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Plasma kisspeptin and ghrelin levels in puberty variant cases

  • Erdal Kurnaz EMAIL logo , Yaşar Şen and Süleyman Aydın
Published/Copyright: April 19, 2017

Abstract

Background:

The aim of this study was to determine the serum levels of kisspeptin and ghrelin (GAH), as well as the relationship of these two peptides with each other in premature thelarche (PT) and premature adrenarche (PA) cases and to investigate the possibility of using these peptides as markers in the differentiation of puberty disorders.

Methods:

A PT group aged 1–8 years (n = 40), a PA group aged 1–9 years (n = 23, female/male = 20/3) and control groups consistent with each of the previous groups in terms of age and gender were created for the study. Kisspeptin and ghrelin levels were measured with ELISA methods from blood samples drawn while fasting in the morning.

Results:

When the PT group was compared with the controls, the plasma kisspeptin levels of the cases were significantly higher than the control group (165.47 ± 15.45 pmol/L, 96.82 ± 12.33 pmol/L, p = 0.005, respectively). Kisspeptin levels in the PA group did not show a difference with the control group (121.36 ± 17.99 pmol/L, 95.52 ± 11.54 pmol/L, p = 0.249, respectively). No significant difference could be found when GAH levels in the PT and PA groups were compared with controls. No significant correlation was found between kisspeptin and GAH levels in the PT and PA groups.

Conclusions:

Our results indicate that kisspeptin plays an important role in the PT, but GAH is not associated with puberty disorders.

Acknowledgments

We would particularly like to thank the patients who agreed to participate in this study.

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: Funding for this study was provided by the Fırat University Scientific Research Projects Coordination Unit (Project no: 1849).

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

References

1. Diamantopoulos S, Bao Y. Gynecomastia and premature thelarche: a guide for practitioners. Pediatr Rev 2007;28: 57–68.10.1542/pir.28.9.e57Search in Google Scholar

2. Ibanez L, Virdis R, Potau N, Zampolli M, Ghizzoni L, et al. Natural history of premature pubarche: an auxological study. J Clin Endocrinol Metab 1992;74:254–7.10.1210/jc.74.2.254Search in Google Scholar

3. Tena-Sempere M. GPR54 and kisspeptin in reproduction. Hum Reprod Update 2006;12:631–9.10.1093/humupd/dml023Search in Google Scholar PubMed

4. de Vries L, Shtaif B, Phillip M, Gat-Yablonski G. Kisspeptin serum levels in girls with central precocious puberty. Clin Endocrinol 2009;71:524–8.10.1111/j.1365-2265.2009.03575.xSearch in Google Scholar PubMed

5. Rhie YJ, Lee KH, Eun SH, Choi BM, Chae HW, et al. Serum kisspeptin levels in Korean girls with central precocious puberty. J Korean Med Sci 2011;26:927–31.10.3346/jkms.2011.26.7.927Search in Google Scholar PubMed PubMed Central

6. Kojima M, Hosoda H, Date Y, Nakazato M, Matsuo H, et al. Ghrelin is a growth-hormone-releasing acylated peptide from stomach. Nature 1999;402:656–60.10.1038/45230Search in Google Scholar PubMed

7. Roa J, Garcia-Galiano D, Castellano JM, Gaytan F, Pinilla L, et al. Metabolic control of puberty onset: new players, new mechanisms. Mol Cell Endocrinol 2010;324:87–94.10.1016/j.mce.2009.12.018Search in Google Scholar PubMed

8. Aydin S, Ozkan Y, Caylak E, Aydin S. Grelin and its biochemical functions. Turkiye Klinikleri. J Med Sci 2006;26:272–83.Search in Google Scholar

9. Lee PA, Kerrigan JR. Precocious puberty. In: Pescovitz OH, Eugster EA, editors. Textbook of pediatric endocrinology: mechanisms, manifestations and management. Philadephia, PA: Lippincott Williams and Wilkins, 2004:316–30.Search in Google Scholar

10. Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child 1969;44:291–303.10.1136/adc.44.235.291Search in Google Scholar PubMed PubMed Central

11. Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in boys. Arch Dis Child 1970;45:13–23.10.1136/adc.45.239.13Search in Google Scholar PubMed PubMed Central

12. Akinci A, Cetin D, Ilhan N. Plasma kisspeptin levels in girls with premature thelarche. J Clin Res Pediatr Endocrinol 2012;4:61–5.10.4274/jcrpe.615Search in Google Scholar PubMed PubMed Central

