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Updated: Jul 16, 2026

Comparative Analysis of Human Growth Hormone in Serum Using SPRi, Nano-SPRi and ELISA Assays
Published on: January 7, 2016
Variations in biological and immunological activity of growth hormone during the neonatal period
S Pagani1, E A Chaler, G Radetti
1Pediatric Department, University of Pavia, Italy.
Insights
Preterm babies show faster growth due to increased insulin-like growth factor-I (IGF-I) bioavailability. Growth hormone (GH) potency remains stable, indicating normal development of the hypothalamic-pituitary-IGF-I axis.
Area of Science:
- Neonatal physiology
- Endocrinology
- Growth factor biology
Background:
- Rapid neonatal growth is a key indicator of health.
- Growth hormone (GH) bioactivity was hypothesized to drive neonatal growth rates.
- Understanding early life growth factor dynamics is crucial for preterm infants.
Purpose of the Study:
- To investigate serum GH biological potency (Bio-/Immuno-GH ratio) in neonates.
- To assess the impact of GH potency on serum growth factors (IGF-I, IGFBP-3) during the first month of life.
- To compare growth factor profiles in term versus preterm infants.
Main Methods:
- Serum samples collected from term and preterm neonates on days 4, 15, and 30.
- Quantification of GH using immunofluorometric assay (IFMA-GH) and bioassay (Bio-GH).
- Measurement of serum insulin-like growth factor-I (IGF-I) and IGF-binding protein-3 (IGFBP-3).
Main Results:
- High Bio-/Immuno-GH ratios confirmed full biological potency of GH in early life.
- Preterm infants exhibited higher IGF-I/IGFBP-3 molar ratios compared to term infants.
- Serum GH values were consistent between bioassay and immunoassay measurements.
Conclusions:
- Increased IGF-I bioavailability explains the higher growth velocity in preterm neonates.
- The hypothalamic-pituitary-IGF-I axis matures progressively in early life.
- GH biological potency remains stable, suggesting normal GH function in neonates.
Background/Aims:
It was postulated that a high growth hormone (GH) bioactivity might explain the rapid growth rate of neonates. The aim of this study is to verify changes in serum GH biological potency (Bio-/Immuno-GH ratio) and their effects on serum growth factors during the first month of life in term and preterm babies.
Methods:
Blood samples were collected from 10 small-for-gestational-age preterm (SGAPT), 17 appropriate for gestational age preterm (AGAPT) and 26 AGA term (T) neonates on days 4, 15 and 30 of life to evaluate serum GH values measured by IFMA (IFMA-GH) and bioassay (Bio-GH), serum insulin-like growth factor-I (IGF-I) and IGF-binding protein-3 (IGFBP-3).
Results:
High serum Bio-GH values on the first few days of life correspond to high IFMA-GH values, suggesting full biological potency of circulating GH. Furthermore, IGF-I/IGFBP-3 molar ratio values in preterm babies were higher than in full-term infants.
Conclusions:
These data confirmed the hypothesis that the higher growth velocity in the first month of life of preterm neonates is due to an increased bioavailability of IGF-I. A progressive maturation of the hypothalamic-pituitary-IGF-I axis without any alteration in the GH biological potency seems to underpin the increase of the growth factors early in life.
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