The pattern of long-term GHRH administration capable of stimulating GH rele
ase without depleting pituitary GH content has been investigated using two
experimental approaches. In experiment 1, recently weaned male lambs were t
reated for 3 weeks as follows: Group A) control; B) subcutaneous (sc) conti
nuous infusion of GHRH (1200 mg/day) using a slow release pellet; C) the sa
me as B plus 1 daily sc injection of long acting somatostatin (SS) (octreot
ide, 20 mg); D) 3 daily sc GHRH (250 mg) injections; E) 2 daily sc injectio
ns of GHRH (250 mg) and 2 of natural SS (250 mg). In experiment 2, recently
weaned male lambs were continuously GHRH-treated using sc osmotic minipump
s (900 mg/day) alone or combined with a daily sc injection of octreotide (2
0 mg) for 4 weeks. Basal plasma GH levels were increased after chronic puls
atile GHRH treatment but not after any kind of continuous GHRH administrati
on This increment was maintained during the 3 weeks of experimentation and
appeared accompanied by a pituitary GH content similar to controls. A marke
d GH response to the iv GHRH challenge was observed in controls and in lamb
s receiving both types of continuous sc GHRH infusions, whereas pulsatile s
c GHRH-treated animals did not respond to the iv GHRH challenge in the firs
t and second weeks of the study but did so in the third week of treatment.
These data demonstrate that long-term pulsatile GHRH administration is capa
ble of stimulating GH release in growing male lambs, without producing pitu
itary desensitization.