title: Growth hormone attenuates the acute-phase response to thermal injury.
abstract: OBJECTIVE
  To determine the effects of growth hormone (GH) on the hepatic acute-phase response (APR) in a burned rat model.
  
  
  METHODS
  Laboratory.
  
  
  METHODS
  Male Sprague-Dawley rats (weight, 300-350 g).
  
  
  METHODS
  Rats underwent a 40% total body surface area burn injury and received GH or saline solution daily by subcutaneous injection. Unburned rats served as controls.
  
  
  METHODS
  Hepatic messenger RNA (mRNA) expression and serum levels of alpha 1-acid glycoprotein and albumin were determined 2, 7, and 14 days after injury.
  
  
  RESULTS
  The serum alpha 1-acid glycoprotein levels in GH-treated animals did not increase on days 2 and 7, whereas saline-treated animals showed a major increase. Hepatic mRNA expression increased dramatically on day 2 for burned groups; however, the mRNA pool levels of GH-treated animals showed a faster rate of decline to control levels on days 7 and 14. The albumin mRNA pool levels of GH-treated and control animals did not show significant differences, whereas the negative APR, indicated by loss of albumin mRNA, was more pronounced on day 7 in the saline-treated animals. By day 14, mRNA levels were comparable in all 3 groups.
  
  
  CONCLUSIONS
  Growth hormone attenuated the positive APR, as indicated by a decrease in alpha 1-acid glycoprotein expression and production, and prevented the negative APR, as seen by an absence of a decline of albumin mRNA pool levels and serum concentration. We conclude that the beneficial effects of GH on thermal injury may be due in part to a modification of the APR.
authors.affiliation: Shriners Burns Institute-Galveston Unit, USA.
authors.forename: D
authors.initials: D
authors.lastname: Jarrar
authors.forename: S E
authors.initials: SE
authors.lastname: Wolf
authors.forename: M G
authors.initials: MG
authors.lastname: Jeschke
authors.forename: R J
authors.initials: RJ
authors.lastname: Ramirez
authors.forename: M
authors.initials: M
authors.lastname: DebRoy
authors.forename: C K
authors.initials: CK
authors.lastname: Ogle
authors.forename: J
authors.initials: J
authors.lastname: Papaconstaninou
authors.forename: D N
authors.initials: DN
authors.lastname: Herndon
mesh_terms: D000210:Acute-Phase Reaction / Q000188:drug therapy* / Q000209:etiology; D000418:Albumins / Q000096:biosynthesis; D000818:Animals; D002056:Burns / Q000276:immunology*; D019382:Human Growth Hormone / Q000627:therapeutic use*; D008099:Liver / Q000187:drug effects / Q000276:immunology; D008297:Male; D009961:Orosomucoid / Q000096:biosynthesis; D051381:Rats; D017207:Rats, Sprague-Dawley
chemical_list: D000418:Albumins; D009961:Orosomucoid; D019382:Human Growth Hormone