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The common exon 3 polymorphism of the growth hormone receptor gene and the effect of growth hormone therapy on growth in Korean patients with Turner syndrome

Identifieur interne : 001E69 ( Istex/Corpus ); précédent : 001E68; suivant : 001E70

The common exon 3 polymorphism of the growth hormone receptor gene and the effect of growth hormone therapy on growth in Korean patients with Turner syndrome

Auteurs : Jung Min Ko ; Jae-Min Kim ; Chong-Kun Cheon ; Duk-Hee Kim ; Dae-Yeol Lee ; Woo Yeong Cheong ; Eun Young Kim ; Mi Jung Park ; Han-Wook Yoo

Source :

RBID : ISTEX:43003FCA458F52999433FD528968524207AA139D

Abstract

Objective  Recombinant human growth hormone (GH) can achieve final adult height gain in girls with Turner syndrome (TS), but its efficacy varies widely across individuals. The exon 3‐deleted polymorphism of growth hormone receptor (d3‐GHR) has been reported to be associated with responsiveness to GH therapy. The short‐term growth response of Turner patients to GH therapy was analysed according to their GHR‐exon 3 polymorphism genotype.

Url:
DOI: 10.1111/j.1365-2265.2009.03681.x

Links to Exploration step

ISTEX:43003FCA458F52999433FD528968524207AA139D

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<title level="a" type="main">The common exon 3 polymorphism of the growth hormone receptor gene and the effect of growth hormone therapy on growth in Korean patients with Turner syndrome</title>
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<head>Summary</head>
<p>
<hi rend="bold">Objective </hi>
Recombinant human growth hormone (GH) can achieve final adult height gain in girls with Turner syndrome (TS), but its efficacy varies widely across individuals. The exon 3‐deleted polymorphism of growth hormone receptor (
<hi rend="italic">d3</hi>
‐GHR) has been reported to be associated with responsiveness to GH therapy. The short‐term growth response of Turner patients to GH therapy was analysed according to their
<hi rend="italic">GHR</hi>
‐exon 3 polymorphism genotype.</p>
<p>
<hi rend="bold">Design and patients </hi>
This was a retrospective study of 175 TS patients. Auxological and endocrine parameters were measured, and the
<hi rend="italic">GHR</hi>
‐exon 3 genotype was analysed. Allelic frequencies of
<hi rend="italic">GHR</hi>
‐exon 3 genotype were compared between patients with TS and control individuals. GH had been administered to 147 patients, 115 of which remained pre‐pubertal after the first follow‐up year. Changes in height standard deviation score (SDS), height velocity (HV), body mass index (BMI), IGF‐1 and IGF binding protein‐3 (IGFBP‐3) concentrations were compared between these patients, grouped according to genotype, after the first follow‐up year.</p>
<p>
<hi rend="bold">Results </hi>
There was no difference in
<hi rend="italic">GHR</hi>
‐exon 3 genotype frequency between the TS and control groups of Koreans. According to the
<hi rend="italic">GHR</hi>
‐exon 3 genotype (
<hi rend="italic">fl</hi>
/
<hi rend="italic">fl</hi>
group
<hi rend="italic">vs</hi>
.
<hi rend="italic">d3/fl</hi>
and
<hi rend="italic">d3/d3</hi>
group), HV gain and height SDS gain did not differ significantly at the first year of GH therapy. Moreover, changes in IGF‐1, IGFBP‐3 concentration and BMI showed no significant difference between the groups with and without
<hi rend="italic">d3</hi>
‐GHR after 1 year of GH therapy.</p>
<p>
<hi rend="bold">Conclusion </hi>
The distribution of the
<hi rend="italic">GHR</hi>
‐exon 3 genotype was similar in the TS and control groups in a Korean population. The growth promotion efficacy of GH therapy did not differ significantly between TS patients with and without the
<hi rend="italic">d3</hi>
‐GHR allele. These findings indicate that the
<hi rend="italic">GHR</hi>
‐exon 3 genotype may not be a major factor to affect the GH response in Korean Turner patients.</p>
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<doi origin="wiley" registered="yes">10.1111/(ISSN)1365-2265</doi>
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<title type="tocHeading1">Original Articles</title>
