Growth hormone as a new treatment modality for short children with chronic renal failure

被引:8
作者
Mehls, O
Haffner, D
Wuhl, E
Tonshoff, B
Schaefer, F
Heinrich, U
Bittner, K
Ehrich, JHH
Filler, G
Gellermann, J
Hampel, H
Bachmann, H
Ruder, H
Bonzel, KE
Scheller, B
Dippell, J
Zimmerhackl, LB
Kreuder, J
Rascher, W
MullerWiefel, DE
Misselwitz, J
Ronnefarth, B
Querfeld, U
Eichstadt, H
Greiner, C
Keller, E
Weber, HP
Heise, HR
Wiemann, D
Beetz, R
Sasse, D
Soergel, M
Pistor, K
Zlotkowski, A
Klare, B
Eife, R
KuwertzBroking, E
Wigger, M
Mix, M
Eicher, O
机构
[1] Division of Pediatric Nephrology, University Children’s Hospital of Heidelberg
关键词
chronic renal failure; dialysis; renal transplantation; growth failure; growth hormone;
D O I
10.1159/000185028
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Recombinant human growth hormone (rhGH) has become a new treatment modality for short children with chronic renal failure (CRF) and after renal transplantation. The rationale for high-dose rhGH treatment is the insensitivity of the uremic organism to GH. As the insensitivity to GH is expressed more in end-stage renal failure than in earlier stages of CRF, patients on dialysis respond less to rhGH. In transplanted children, rhGH can counterbalance the growth-depressing effects of corticosteroids, In prepubertal children, rhGH improves the height standard deviation score by a mean of +2 within 5 years. The effect of rhGH treatment on final height remains to be studied.
引用
收藏
页码:230 / 235
页数:6
相关论文
共 54 条
[11]   EFFECT OF PROTEIN INTAKE AND DIALYSIS ON ABNORMAL GROWTH-HORMONE, GLUCOSE, AND INSULIN HOMEOSTASIS IN UREMIA [J].
DAVIDSON, MB ;
FISHER, MB ;
DABIRVAZIRI, N ;
SCHAFFER, M .
METABOLISM-CLINICAL AND EXPERIMENTAL, 1976, 25 (04) :455-464
[12]  
Drop S.L.S., 1991, MODERN CONCEPTS INSU, P311
[13]   GLUCOCORTICOID THERAPY IN CHILDREN - EFFECT ON SOMATOMEDIN SECRETION [J].
ELDERS, MJ ;
WINGFIELD, BS ;
MCNATT, ML ;
CLARKE, JS ;
HUGHES, ER .
AMERICAN JOURNAL OF DISEASES OF CHILDREN, 1975, 129 (12) :1393-1396
[14]  
FINE RN, 1992, J AM SOC NEPHROL, V2, pS274
[15]   Long-term treatment of growth retarded children with chronic renal insufficiency, with recombinant human growth hormone [J].
Fine, RN ;
Kohaut, E ;
Brown, D ;
Kuntze, J ;
Attie, KM .
KIDNEY INTERNATIONAL, 1996, 49 (03) :781-785
[16]   GROWTH AFTER RECOMBINANT HUMAN GROWTH-HORMONE TREATMENT IN CHILDREN WITH CHRONIC-RENAL-FAILURE - REPORT OF A MULTICENTER RANDOMIZED DOUBLE-BLIND PLACEBO-CONTROLLED STUDY [J].
FINE, RN ;
KOHAUT, EC ;
BROWN, D ;
PERLMAN, AJ .
JOURNAL OF PEDIATRICS, 1994, 124 (03) :374-382
[17]   METABOLIC-CLEARANCE OF RECOMBINANT HUMAN GROWTH-HORMONE IN HEALTH AND CHRONIC-RENAL-FAILURE [J].
HAFFNER, D ;
SCHAEFER, F ;
GIRARD, J ;
RITZ, E ;
MEHLS, O .
JOURNAL OF CLINICAL INVESTIGATION, 1994, 93 (03) :1163-1171
[18]  
HAFFNER D, 1989, CLIN NEPHROL, V32, P266
[19]  
Haffner D., 1994, Pediatric Nephrology, V8, pC40
[20]   GROWTH-HORMONE TREATMENT IN GROWTH-RETARDED ADOLESCENTS AFTER RENAL-TRANSPLANT [J].
HOKKENKOELEGA, ACS ;
STIJNEN, T ;
DERIDDER, MAJ ;
KEIZERSCHRAMA, SMPFD ;
WOLFF, ED ;
DEJONG, MCJW ;
DONCKERWOLCKE, RA ;
GROOTHOFF, JW ;
BLUM, WF ;
DROP, SLS .
LANCET, 1994, 343 (8909) :1313-1317