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Comparative Analysis of Human Growth Hormone in Serum Using SPRi, Nano-SPRi and ELISA Assays
Published on: January 7, 2016
Growth hormone responses during arginine and clonidine stimulation test: Correlations with patients' auxological and
Giorgio Sodero1, Francesco Mariani1, Michela Caprarelli1
1Department of Life Sciences and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Insights
Growth hormone stimulation tests (GHST) in children with short stature revealed lower IGF-1 and higher TSH in growth hormone deficiency (GHD). Metabolic factors like BMI and weight influence GH peaks during testing.
Area of Science:
- Pediatric Endocrinology
- Growth Hormone Physiology
- Metabolic Disorders
Background:
- Short stature in children necessitates differentiating growth hormone deficiency (GHD) from other causes.
- Growth hormone stimulation tests (GHST) are crucial diagnostic tools.
Approach:
- Retrospective analysis of 161 GHSTs in 74 children with short stature.
- Evaluation of correlations between GH peaks and auxological/metabolic parameters.
- Comparison between children with GHD and idiopathic short stature.
Key Points:
- Children with GHD showed significantly lower IGF-1 and higher TSH levels.
- Triglycerides correlated with GH peak during arginine test.
- Pre-test BMI and weight influenced GH peak during clonidine stimulation test.
Conclusions:
- Metabolic and auxological parameters can impact GHST results.
- These factors must be considered when interpreting GH peak values.
- Distinguishing GHD from other causes of short stature requires comprehensive assessment.
Background:
Children with auxological parameters defining a 'short stature' is routinely subjected to various blood tests and, if necessary, to growth hormone stimulation test (GHST) for differentiating GH deficiency (GHD) and other causes of stunted growth.
Aim:
This retrospective monocentric study aimed to evaluate any correlations between GH peaks during GHST in children assessed for short stature and their auxological/metabolic parameters, highlighting differences between GHD and idiopathic short stature.
Patients And Methods:
We reviewed the medical records of 74 children with short stature (height lower than the third percentile according to standardized growth curves for the Italian population) managed at the Pediatric Day Hospital of our Department of Life Sciences and Public Health in Università Cattolica Sacro Cuore, Rome, who performed at least two GHSTs, using arginine and clonidine as stimulants, for assessment of GH secretion. The results of a total number of 161 GHSTs, performed in 42 children diagnosed with GHD and in 32 children with other causes of short stature, were analyzed.
Results:
We found significantly lower serum levels of insulin growth factor-1 (IGF-1) and increased levels of thyroid-stimulating hormone (TSH) in children with GHD, without other metabolic differences in comparison to children with other causes of short stature. There was also a correlation between triglycerides and GH peak during arginine test, while fT4 and LDL concentrations correlated with GH peak during the third test, if performed. Pre-test BMI (rho -0.274, p = 0.01) and weight (rho -0.251, p = 0.03) have influenced GH peak during clonidine stimulation test. Metabolic and auxological parameters could influence GH peak during clonidine and arginine stimulation tests and must be taken into account when interpreting GHST results.
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