Short-term growth hormone therapy increases serum lipoprotein (a) levels in normal short children without growth hormone deficiency
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E Hershkovitz1, E Leiberman, Y Limony
1Pediatric Diagnostic and Therapeutic Center, Soroka Medical University Center, Beer-Sheva, Israel.
Insights
Growth hormone (GH) therapy significantly increased serum lipoprotein (a) [Lp(a)] levels in short children without GH deficiency. This suggests GH influences Lp(a) and warrants further investigation in pediatric endocrinology.
Area of Science:
- Pediatric Endocrinology
- Cardiovascular Risk Factors
- Metabolic Research
Background:
- Lipoprotein (a) [Lp(a)] is an independent risk factor for atherosclerosis.
- Growth hormone (GH) plays a role in lipid metabolism.
- The effect of GH on Lp(a) in non-GH-deficient children is not well-established.
Purpose of the Study:
- To investigate the short-term impact of GH administration on serum Lp(a) levels.
- To assess changes in Lp(a) concentrations in response to GH therapy in short children.
- To determine if GH influences Lp(a) in the absence of GH deficiency.
Main Methods:
- Study included 8 normal short children aged 6-12 years.
- GH was administered at a dose of 0.1 IU/kg/day.
- Serum Lp(a) levels were measured at baseline, 2, 6, and 12 weeks.
Main Results:
- GH increased serum Lp(a) concentrations in all participants.
- Significant increases in Lp(a) were observed at 6 weeks (p < 0.01) and 12 weeks (p < 0.05).
- Lp(a) levels rose to 161.6% and 152.5% of baseline at 6 and 12 weeks, respectively.
Conclusions:
- Short-term GH therapy can significantly influence serum Lp(a) levels.
- GH administration may increase cardiovascular risk factors in short children.
- Further research is needed to understand the long-term implications of GH on Lp(a) in this population.
Abstract:
We investigated the short-term effect of GH (0.1 IU/kg/day) on serum lipoprotein (a) [Lp(a)] in 8 normal short children aged 6-12 years. GH increased serum Lp(a) concentrations in all the children studied. An increase to 107 +/- 5, 161.6 +/- 14.7 and 152.5 +/- 18.5% (mean +/- SE) of baseline levels was observed after 2 (p = NS), 6 (p < 0.01) and 12 weeks (p < 0.05), respectively. Our results suggest that GH therapy may pose a significant influence on Lp(a) serum levels in non-GH-deficient short children.