26.12.2014 Views

Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

582<br />

Chapter | 18 Pituitary Function<br />

TABLE 18-6 Basal GH and IGF-I Concentrations in Plasma <strong>of</strong> Healthy <strong>Animals</strong><br />

Hormone<br />

(Unit)<br />

Species (n) Breed, Age Mean SEM<br />

(Range)<br />

Reference<br />

GH Dog (63) Adult 1.9 0.1 ( Eigenmann and Eigenmann, 1981 )<br />

( μ g/liter) Dog (6) Great Dane, 6 weeks 9.0 2.1 ( Favier et al. , 2001 )<br />

Dog (6) Great Dane, 24 weeks 4.6 1.1 ( Favier et al. , 2001 )<br />

Dog (6) Beagle (anestrus) 0.5 0.1 ( Selman et al. , 1991 )<br />

Dog (6) Beagle (metestrus) 2.2 0.4 ( Selman et al. , 1991 )<br />

Cat (25) Adult 3.2 0.7 ( Eigenmann et al. , 1984c )<br />

Mare (12) Selle Français, 3–15yr 1.1 0.1 ( Davicco et al. , 1994 )<br />

Cattle (4) Holstein steer 6.3 1.4 ( Lee et al. , 2005 )<br />

Pig (4) 5 days 9.0 1.4 ( Lee et al. ,1993)<br />

Pig (4) 170 days 1.5 0.1 ( Lee et al. , 1993 )<br />

Sheep (7) MRHead, male adult 1.9 0.4 ( Viguie et al. , 2004 )<br />

Sheep (30) East Frisian, 60 days 154 16 ( Altmann et al. , 2006 )<br />

IGF-I Dog (8) Cocker spaniel, adult 36 27 ( Eigenmann et al. , 1984b )<br />

( μ g/liter) Dog (10) Beagle, adult 87 33 ( Eigenmann et al. , 1984b )<br />

Dog (10) Keeshond, adult 117 34 ( Eigenmann et al. , 1984b )<br />

Dog (13) German shepherd, adult 280 23 ( Eigenmann et al. , 1984b )<br />

Dog (6) Beagle, 24 weeks 237 52 ( Favier et al. , 2001 )<br />

Dog (6) Great Dane, 24 weeks 307 31 ( Favier et al. , 2001 )<br />

Cat (18) 2–19 year (196–791) ( Reusch et al. , 2006 )<br />

Mare (12) Selle Francais, 7–11yr (154–318) ( Davicco et al. , 1994 )<br />

Cattle (4) Holstein steer 133 18 ( Lee et al. , 2005 )<br />

Pig (4) 170 days 182 30 ( Lee et al. ,1993)<br />

Sheep (7) MRH, male adult 133 23 ( Viguie et al. , 2004 )<br />

Sheep (30) East Frisian, 60 days 625 33 ( Altmann et al. , 2006 )<br />

IGF-II Dog (8) Beagle, 24 weeks 152 13 ( Favier et al. , 2001 )<br />

( μ g/liter) Dog (6) Great Dane, 24 weeks 171 13 ( Favier et al. , 2001 )<br />

Pig (4) 170 days 326 19 ( Lee et al. ,1993)<br />

The values can be converted to SI units:1 μ g GH/liter 0.0455 nmol/l; 1 μ g IGF/liter 0.133 nmol/liter.<br />

pregnancy in the dog. Synthetic progestins or endogenous<br />

progesterone may induce hyperplastic ductular changes in<br />

the canine mammary gland with foci <strong>of</strong> immunoreactive<br />

GH-producing cells ( Selman et al. , 1994b ). The MPAinduced<br />

elevated plasma GH concentrations can be effectively<br />

lowered by treatment with the progesterone receptor<br />

antagonist aglepristone ( Bhatti et al. , 2006a ). Also canine,<br />

feline, and human mammary carcinomas may express GH<br />

mRNA within tumor tissue ( Mol et al. , 1995b, 1999 ). The<br />

GH excess is, next to the acromegalic features and insulin<br />

resistance, associated with the development <strong>of</strong> cystic endometrial<br />

hyperplasia (CEH), which does not necessarily<br />

have to originate within the mammary gland ( Bhatti et al. ,<br />

2007 ). Local production <strong>of</strong> GH has also been documented<br />

in canine insulinomas ( Robben et al. , 2002 ), in<br />

normal growth plates, and in spontaneous osteosarcoma<br />

( Kirpensteijn et al. , 2002 ). Enhanced expression <strong>of</strong> GHR<br />

mRNA in duodenal and colonic biopsies <strong>of</strong> dogs with<br />

chronic enteropathies ( Spichiger et al. , 2005 ) and distraction-induced<br />

osteogenesis ( Theyse et al. , 2006 ) points to a<br />

role for GH in gastrointestinal and bone repair processes.<br />

In cats, excessive amounts <strong>of</strong> GH may be secreted by<br />

a pituitary tumor resulting in acromegalic features and<br />

insulin resistance ( Hurty and Flatland, 2005 ). In untreated<br />

diabetic cats without concurrent hypersomatotropism,<br />

plasma IGF-I concentrations are lower in comparison to<br />

control animals, whereas in case <strong>of</strong> underlying excessive<br />

GH secretion, plasma IGF-I concentrations are elevated<br />

( Reusch et al. , 2006 ).<br />

g . Tests<br />

As GH secretion is pulsatile, single values are <strong>of</strong> no great<br />

diagnostic value. In healthy individuals, basal plasma GH<br />

concentrations ( Table 18-6 ) may be very low. Hence, when<br />

GH deficiency is suspected, a stimulation test is needed.<br />

In the dog stimulation with clonidine, xylazine, GHRH, or<br />

ghrelin has proved to be reliable for this purpose, whereas<br />

in calves and lambs GHRH stimulation has been used.<br />

Elevated GH values are not definitive pro<strong>of</strong> <strong>of</strong> acromegaly,<br />

not only because <strong>of</strong> the pulsatile nature <strong>of</strong> the<br />

GH secretion but also because environmental factors may<br />

cause sharp increases. Although hypersecretion should be<br />

checked by an inhibition test, in case <strong>of</strong> progestin-induced<br />

GH secretion, a blunted stimulation <strong>of</strong> high basal GH concentrations<br />

may support the diagnosis, together with elevated<br />

plasma IGF-I concentrations ( Selman et al. , 1991 ).

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!