GROWTH IN GROWTH-HORMONE INSENSITIVITY

被引:29
作者
ROSENBLOOM, AL
GUEVARAAGUIRRE, J
ROSENFELD, RG
POLLOCK, BH
机构
[1] INST ENDOCRINOL METAB & REPROD,QUITO,ECUADOR
[2] OREGON HLTH SCI UNIV,DEPT PEDIAT,PORTLAND,OR 97403
关键词
D O I
10.1016/1043-2760(94)P3205-L
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Primary GH insensitivity due to GH receptor deficiency (GHRD) provides a model for studying the discrete effects of severe IGF-I deficiency on growth and body composition. Growth failure in utero is doubtful but postpartum growth proceeds at rates that result in adult statures 4-12 standard deviations (SDs) below the normal mean. Wide variability in statural effect even in a genetically homogeneous population is partly explained by correlation of so score with biochemical measures of GH effect (IGF-I, IGF-II, and IGFBP-3). Growth and changes in body composition (decreased fat/lean) in patients with GHRD in response to exogenous IGF-I indicate that direct local effects of GH ave not necessary for these responses.
引用
收藏
页码:296 / 303
页数:8
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