Cited by 61Growth Hormone and Insulin-like Growth FactorsGenetic and Clinical Aspects of Sex Determination and Chromosomal AbnormalitiesImmunodeficiency and Autoimmune Disorders

Growth hormone treatment before the age of 4 years prevents short stature in young girls with Turner syndrome

Linglart, A, Cabrol, S, Berlier, P, Stuckens, C, Wagner, K, de Kerdanet, M, Limoni, C, Carel, J-C +2 more·2011·European Journal of Endocrinology

Abstract

OBJECTIVE: Adult height deficit seen in Turner syndrome (TS) originates, in part, from growth retardation in utero and throughout the first 3 years of life. Earlier diagnosis enables earlier therapeutic intervention, such as with recombinant human GH (r-hGH), which may help to prevent growth retardation. In this open-label, multicentre phase III study, we investigated efficacy and safety in r-hGH treatment in young girls with TS. SUBJECTS AND METHODS: Girls (n=61) aged <4 years with TS receiving 0.035-0.05 mg/kg per day r-hGH for 4 years were compared with an historical control group (n=51) comprising untreated, age- and height-matched girls with TS. The main outcome measure was change in height SDS (H-SDS). Other measures included changes in height velocity SDS, IGF1 levels and glucose metabolism. RESULTS: After 4 years, a gain in mean H-SDS of 1.0 SDS (from -2.33±0.73 to -1.35±0.86 SDS) was observed with r-hGH treatment, in contrast to the decrease in mean H-SDS of 0.3 SDS in the control group (from -2.09±0.81 to -2.44±0.73 SDS; P<0.0001). r-hGH treatment was the main predictor of H-SDS gain and accounted for 52% of variability (multivariate analysis). r-hGH was well tolerated. As expected, IGF1 levels rose with treatment. A case of transient glucose intolerance resolved after dietary adaptation. CONCLUSION: Early treatment with r-hGH helps to prevent natural evolution towards short stature in most girls with TS. IGF1 levels and glucose metabolism should be monitored routinely during r-hGH therapy.

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Crossref · 10.1530/eje-10-1048

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  • Younger age at treatment initiation, including at least 4 years of treatment prior to puberty, is associated with greater GH treatment effect.

    “Younger age at treatment initiation,158,162,163 including at least 4 years of treatment prior to puberty,175,179,180 is associated with greater GH treatment effect.”

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Authors
Linglart, A., Cabrol, S., Berlier, P., Stuckens, C., Wagner, K., de Kerdanet, M., Limoni, C., Carel, J.-C., Chaussain, J.-L., & _, _.
Affiliations
  • Inserm (FR)
  • Hôpital Armand-Trousseau (FR)
  • Hôpital Femme Mère Enfant (FR)
  • Hôpital Jeanne de Flandre (FR)
  • Hôpital l'Archet (FR)
  • Hôpital Robert-Debré (FR)
Corresponding author
Linglart, A
Venue
European Journal of Endocrinology
Published
2011-06
Volume
164
Issue
6
Pages
891-897
ISSN
  • 0804-4643 (ISSN-L)
  • 1479-683X
OpenAlex
W2114976776
Cited by
61
References
31
Citations by year
2026: 1 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 2 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 5 · 2016: 4 · 2015: 4 · 2014: 3 · 2013: 6 · 2012: 8
FWCI
4.45
Type
journal article
Language
en
Open access
closed
Locations
  • European Journal of Endocrinology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
  • Life Sciences › Immunology and Microbiology › Immunology › Immunodeficiency and Autoimmune Disorders
Keywords
Turner syndrome, recombinant human growth hormone, height SDS, height velocity, insulin-like growth factor I, impaired glucose tolerance, growth retardation
MeSH terms
Age Determination by Skeleton, Blood Cell Count, Blood Glucose, Body Height, Child, Preschool, Female, Growth, Glycated Hemoglobin, Humans, Infant, Insulin-Like Growth Factor I, Karyotyping, Liver Function Tests, Longitudinal Studies, Growth Hormone, Turner Syndrome, Treatment Outcome, Carbohydrate Metabolism

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