RECOMBINANT HUMAN GROWTH-HORMONE TREATMENT OF CHILDREN FOLLOWING RENAL-TRANSPLANTATION

被引:49
作者
FINE, RN
YADIN, O
NELSON, PA
PYKEGRIMM, K
BOECHAT, MI
LIPPE, BH
SHERMAN, BM
ETTENGER, RB
KAMIL, E
机构
[1] Department of Pediatrics, UCLA Center for the Health Sciences, Los Angeles, 90024, CA
[2] Division of Pediatric Nephrology, UCLA Center for the Health Sciences, Los Angeles, 90024, CA
[3] Department of Radiology, UCLA Center for the Health Sciences, Los Angeles, 90024, CA
[4] Division Endocrinology, UCLA Center for the Health Sciences, Los Angeles, 90024, CA
[5] Genentech, South San Francisco, 94 080, CA
关键词
RECOMBINANT HUMAN GROWTH HORMONE; GROWTH RETARDATION; RENAL ALLOGRAFT RECIPIENTS;
D O I
10.1007/BF00852873
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Nine growth-retarded renal allograft recipients received either thrice weekly or daily subcutaneous recombinant human growth hormone (rhGH) for 6-30 months. The annualized growth velocity for the initial year of rhGH treatment was significantly greater than that of the preceding year (2.5 +/- 2.1 vs 5.7 +/- 2.7; P < 0.0001). There was no advancement in bone age greater than the increase in chronological age, no significant increase in the mean fasting serum glucose or insulin levels, nor significant decrease in the calculated creatinine clearance following rhGH treatment. However, two patients experienced rejection episodes following rhGH treatment indicating the potiental adverse consequences of the treatment on allograft function. This will require further delineation in prospective controlled studies. The serum insulin-like growth factor-1 levels significantly increased at 6 months (P < 0.009) and 12 months (P < 0.002) following rhGH treatment compared with baseline values. These preliminary data indicate that rhGH treatment may be effective in improving the growth velocity of growth-retarded renal allograft recipients.
引用
收藏
页码:147 / 151
页数:5
相关论文
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