelin dose-responsiveness, suggesting multipathway modulation of GH-secretagogue action.

Indexed as

AgedAge FactorsDose-Response Relationship, DrugDouble-Blind MethodDrug InteractionsGhrelinGonadal Steroid HormonesGrowth Hormone-Releasing HormoneHealthHuman Growth HormoneHumansInfusions, IntravenousInsulin-Like Growth Factor Binding Protein 1Insulin-Like Growth Factor ILeuprolideMaleGhrelinGonadal Steroid HormonesGrowth Hormone-Releasing HormoneHuman Growth HormoneInsulin-Like Growth Factor Binding Protein 1Insulin-Like Growth Factor ILeuprolidePlacebosSomatostatin

Identifiers

PMID22990092
PMCPMC3513533
OpenAlexW2034017228

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.