Normal growth is the product of a complex interaction among nutrition, .circulating hormones, and changing tissue responsiveness. Although malnutrition is probably the world's most common cause of poor growth, the greatest advances in our understanding of the growth process have come from studies of the function of endocrine factors in normal and disordered growth. Limitations of space have led us to give greatest attention to growth hormone and somatomedin because of the many recent developments in these areas. We have emphasized clinical research in many areas to take advantage of the increases in knowledge that have come from the application of modern immunoassay techniques to growth problems in man.
SOMATOMAMMOTROPINSThe importance of the pituitary growth hormone (GH) in the regulation of growth in most vertebrate species is generally accepted. Earlier studies have been extensively reviewed and will not be discussed here (34, SO, 60, Ill, 132, 153,215,222,274,297).
ChemistryMajor advances have recently been made in the elucidation of the primary structure of many of the mammalian growth hormones and of the other somatotropic or lactogenic polypeptide hormones. Excellent reviews of these studies have been pre sented (182,184,195,303).Annu. Rev. Physiol. 1975.37:211-244. Downloaded from www.annualreviews.org Access provided by University of California -San Francisco UCSF on 02/08/15. For personal use only.Quick links to online content Further ANNUAL REVIEWS