<title type="tocHeading2">Paediatric Endocrinology</title>
</titleGroup>
<copyright>© 2010 Blackwell Publishing Ltd</copyright>
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<correspondenceTo>Han‐Wook Yoo, MD, PhD, Department of Pediatrics, Asan Medical Center, 388‐1, Pungnap‐2dong, Songpa‐gu, Seoul 138‐736, Korea. Tel.: +82‐2‐3010‐3386; Fax: +82‐2‐473‐3725; E‐mail:
<email>hwyoo@amc.seoul.kr</email>
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<unparsedEditorialHistory>(Received 23 March 2009; returned for revision 17 April 2009; finally revised 6 May 2009; accepted 23 July 2009)</unparsedEditorialHistory>
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<title type="main">The common exon 3 polymorphism of the growth hormone receptor gene and the effect of growth hormone therapy on growth in Korean patients with Turner syndrome</title>
<title type="shortAuthors">
<i>J. M. Ko</i>
et al.</title>
<title type="short">
<i>GHR‐exon 3 polymorphism and growth hormone response</i>
</title>
</titleGroup>
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<personName>
<givenNames>Jung Min</givenNames>
<familyName>Ko</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr2" affiliationRef="#a2">
<personName>
<givenNames>Jae‐Min</givenNames>
<familyName>Kim</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr3" affiliationRef="#a3">
<personName>
<givenNames>Chong‐Kun</givenNames>
<familyName>Cheon</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr4" affiliationRef="#a4">
<personName>
<givenNames>Duk‐Hee</givenNames>
<familyName>Kim</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr5" affiliationRef="#a5">
<personName>
<givenNames>Dae‐Yeol</givenNames>
<familyName>Lee</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr6" affiliationRef="#a6">
<personName>
<givenNames>Woo Yeong</givenNames>
<familyName>Cheong</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr7" affiliationRef="#a7">
<personName>
<givenNames>Eun Young</givenNames>
<familyName>Kim</familyName>
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</creator>
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<personName>
<givenNames>Mi Jung</givenNames>
<familyName>Park</familyName>
</personName>
</creator>
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<personName>
<givenNames>Han‐Wook</givenNames>
<familyName>Yoo</familyName>
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<unparsedAffiliation>Departments of Medical Genetics, Ajou Medical Center, University of Ajou College of Medicine, Suwon</unparsedAffiliation>
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<unparsedAffiliation>Genome Research Center for Birth Defects and Genetic Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul</unparsedAffiliation>
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<affiliation xml:id="a3">
<unparsedAffiliation>Department of Pediatrics, Pusan National University School of Medicine, Pusan</unparsedAffiliation>
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<affiliation xml:id="a4">
<unparsedAffiliation>Department of Pediatrics, Yonsei University College of Medicine, Seoul</unparsedAffiliation>
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<affiliation xml:id="a5">
<unparsedAffiliation>Department of Pediatrics, School of Medicine, Chonbuk National University, Jeonju</unparsedAffiliation>
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<unparsedAffiliation>Department of Pediatrics, Pusan Paik Hospital, College of Medicine, Inje University, Busan</unparsedAffiliation>
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<unparsedAffiliation>Department of Pediatrics, Kwangju Christian Hospital, Gwangju</unparsedAffiliation>
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<affiliation xml:id="a8" countryCode="KR">
<unparsedAffiliation>Department of Pediatrics, Inje University Colledge of Medicine, Seoul, Korea</unparsedAffiliation>
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<title type="main">Summary</title>
<p>
<b>Objective </b>
