TO evaluate growth hormone (GH) secretory capacity, GH response to pharmacological stimuli, the spontaneous 24 hr GH secretory profile, urinary GH, plasma IGF-I and IGFBP-3 were employed. As a pharmacological stimuli L-dopa, clonidine, arginine, insulin and glucagon are used widely.It is generally accepted that GH secretion is under the dual control of hypothalamic GHRH and somato-statin (SS). Previously we reported that Ldopa and clonidine stimulate GH secretion through the release of hypothalamic GHRH [1], but it is not clear whether arginine and insulin stimulate GH secretion via the release of GHRH or via the inhibition of SS.It is reported that the second amino acid of GHRH is important for the receptor binding [2]. The amino acids of synthetic [N-Ac-Tyrl-D-Ala2]GRF(1-29) NH2 (GHRH-Ant) are different from human GHRH in the first and second positions, and it exerts a specific antagonistic action on human and rat GHRH receptors [1].In this study GH releasing actions of arginine and insulin were examined by using GHRH-Ant in normal subjects whether these agents stimulate GH secretion via the hypothalmic GHRH release or not. Seven normal adult males (21-30 yr) were examined in this study after obtaining approval from the ethical commitee and informed consent from every subject. In these subjects the following studies were performed: 1) single administration of arginine (0.5 g/kg iv from 0 to 30 min) and insulin test (Insulin Tolerance Test, regular insulin, 0.05 U/kg iv at 0 min) with or without combined administration of GHRH-Ant (800 pg iv from 30 to 120 min), 2) sequential administration of GHRH(1-44)NH2 (100 jig iv at 0 and 120 min). 3) sequential administration of GHRH(1-44)NH2 (100 jig iv at 0 min) and arginine (iv from 120 to 150 min) or insulin test (iv at 120 min) with or without concomitant administration of GHRH-Ant (800 jig iv from 90 to 240 min).Plasma samples were obtained -30, 0 min before and every 30 min until 120 min after the arginine test, and -30, 0mm and 15, 30, 45, 60, 90 and 120 mm after the insulin or GHRH test. Plasma GH was measured in duplicate with a high sensitivity IRMA kit (Daiichi, Tokyo), and the minimal detectable level was 0.006 pg/L, and intra-and inter-assay coefficients of variation were 2.2% and 3.5%, respectively.