Growth hormone treatment before the age of 4 years prevents short stature in young girls with Turner syndrome
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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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.”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [179]
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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
- Publisher
- Oxford University Press (OUP)
- 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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