Recombinant human growth hormone (GH) can achieve final adult height gain in girls with Turner syndrome (TS), but its efficacy varies widely across individuals. The exon 3‐deleted polymorphism of growth hormone receptor (
<i>d3</i>
‐GHR) has been reported to be associated with responsiveness to GH therapy. The short‐term growth response of Turner patients to GH therapy was analysed according to their
<i>GHR</i>
‐exon 3 polymorphism genotype.</p>
<p>
<b>Design and patients </b>
This was a retrospective study of 175 TS patients. Auxological and endocrine parameters were measured, and the
<i>GHR</i>
‐exon 3 genotype was analysed. Allelic frequencies of
<i>GHR</i>
‐exon 3 genotype were compared between patients with TS and control individuals. GH had been administered to 147 patients, 115 of which remained pre‐pubertal after the first follow‐up year. Changes in height standard deviation score (SDS), height velocity (HV), body mass index (BMI), IGF‐1 and IGF binding protein‐3 (IGFBP‐3) concentrations were compared between these patients, grouped according to genotype, after the first follow‐up year.</p>
<p>
<b>Results </b>
There was no difference in
<i>GHR</i>
‐exon 3 genotype frequency between the TS and control groups of Koreans. According to the
<i>GHR</i>
‐exon 3 genotype (
<i>fl</i>
/
<i>fl</i>
group
<i>vs</i>
.
<i>d3/fl</i>
and
<i>d3/d3</i>
group), HV gain and height SDS gain did not differ significantly at the first year of GH therapy. Moreover, changes in IGF‐1, IGFBP‐3 concentration and BMI showed no significant difference between the groups with and without
<i>d3</i>
‐GHR after 1 year of GH therapy.</p>
<p>
<b>Conclusion </b>
The distribution of the
<i>GHR</i>
‐exon 3 genotype was similar in the TS and control groups in a Korean population. The growth promotion efficacy of GH therapy did not differ significantly between TS patients with and without the
<i>d3</i>
‐GHR allele. These findings indicate that the
<i>GHR</i>
‐exon 3 genotype may not be a major factor to affect the GH response in Korean Turner patients.</p>
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<abstract>Objective  Recombinant human growth hormone (GH) can achieve final adult height gain in girls with Turner syndrome (TS), but its efficacy varies widely across individuals. The exon 3‐deleted polymorphism of growth hormone receptor (d3‐GHR) has been reported to be associated with responsiveness to GH therapy. The short‐term growth response of Turner patients to GH therapy was analysed according to their GHR‐exon 3 polymorphism genotype.</abstract>
<abstract>Design and patients  This was a retrospective study of 175 TS patients. Auxological and endocrine parameters were measured, and the GHR‐exon 3 genotype was analysed. Allelic frequencies of GHR‐exon 3 genotype were compared between patients with TS and control individuals. GH had been administered to 147 patients, 115 of which remained pre‐pubertal after the first follow‐up year. Changes in height standard deviation score (SDS), height velocity (HV), body mass index (BMI), IGF‐1 and IGF binding protein‐3 (IGFBP‐3) concentrations were compared between these patients, grouped according to genotype, after the first follow‐up year.</abstract>
<abstract>Results  There was no difference in GHR‐exon 3 genotype frequency between the TS and control groups of Koreans. According to the GHR‐exon 3 genotype (fl/fl group vs. d3/fl and d3/d3 group), HV gain and height SDS gain did not differ significantly at the first year of GH therapy. Moreover, changes in IGF‐1, IGFBP‐3 concentration and BMI showed no significant difference between the groups with and without d3‐GHR after 1 year of GH therapy.</abstract>
<abstract>Conclusion  The distribution of the GHR‐exon 3 genotype was similar in the TS and control groups in a Korean population. The growth promotion efficacy of GH therapy did not differ significantly between TS patients with and without the d3‐GHR allele. These findings indicate that the GHR‐exon 3 genotype may not be a major factor to affect the GH response in Korean Turner patients.</abstract>
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