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Growth Hormone, Insulin-Like Growth Factor-1, and the Kidney: Pathophysiological and Clinical Implications

Kamenický, Peter, Mazziotti, Gherardo, Lombès, Marc, Giustina, Andrea, Chanson, Philippe·2014·Endocrine Reviews

Abstract

Besides their growth-promoting properties, GH and IGF-1 regulate a broad spectrum of biological functions in several organs, including the kidney. This review focuses on the renal actions of GH and IGF-1, taking into account major advances in renal physiology and hormone biology made over the last 20 years, allowing us to move our understanding of GH/IGF-1 regulation of renal functions from a cellular to a molecular level. The main purpose of this review was to analyze how GH and IGF-1 regulate renal development, glomerular functions, and tubular handling of sodium, calcium, phosphate, and glucose. Whenever possible, the relative contributions, the nephronic topology, and the underlying molecular mechanisms of GH and IGF-1 actions were addressed. Beyond the physiological aspects of GH/IGF-1 action on the kidney, the review describes the impact of GH excess and deficiency on renal architecture and functions. It reports in particular new insights into the pathophysiological mechanism of body fluid retention and of changes in phospho-calcium metabolism in acromegaly as well as of the reciprocal changes in sodium, calcium, and phosphate homeostasis observed in GH deficiency. The second aim of this review was to analyze how the GH/IGF-1 axis contributes to major renal diseases such as diabetic nephropathy, renal failure, renal carcinoma, and polycystic renal disease. It summarizes the consequences of chronic renal failure and glucocorticoid therapy after renal transplantation on GH secretion and action and questions the interest of GH therapy in these conditions.

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Metadata

Authors
Kamenický, P., Mazziotti, G., Lombès, M., Giustina, A., & Chanson, P.
Venue
Endocrine Reviews
Published
2013-12-20
Volume
35
Issue
2
Pages
234-281
ISSN
  • 0163-769X (ISSN-L)
  • 1945-7189
OpenAlex
W2052875048
Cited by
245
References
13
FWCI
8.73
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Growth Hormone, Insulin-Like Growth Factor-1, and the Kidney: Pathophysiological and Clinical Implications. https://app.cochat.ai/papers/10.1210/er.2013-1071
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Kamenický, P., Mazziotti, G., Lombès, M., Giustina, A., & Chanson, P. (2014). Growth Hormone, Insulin-Like Growth Factor-1, and the Kidney: Pathophysiological and Clinical Implications. Endocrine Reviews. https://doi.org/10.1210/er.2013-1071

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