Growth hormone (GH) replacement therapy has been proved to show beneficial
effects on abnormalities of lipid metabolism in adult growth hormone defici
ency (GHD) patients. To support this clinical evidence, we studied the effe
cts of recombinant human growth hormone (rhGH) in combination with L-thyrox
ine (T-4) and corticosterone (CS) on lipid metabolism in hypophysectomized
(HPX) mature rats. Hypophysectomy resulted in marked increases of body fat
and serum low density lipoprotein (LDL)-cholesterol similarly to the findin
gs in adult GHD patients. At para-physiological doses, replacement therapy
with rhGH, T-4 and CS in HPX rats restored the increased body fat and LDL-c
holesterol levels to normal. But replacement therapy with T-4 only, or both
of T-4 and CS did not show clear effects. These results support that rhGH
has an important role in maintaining lipid metabolism, providing with a rat
ionale for the effectiveness of rhGH replacement therapy on normalizing imp
aired lipid metabolism in adult GHD patients.