Effects of phenylalanine, histidine, and leucine on basal and GHRH-stimulated GH secretion and on PRL, insulin, and glucose levels in short children. Comparison with the effects of arginine

J Pediatr Endocrinol Metab. 1996 Sep-Oct;9(5):523-31. doi: 10.1515/jpem.1996.9.5.523.

Abstract

Of the amino acids arginine is the most potent GH secretagogue in man. It potentiates the GH response to GHRH, exerts a weaker PRL-releasing effect, stimulates insulin and glucagon and induces a biphasic glucose variation. The potency and effects of other amino acids on pituitary and pancreatic hormones need to be clarified. In 43 children with normal short stature (5.3-14.0 yr; 30 M and 13 F) the effects of the infusion of phenylalanine (Phe, 0.08 g/kg), histidine (His, 0.1 g/kg), and leucine (Leu, 0.08 g/kg) on basal and GHRH-stimulated GH secretion and on PRL, insulin and glucose levels were studied and compared with those of arginine at high (hArg, 0.5 g/kg) or low dose (lArg, 0.2 g/kg). Phe increased basal (p < 0.05) but not GHRH-stimulated GH levels, induced PRL and insulin rises (p < 0.03 and p < 0.03), and did not change glycemia. Though a trend toward an increase in basal GH levels was found after His, His and Leu did not significantly modify either basal or GHRH-induced GH secretion nor basal PRL, insulin and glucose levels. Both hArg and lArg increased basal (p < 0.0001 and p < 0.05, respectively) and GHRH-stimulated GH levels (p < 0.006 and p < 0.006). hArg increased both PRL (p < 0.002) and insulin levels (p < 0.005) more (p < 0.0005 and p < 0.004) than lArg (p < 0.005 and p < 0.005), while glucose levels showed a similar increase followed by a similar decrease. We conclude that in childhood: a) Phe significantly increases GH secretion but, differently from Arg, does not potentiate the response to GHRH, suggesting different mechanisms of action of these amino acids; b) differently from His and Leu, Phe is a PRL and insulin secretagogue but is less potent than Arg; c) Arg has the highest stimulatory effect on pituitary and pancreatic hormones.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Arginine / adverse effects
  • Arginine / pharmacology*
  • Blood Glucose / metabolism
  • Body Height
  • Child
  • Child, Preschool
  • Drug Synergism
  • Female
  • Growth Hormone-Releasing Hormone / pharmacology*
  • Histidine / adverse effects
  • Histidine / pharmacology*
  • Human Growth Hormone / metabolism*
  • Humans
  • Insulin / blood
  • Leucine / adverse effects
  • Leucine / pharmacology*
  • Male
  • Phenylalanine / adverse effects
  • Phenylalanine / pharmacology*
  • Prolactin / blood
  • Puberty

Substances

  • Blood Glucose
  • Insulin
  • Human Growth Hormone
  • Phenylalanine
  • Histidine
  • Prolactin
  • Growth Hormone-Releasing Hormone
  • Arginine
  • Leucine