The auther compared the secretory behavoir of hCS with that of hGH in every trimester of pregnancy, before and after delivery. The response of the secretion of hCS and hGH to arginine, insulin, glucose or FFA was also studied.
Serum hCS concentrations were measured by hCS-Kobe radioimmunoassay (double antibodies method) and serum hGH concentrations were detected by hGH radioimmunoassay kit (Dainabot).
Some workers have noted that hCS may interfere with the radioimmunoassay method for estimating serum hGH in pregnant subjects. Therefore, in the preliminary experiment, the standard hCS (hCS-Kobe) or hGH (provided by Dr. Wilhelmi and National Pituitary Agency) was applied to hCS-Kobe double antibodies radioimmunoassay system or hGH double antibodies radioimmunoassay system and the rate of crossreaction at various concentration of both hormones was tested.
The result showed that hCS did not interfere with the hGH-RIA system even at very high concentration such as 10 μg/ml, nor did hGH interfere with the hCS-RIA system at the concentration between 2 ng/ml and 100 ng/ml.
Thus, serum hCS and hGH was measured under various conditions using the hCS-RIA and hGH-RIA systems.
1. Serum hCS and hGH concentrations during pregnancy
Fifty normal pregnant women of every period of gestation or post partum volunteered for this study. Blood samples were obtained at 8 : 00 am. after an overnight fast. HGH concentration remained almost unchanged through the course of pregnancy, but hCS concentration increased along with the progress of pregnancy.
2. Serum hCS and hGH concentrations during labor and in the early period of puerperium
Serum hGH concentrations increased during labor in some cases, but there were no significant changes in other cases. Serum hCS concentrations scarcely changed until the placentae were delivered in all cases. After the placental delivery, the hCS level fell rapidly, and 60 minutes after delivery, its concentration became 1/10 of the value just before delivery.
The half life of hCS was very short (tl/2 =15-19 minutes).
3. Circadian rhythm of hCS and hGH during pregnancy As to the circadian rhythm during pregnancy, hGH showed an apparent peak at 2 : 00 a.m., as was seen in the non-pregnant subjects. HCS, however, showed no definite pattern.
4. Effect of loading test on the concentrations of serum hCS or hGH.
These studies were initiated at 8 : 00 a.m. after an overnight fast. The volunteers in the 2nd and 3rd trimester of pregnancy were placed at bed rest in a quiet room. An antecubital vein was incised and kept open with a slow drip of normal saline. Blood samples weer obtained at 15-30 minutes intervals for a total period of 3 hours before, during and after the stimuli.
A. Arginine loading test
L-arginine infusion of 0.5 gram per kilogram of body weight over a 30 minute period was initiated after one hour baseline studies. The hGH concentration increased at 30 to 45 minutes after arginine infusion. This response was markedly lower than that of non-pregnant subjects. During the arginine loading test there was no significant change in hCS concentration.
B. Insulin loading test
Regular insulin was given intravenously in a dose of 0.1 IU per kilogram of body weight. There was a peak level of hGH at 45 to 90 minutes after insulin loading, but there was no significant change in hCS concentration.
C. Glucose loading test
50 grams of glucose was given per os. HGH concentration decreased from 90 to 120 minutes after glucose loading, but there was no significant change in hCS concentration. D. FFA loading test
250 ml of Intrafat (FFA complex) was given intravenously over a period of 90 minutes. Serum hCS and hGH concentrations increased in some cases, but there were no remarkable changes in other cases.
To summarize, hCS and hGH have some similar characteristics biologically, immunologically and immunochemically,
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