13. Abacı A, Çatlı G, Anık A, Küme T, Çalan ÖG, et al. Significance of serum neurokinin B and kisspeptin levels in the differential diagnosis of premature thelarche and idiopathic central precocious puberty. Peptides 2015;64:29–33.10.1016/j.peptides.2014.12.011Search in Google Scholar PubMed

14. Yang YU, Xiong XY, Yang LI, Xie L, Huang H. Testing of kisspeptin levels in girls with idiopathic central precocious puberty and its significance. Exp Ther Med 2015;9:2369–73.10.3892/etm.2015.2398Search in Google Scholar PubMed PubMed Central

15. Su PH, Wang SL, Chen JY, Chen SJ, Ke JC. A study of anthropomorphic and biochemical characteristics in girls with central precocious puberty and thelarche variant. J Pediatr Endocrinol Metab 2008;21:213–20.10.1515/JPEM.2008.21.3.213Search in Google Scholar PubMed

16. Demirbilek H, Gonc EN, Ozon A, Alikasifoglu A, Kandemir N. Evaluation of serum kisspeptin levels in girls in the diagnosis of central precocious puberty and in the assessment of pubertal suppression. J Pediatr Endocrinol Metab 2012;25:313–6.10.1515/jpem-2011-0445Search in Google Scholar PubMed

17. Styne DM. Puberty, obesity and ethnicity. Trends Endocrinol Metab 2004;15:472–8.10.1016/j.tem.2004.10.008Search in Google Scholar PubMed

18. Bourguignon JP. Control of onset puberty. In: Pescovitz OH, Eugster EA, editors. Textbook of pediatric endocrinology: mechanisms, manifestations and management. Philadephia, PA: Lippincott Williams and Wilkins, 2004:285–94.Search in Google Scholar

19. Zhu H, Chen LQ, Jiang YJ, Liang L. Relationship of plasma ghrelin and adenohypophyseal hormone levels in female precocious puberty. Zhejiang Da Xue Xue Bao Yi Xue Ban 2008;37:506–10.Search in Google Scholar

20. Soriano-Guillen L, Barrios V, Chowen JA, Sanchez I, Vila S, et al. Ghrelin levels from fetal life through early adulthood: relationship with endocrine and metabolic and anthropometric measures. J Pediatr 2004;144:30–5.10.1016/j.jpeds.2003.08.050Search in Google Scholar PubMed

21. Whatmore AJ, Hall CM, Jones J, Westwood M, Clayton PE. Ghrelin concentrations in healthy children and adolescents. Clin Endocrinol 2003;59:649–54.10.1046/j.1365-2265.2003.01903.xSearch in Google Scholar PubMed

22. Maffeis C, Franceschi R, Moghetti P, Camilot M, Lauriola S, et al. Circulating ghrelin levels in girls with central precocious puberty are reduced during treatment with LHRH analog. Eur J Endocrinol 2007 ;156:99–103.10.1530/eje.1.02320Search in Google Scholar PubMed

23. Jurimae J, Cicchella A, Tillmann V, Latt E, Haljaste K, et al. Effect of pubertal development and physical activity on plasma ghrelin concentration in boys. J Endocrinol Invest 2009;32:18–22.10.1007/BF03345672Search in Google Scholar PubMed

24. Marzullo P, Verti B, Savia G, Walker GE, Guzzaloni G, et al. The relationship between active ghrelin levels and human obesity involves alterations in resting energy expenditure. J Clin Endocrinol Metab 2004;89:936–9.10.1210/jc.2003-031328Search in Google Scholar PubMed

25. Saenger P, Reiter EO. Premature adrenarche: a normal variant of puberty? J Clin Endocrinol Metab 1992;74:236–8.10.1210/jcem.74.2.1730802Search in Google Scholar PubMed

26. Forbes S, Li XF, Kinsey-Jones J, O’Byrne K. Effects of ghrelin on kisspeptin mRNA expression in the hypothalamic medial preoptic area and pulsatile luteinising hormone secretion in the female rat. Neurosci Lett 2009;460:143–7.10.1016/j.neulet.2009.05.060Search in Google Scholar PubMed

Received: 2016-3-31
Accepted: 2017-3-6
Published Online: 2017-4-19
Published in Print: 2017-5-1

©2017 Walter de Gruyter GmbH, Berlin/Boston

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