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Analysis of growth hormone receptor gene expression in tall and short stature children

  • Sara Pagani , Giorgio Radetti , Cristina Meazza and Mauro Bozzola EMAIL logo
Published/Copyright: March 16, 2017

Abstract:

Background:

The majority of children who present for evaluation of tall stature fall under the diagnosis of constitutional tall stature (CTS).

Methods:

To investigate mechanisms of tall stature, we evaluated serum IGF-I values and the expression of the GHR gene in the peripheral blood cells of 46 subjects with normal height, 38 with tall stature and 30 healthy children with short stature.

Results:

Our results showed significantly lower IGF-I levels in children with short stature (−0.57±0.18 SDS) compared to control children (0.056±0.19 SDS; p<0.0001) and to subjects with tall stature (0.594±0.17; p=0.00067). Furthermore, we found significantly higher GHR gene expression levels in tall children (321.84±90.04 agGHR/5×105agGAPDH) compared with other groups of subjects (short children: 30.13±7.5 agGHR/5×105agGAPDH, p<0.0001; controls: 86.81ag±19.5 GHR/5×105agGAPDH, p=0.035). The GHR gene expression level in short children was significantly lower compared with control subjects (p=0.0068).

Conclusions:

Significantly higher GHR gene expression levels in tall subjects suggests a sensitization of the GHR-IGF system leading to overgrowth in CTS.


Corresponding author: Mauro Bozzola, MD, Department of Internal Medicine and Therapeutics, University of Pavia, Fondazione IRCCS San Matteo, Piazzale Golgi, 2, 27100 Pavia, Italy, Phone: +390382501270, Fax: +390382502876

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

  2. Research funding: None declared.

  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.

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Received: 2016-9-8
Accepted: 2017-1-30
Published Online: 2017-3-16
Published in Print: 2017-4-1

©2017 Walter de Gruyter GmbH, Berlin/Boston

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