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Does growth hormone treatment increase chromosomal abnormalities?

M Bozzola1, K Tettoni, F Severi

  • 1Department of Paediatrics, University of Pavia, Italy.

Clinical Endocrinology
|November 28, 1997
PubMed
Summary

Growth hormone (GH) therapy did not increase chromosomal abnormalities in children with GH deficiency (GHD). This study found no evidence of increased cancer risk from GH treatment in GHD patients.

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Area of Science:

  • Endocrinology
  • Genetics
  • Oncology

Background:

  • The potential link between growth hormone (GH) therapy and malignancy, particularly leukaemias, is a subject of ongoing debate.
  • Further investigation is needed to clarify the safety profile of GH treatment concerning genetic stability.

Purpose of the Study:

  • To investigate whether growth hormone (GH) treatment induces chromosomal abnormalities in peripheral blood lymphocytes of patients with GH deficiency (GHD).
  • To assess the potential genotoxic effects of GH therapy in pediatric patients.

Main Methods:

  • An open, prospective study was conducted at a University Hospital.
  • Peripheral blood mononuclear cells from 14 GHD patients (aged 1.8-18 years) were analyzed before, during, and after GH therapy.
  • Chromosomal analysis of 5300 cells examined for breaks, rearrangements, and aneuploidies, compared to 12 age-matched healthy controls.

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Main Results:

  • The incidence of chromatid and chromosome breaks in GHD patients before treatment and in controls was similar (0-6%).
  • During GH therapy, the rate of aneuploid metaphases (0-7%) was comparable to that of healthy controls.
  • Chromosomal loss and gain occurred randomly, with no significant increase observed during treatment.

Conclusions:

  • Growth hormone (GH) therapy does not appear to induce chromosomal abnormalities in peripheral blood lymphocytes of patients with GH deficiency (GHD).
  • The findings suggest that GH treatment is not associated with increased genotoxic risk in the studied pediatric population.