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Published on: January 22, 2020
Growth Hormone and IGF1 Actions in Kidney Development and Function.
Evgenia Gurevich1, Yael Segev2, Daniel Landau1,3
1Department of Nephrology, Schneider Children's Medical Center of Israel, 14 Kaplan Street, Petach Tikva 4920235, Israel.
Growth hormone (GH) and insulin-like-growth factor-1 (IGF-1) significantly impact kidney function and development. Alterations in the GH/IGF-1 axis are linked to chronic kidney disease (CKD) complications in children.
Area of Science:
- Nephrology
- Endocrinology
- Pediatrics
Background:
- The growth hormone (GH)/insulin-like-growth factor-1 (IGF-1) system is crucial for kidney development and function.
- This system regulates glomerular hemodynamics and tubular handling of water, sodium, phosphate, and calcium.
Purpose of the Study:
- To explore the role of the GH/IGF-1 axis in kidney development, function, and disease.
- To understand the implications of GH/IGF-1 alterations in pediatric chronic kidney disease (CKD).
Main Methods:
- Review of transgenic animal models to study GH excess effects on the kidney.
- Analysis of the GH/IGF-1 axis in the context of diabetic nephropathy and kidney hypertrophy.
- Investigation of GH/IGF-1 axis alterations in children with CKD.
Main Results:
- GH excess, but not IGF-1, can induce hyperfiltration, albuminuria, and glomerulosclerosis in animal models.
- The GH/IGF-1 system is implicated in the pathogenesis of diabetic nephropathy and compensatory kidney hypertrophy.
- Children with CKD exhibit altered GH/IGF-1 axis, leading to growth retardation and GH resistance.
Conclusions:
- The GH/IGF-1 axis is a critical regulator of kidney physiology and pathophysiology.
- GH resistance and inflammation contribute to growth failure in pediatric CKD.
- Prolonged recombinant human GH (rhGH) treatment may be safe for managing short stature in children with CKD.
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