Kohno H, Igarashi Y, Ozono K, Ohyama K, Ogawa M, Osada H, Onigata K, Kanzaki S, Seino Y, Takahashi H, Tajima T, Tachibana K, Tanaka H, Nishi Y, Hasegawa T, Fujieda K, Fujita K, Horikawa R, Yokoya S, Yorifuji T, Tanaka T. Favorable impact of growth hormone treatment on cholesterol levels in turner syndrome.
Clin Pediatr Endocrinol 2012;
21:29-34. [PMID:
23926408 PMCID:
PMC3698903 DOI:
10.1297/cpe.21.29]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2011] [Accepted: 01/25/2012] [Indexed: 01/15/2023] Open
Abstract
Background: Patients with Turner syndrome (TS) are prone to having metabolic
abnormalities, such as obesity, dyslipidemia, hypertension, hyperinsulinemia and type 2
diabetes mellitus, resulting in increased risks of developing atherosclerotic diseases.
Objective: To determine the effect of growth hormone (GH) therapy on serum cholesterol
levels in prepubertal girls with TS enrolled in the Turner syndrome Research Collaboration
(TRC) in Japan. Patients and methods: Eighty-one girls with TS were enrolled in the TRC,
and their total cholesterol (TC) levels before GH therapy were compared with reported
levels of healthy school-aged Japanese girls. TC levels after 1, 2 and 3 yr of GH
treatment were available for 28 of the 81 patients with TS. GH was administered by daily
subcutaneous injections, 6 or 7 times/wk, with a weekly dose of 0.35 mg/kg body weight.
Results: Baseline TC levels revealed an age-related increase in TS that was in contrast to
healthy girls showing unchanged levels. During GH therapy, TC decreased significantly
after 1 yr of GH treatment and remained low thereafter. Conclusions: Girls with untreated
TS showed an age-related increase in TC that was a striking contrast to healthy girls, who
showed unchanged levels. GH therapy in girls with TS brought about a favorable change in
TC that indicates the beneficial impact of GH on atherogenic risk.
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