This paper is only available as a PDF. To read, Please Download here.
Background. Growth hormone supplementation has been shown to stimulate muscle protein synthesis
and to improve nitrogen balance in a variety of catabolic states. The role of growth
hormone to support the tumor-bearing host is complicated by the risk that growth hormone
or its intermediaries may stimulate tumor growth. The purpose of this study is to
examine the effect of growth hormone supplementation in tumor-bearing rats. This is
studied in the protein-fed and protein-starved state in an attempt to isolate a selective
benefit for the host over the tumor.
Methods. Forty Lewis rats bearing a metastatic mammary adenocarcinoma (MAC-33) were divided
into four groups: one receiving a regular diet plus saline solution, one receiving
a regular diet plus growth hormone (1 IU/kg/day), one receiving protein-depleted diet
plus saline solution, and one receiving a protein-depleted diet plus growth hormone.
After 25 days of growth hormone treatment, animals were killed to determine primary
tumor size, tumor/carcass ratio, host organ composition, pulmonary metastasis, and
serum amino acid levels.
Results. The tumor/carcass ratio was decreased as a result of growth hormone treatment in
both the protein-fed and protein-starved groups. Growth hormone supplementation resulted
in increased carcass weight, muscle weight, and muscle protein content in the protein-fed,
tumor-bearing animals (p<0.05). In the protein-starved, tumor-bearing rats growth hormone supplementation
resulted in a significant decrease in tumor volume and tumor protein content. Amino
acid analysis suggests that the amino acid tyrosine is a rate-limiting substrate for
tumor cell proliferation in this model.
Conclusions. Growth hormone has a differential effect on tumor and host growth in the protein-fed
and protein-starved state. Growth hormone supplementation inhibited tumor growth in
protein-deprived animals. This is most likely accomplished indirectly by limiting
amino acid substrate availability to the tumor.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The carbohydrate metabolism of tumors II: changes in the sugar, lactic acid and CO2-combined power of blood passing through a tumor.J Biol Chem. 1925; 66: 397-405
- Metabolic alterations in liver, skeletal muscle, and fat tissue in response to different tumor burdens in growing sarcoma-bearing rats.J Surg Res. 1982; 33: 23-31
- The influence of tumor-bearing on protein metabolism in the rat.J Surg Res. 1981; 30: 456-462
- Insulin reversal of cancer cachexia in rats.Cancer Res. 1985; 45: 4925-4931
- Glutamine-enriched diet supports muscle glutamine metabolism without stimulating tumor growth.J Surg Res. 1990; 48: 319-323
- Effect of nutrition on tumor growth and cell cycle kinetics.JPEN. 1989; 13: 75-81
- The influence of anterior pituitary extract on the metabolic response of the rat to injury.J Endocrinol. 1941; 2: 468-476
- Positive nitrogen balance with human growth hormone and hypocaloric intravenous feeding.Surgery. 1986; 100: 188-197
- Protein and energy metabolism with biosynthetic human growth hormone after gastrointestinal surgery.Ann Surg. 1987; 206: 56-61
- The effect of growth hormone on weight gain and pulmonary function in patients with chronic obstructive lung disease.Chest. 1991; 99: 1495-1500
- Growth hormone stimulation of normal and leukemic human T-lymphocyte proliferation in vitro.Blood. 1981; 58: 337-340
- Acromegaly and gastrointestinal cancer.Cancer. 1991; 68: 1673-1677
- Growth hormone and experimental cancer cachexia.J Natl Cancer Inst. 1987; 79: 1359-1365
Shou J, Reynolds J, Sigal R, Evantash E, Daly J. Growth hormone: immune and metabolic effects in tumor-bearing mice. J Surg Res (in press).
- Mammary tumor induction after lymphoma in bred rats by dimethyl-B-aziridinoproprionamide.Proc Am Soc Cancer Res. 1976; 8: 182-184
- Glucose metabolism and hormone treatment in cancer cachexia.Surg Forum. 1991; 42: 14-16
- Accurate identification of experimental pulmonary metastasis.J Natl Cancer Inst. 1966; 36: 641-643
- Effect of chronically administered somatostatin on the nude mouse.J Surg Res. 1986; 40: 346-351
- Protein measurement with the folin phenol reagent.J Biol Chem. 1951; 193: 265-269
- An improved diphenylamine method for the estimation of deoxyribonucleic acid.Nature. 1965; 206: 93-97
- The precision of ultraviolet absorption measurements in the Schmidt Thannhauser procedure for nucleic acid estimation.Biochem Biophys Acta. 1962; 55: 571-575
- Statistics in medicine.Little, Brown, Boston1974
- Studies on growth hormone: the effect on the nitrogen metabolism of severely burned patients.Surg Gynecol Obstet. 1956; 102: 695-701
- Metabolic effects of recombinant human growth hormone: isotopic studies in the postabsorptive state and during total parenteral nutrition.Br J Surg. 1990; 77: 785-790
- Growth hormone stimulates protein synthesis during hypocaloric parenteral nutrition.Ann Surg. 1988; 208: 136-141
- Postoperative positive nitrogen balance with intravenous hyponutrition and growth hormone.Lancet. 1988; 1: 438-439
- Impact of growth hormone on host preservation and tumor cell cycle kinetics.Proc Assoc Acad Surg. 1990; 24: 103
- Improved wound healing in tumor-bearing rats treated with perioperative synthetic human growth hormone.Surg Forum. 1986; 37: 6-8
- Action of insulin-like growth factors.Annu Rev Physiol. 1985; 47: 443-467
- Human induction of immunoreactive somatomedin C in human serum by growth hormone.J Clin Endocrinol Metab. 1980; 50: 690-697
- Metabolic and endocrine alterations in osteosarcoma patients.Cancer. 1978; 42: 603-610
- Med Sci. 1978; 42: 603-610
- Effect of nutrition on tumor growth and tolerance to chemotherapy.J Surg Res. 1975; 18: 455-461
- Alteration of tumor cell kinetics by pulse total parenteral nutrition.Cancer. 1984; 53: 1409-1415
- Growth hormone inhibits tumor metastasis.Cancer. 1991; 67: 2280-2283
- Nitrogen metabolism in tumor bearing mice.Arch Biochem Biophys. 1989; 268: 667-675
- In vivo utilization of substrate by human sarcoma-bearing limbs.Cancer. 1980; 45: 2934-2939
- Effects of reducing the phenylalanine-tyrosine intake of patients with advanced malignant melanoma.Cancer. 1966; 19: 657-668
Article info
Publication history
Accepted:
July 25,
1994
Footnotes
1Supported in part by a Faculty Fellowship grant (T86-00279-011) from the Pew National Nutrition Program and American Cancer Society Career Development Award 87-114.
Identification
Copyright
© 1995 Mosby-Year Book, Inc. Published by Elsevier Inc.
User license
Creative Commons Attribution – NonCommercial – NoDerivs (CC BY-NC-ND 4.0) | How you can reuse
Elsevier's open access license policy

Creative Commons Attribution – NonCommercial – NoDerivs (CC BY-NC-ND 4.0)
Permitted
For non-commercial purposes:
- Read, print & download
- Redistribute or republish the final article
- Text & data mine
- Translate the article (private use only, not for distribution)
- Reuse portions or extracts from the article in other works
Not Permitted
- Sell or re-use for commercial purposes
- Distribute translations or adaptations of the article
Elsevier's open access license policy