在成年人中,GH替代疗法刺激纤维细胞激活蛋白-α活性
Amanda Bæk1,2,3, Anne Kathrine Nissen Pedersen2,3, Tine Borum Billeskov1,2,3
1Department of Endocrinology and Internal Medicine, Department of Clinical Medicine, Aarhus University, Aarhus 8200, Denmark.
European journal of endocrinology
|November 25, 2025
概括
增长激素 (GH) 替代疗法增加了纤维细胞激活蛋白-α (FAPα) 的活性和水平,增长激素缺乏的成年人. 这表明FAPα是GH活性的生物标志物,可能导致GH诱导的纤维化.
科学领域:
- 内分泌学 在内分泌学.
- 生物化学 生物化学
- 纤维化研究 纤维化研究
背景情况:
- 增长激素 (GH) 影响原的循环,在儿童中具有合成代谢作用,在成人中可能促进纤维化.
- 纤维细胞激活蛋白-α (FAPα) 是一种蛋白蛋白酶,向原和FGF21,具有高水平的活跃巨变.
研究的目的:
- 量化成人生长激素缺乏症 (GHD) 患者的循环FAPα活性和水平.
- 评估GH替代疗法后FAPα基质的变化,包括原循环生物标志物和FGF21.
主要方法:
- 在GH治疗3-6个月前和之后,从GHD患者的血清样本中分析了FAPα活性和水平.
- 同时测量了原循环标记物 (PINP,PIIINP,CTx) 和完整的FGF21.
- 对照组包括非GHD的下垂体患者和健康个体.
主要成果:
- 在GHD患者中,GH替代显著增加了FAPα活性和水平 (分别P <.05和P <.01).
- 原循环标记 (PINP,PIIINP,CTx) 在GH治疗3个月后也显著增加.
- 在整个研究期间,完整的FGF21水平保持不变.
结论:
- 在体内给予GH,首次刺激了人类的FAPα活性.
- 增加的FAPα活性,以及原的循环,表明GH驱动的原分解和潜在的纤维化.
- FAPα成为GH/IGF-I活性的一种新生物标志物,可能与GH诱导的纤维化有关.
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