The natural, episodic secretion pattern of Growth Hormone (GH) from the anterior pituitary gland, characterized by intermittent bursts, primarily during deep sleep stages. Maintaining this physiological pattern is superior to continuous elevation, as it preserves receptor sensitivity and avoids downregulation of downstream signaling pathways. This pulsatility is the hallmark of a healthy somatotropic axis.
Origin
This term describes the rhythmic, intermittent nature (“pulsatile”) of the release of the somatotropic hormone (“Growth Hormone”). It contrasts sharply with constant infusion models of hormone replacement.
Mechanism
Pulsatile release is regulated by the opposing actions of Growth Hormone-Releasing Hormone (GHRH) and Somatostatin (GHIH) from the hypothalamus, which drive the on/off cycling of somatotrophs. This cycling ensures that target tissues, such as the liver producing IGF-1, are exposed to peaks followed by troughs, which is necessary for sustained receptor responsiveness. Pharmacological strategies often seek to mimic this natural rhythmicity.
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