Abstract:
:Girls with Turner syndrome (TS) are treated with supraphysiological doses of growth hormone (GH) to improve final height; however in some girls, the growth response can be poor. This may reflect aberrations in GH and/or IGF-I actions at the cellular level, and thus this study compared the response of skin fibroblasts from normal children (n = 5) and girls with TS (n = 8) to GH, IGF-I, or a combination, by assessing the IGF binding protein (IGFBP) profile of conditioned medium harvested over 7 d. The two cell types had a comparable IGFBP profile; IGFBP-3 and IGFBP-4 were the most abundant species. TS fibroblasts produced more IGFBP-3 (d 7, 51.4 ± 45 ng/mL versus 20 ± 22 ng/mL; p < 0.05) than control cells; levels of IGFBP-4 were similar (21 ± 12 ng/mL versus 30 ± 21 ng/mL). GH did not influence IGFBP production. IGF-I treatment did not affect IGFBP-4 levels but enhanced the production of IGFBP-3 by both cell types (p < 0.05). However, the response of TS fibroblasts to IGF-I was approximately half that observed in normal cells (p < 0.05). Altered IGF-I activity, because of reduced bioavailability and/or reduced sensitivity, could contribute to the need for high GH doses in TS and for the poor response to GH in some girls with TS.
journal_name
Pediatr Resjournal_title
Pediatric researchauthors
Westwood M,Tajbakhsh SH,Siddals KW,Whatmore AJ,Clayton PEdoi
10.1203/PDR.0b013e31821b570bsubject
Has Abstractpub_date
2011-07-01 00:00:00pages
25-30issue
1eissn
0031-3998issn
1530-0447journal_volume
70pub_type
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pub_type: 杂志文章,评审
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更新日期:2015-06-01 00:00:00
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pub_type: 杂志文章,撤回出版物
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更新日期:2019-11-01 00:00:00
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