PMID- 20926543 OWN - NLM STAT- MEDLINE DCOM- 20101115 LR - 20191210 IS - 1945-7197 (Electronic) IS - 0021-972X (Linking) VI - 95 IP - 10 DP - 2010 Oct TI - Elevated insulin-like growth factor-I values in children with Prader-Willi syndrome compared with growth hormone (GH) deficiency children over two years of GH treatment. PG - 4600-8 LID - 10.1210/jc.2009-1831 [doi] AB - BACKGROUND: Children with Prader-Willi syndrome (PWS) are routinely treated with GH and have a response comparable with that observed in children with GH deficiency (GHD). OBJECTIVE: The objective of the study was to compare changes in serum IGF-I, IGF binding protein 3 (IGFBP-3), IGF-I to IGFBP-3 molar ratio, and growth velocity during the first 2 yr of GH therapy in PWS and GHD children. SUBJECTS AND METHODS: Thirty-three children with PWS (14 boys, 4.9 +/- 3.8 yr) and 591 with GHD (351 boys, 9.6 +/- 3.6 yr), all naive to GH treatment, were included in this study. Serum IGF-I and IGFBP-3 were measured at 0, 6, 12, and 24 months of GH therapy. The mean initial dose of GH was 0.9 and 1 mg/m(2) . d in the PWS and GHD groups, respectively. RESULTS: Mean +/- SD IGF-I sdscore (SDS) and IGFBP-3 SDS were significantly higher in PWS compared with GHD. The IGF-I to IGFBP-3 molar ratio was significantly lower at baseline and subsequently not different. Despite significantly lower GH doses in PWS children at 6, 12, and 24 months (P = 0.021, P = 0.021, P = 0.001), IGF-I reached 2.8 +/- 1.2 SDS at 24 months (72% of values > 2 SDS), and remained at 0.7 +/- 1.6 SDS in GHD children (17% of values > 2 SDS). IGFBP-3 did not exceed 2 SDS in either group. There was no significant change in the IGF-I to IGFBP-3 molar ratio. CONCLUSIONS: IGF-I SDS increases to a greater extent in PWS than GHD. Bioavailable IGF-I is apparently not different, suggesting that any possible safety issues related to elevated IGF-I are similar in both groups. FAU - Feigerlova, Eva AU - Feigerlova E AD - Department of Endocrinology, Bone Diseases, Genetics, and Gynaecology, Centre de Reference du Syndrome de Prader-Willi, Children's Hospital, Toulouse, France. FAU - Diene, Gwenaelle AU - Diene G FAU - Oliver, Isabelle AU - Oliver I FAU - Gennero, Isabelle AU - Gennero I FAU - Salles, Jean-Pierre AU - Salles JP FAU - Arnaud, Catherine AU - Arnaud C FAU - Tauber, Maithe AU - Tauber M LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (Insulin-Like Growth Factor Binding Protein 3) RN - 12629-01-5 (Human Growth Hormone) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Body Mass Index MH - Child MH - Child, Preschool MH - Cohort Studies MH - Dwarfism, Pituitary/blood/*drug therapy/metabolism MH - Female MH - Growth Charts MH - Growth Disorders/*blood/complications/*drug therapy/metabolism MH - Hormone Replacement Therapy MH - Human Growth Hormone/deficiency/*therapeutic use MH - Humans MH - Infant MH - Insulin-Like Growth Factor Binding Protein 3/blood MH - Insulin-Like Growth Factor I/*metabolism MH - Male MH - Prader-Willi Syndrome/*blood/complications/*drug therapy/metabolism MH - Up-Regulation EDAT- 2010/10/12 06:00 MHDA- 2010/11/16 06:00 CRDT- 2010/10/08 06:00 PHST- 2010/10/08 06:00 [entrez] PHST- 2010/10/12 06:00 [pubmed] PHST- 2010/11/16 06:00 [medline] AID - 95/10/4600 [pii] AID - 10.1210/jc.2009-1831 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2010 Oct;95(10):4600-8. doi: 10.1210/jc.2009-1831.