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Dose-Dependent Effects of Scopolamine on Nocturnal Growth Hormone Secretion in Normal Adult Men: Relation to -Sleep Changes^*

Department of Psychiatry, University of California-Los Angeles School of Medicine, Harbor-University of California-Los Angeles Medical Center (J.T.M., R.E.P., R.T.R.) Torrance, California 90509
Department of Psychiatry, University of Cagliari (L.T.) Cagliari, Italy

Address requests for reprints to: Dr. James T. McCracken, Department of Psychiatry, Harbor-University of California-Los Angeles Medical Center, 1000 West Carson Street, Building F-5, Torrance, California 90509.

To explore the sensitivity of nocturnal GH secretion to different degrees of cholinergic blockade, we investigated the effects of two doses of the muscarinic receptor antagonist scopolamine (SCOP; 3.0 and 6.0 µg/kg, im) and placebo, administered in a randomized fashion at 2300 h on three nights to eight normal male volunteers. Both doses of SCOP produced significant reductions in mean nocturnal GH concentration compared to the effects of the placebo; the higher dose of SCOP reduced GH to a greater degree than the lower dose, but this difference was not statistically significant (mean, 2.3 µg/L after 6 µg/kg vs. 3.0 µg/L after 3 µg/kg). Both SCOP doses significantly shifted GH secretion into later portions of the night, with a significantly greater delay observed after the larger dose. Similarly, a significant delay in the time of the GH rise was produced by SCOP. In contrast, the effects of both doses of SCOP on -sleep or sleep onset were small. These data confirm earlier reports demonstrating that cholinergic muscarinic input represents a potentially important source of regulation of nocturnal GH release and suggest that the magnitude of the reduction in GH and the extent of delay in the GH rise time may reflect quantitative differences in the degree of cholinergic blockade. These data are in agreement with recent studies suggesting that the timing of GH release need not be associated with -sleep per se.

^* This work was supported by NIMH Grants MH-34471 (to R.E.P.) and MH-28380 (to R.T.R.), Physician Scientist Award MH-00722 (to J.T.M.), Research Scientist Development Award MH-00534 (to R.E.P.), Research Scientist Award MH-47363 (to R.T.R.), and NIH Clinical Research Center Grant RR-00425.

Received December 5, 1989.