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Relationship Between 25(OH)D and IGF-I in Children and Adolescents with Growth Hormone Deficiency

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Part of the book series: Advances in Experimental Medicine and Biology ((NR,volume 912))

Abstract

Recent studies have shown that vitamin D has an impact on the production and secretion of IGF-I in the liver. The aim of our study was to investigate the relationship between the concentrations of 25-hydroxy vitamin D [25(OH)D] and insulin-like growth factor I (IGF-I) in growth hormone deficient children and adolescents before recombinant human growth hormone (rhGH) treatment. The study was retrospective and included 84 children and adolescents aged 4–17. Prior to initiating rhGH therapy, concentrations of 25(OH)D and IGF-I were measured in all patients. IGF-I concentrations were normalized for bone age. The studied group was divided into two subgroups according to serum 25(OH)D levels. Significant positive correlations between 25(OH)D concentration and IGF-I SDS-normalized for bone age were observed in both studied subgroups. The results of our study suggest that vitamin D deficiency could influence IGF-I concentrations in children and adolescents with growth hormone deficiency, and vitamin D deficiency should be normalized before the measurement of IGF-I concentrations to obtain the reliable and unbiased IGF-I values.

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References

  • Ali A, Hashim R, Khan FA, Sattar A, Ijaz A, Manzoor SM, Younas M (2009) Evaluation of insulin-like growth factor-1 and insulin like growth factor binding protein-3 in diagnosis of growth hormone deficiency in short-stature children. J Ayub Med Coll Abbottabad 21:40–45

    PubMed  Google Scholar 

  • Ameri P, Giusti A, Boschetti M, Bovio M, Teti C, Leoncini G, Ferone D, Murialdo G, Minuto F (2013a) Vitamin D increases circulating IGF-I in adults: potential implication for the treatment of GH deficiency. Eur J Endocrinol 169:767–772

    Article  CAS  PubMed  Google Scholar 

  • Ameri P, Giusti A, Boschetti M, Murialdo G, Minuto F, Ferone D (2013b) Interactions between vitamin D and IGF-I: from physiology to clinical practise. Clin Endocrinol 79:457–463

    Article  CAS  Google Scholar 

  • Bereket A, Cesur Y, Özkan B, Adal E, Turan S, Onan SH, Döneray H, Akçay T, Haklar G (2010) Circulating insulin-like growth factor binding protein-4 (IGFBP-4) is not regulated by parathyroid hormone and vitamin D in vivo: evidence from children with rickets. J Clin Res Pediatr Endocrinol 2:17–20

    Article  PubMed  PubMed Central  Google Scholar 

  • Bianda T, Hussain MA, Glatz Y, Bouillon R, Froesch ER, Schmid C (1997) Effects of short-term insulin-like growth factor-I or growth hormone treatment on bone turnover, renal phosphate reabsorption and 1,25 dihydroxyvitamin D3 production in healthy man. J Intern Med 241:143–150

    Article  CAS  PubMed  Google Scholar 

  • Bogazzi F, Rossi G, Lombardi M, Tomisti L, Sardella C, Manetti L, Curzio O, Marcocci C, Grasso L, Gasperi M, Martino E (2011) Vitamin D status may contribute to serum insulin-like growth factor I concentrations in healthy subjects. J Endocrinol Investig 34:e200–e203

    Article  CAS  Google Scholar 

  • Brosseau C, Pirianov G, Colston KW (2013) Role of insulin-like growth factor binding protein-3 in 1,25-dihydroxyvitamin-D3-induced breast cancer cell apoptosis. Int J Cell Biol 2013:960378. doi:10.1155/2013/960378

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ciresi A, Cicciò F, Giordano C (2014) High prevalence of hypovitaminosis D in Sicilian children affected by growth hormone deficiency and its improvement after 12 months of replacement treatment. J Endocrinol Invest 37(7):631–638

    Article  CAS  PubMed  Google Scholar 

  • Ding N, Yu RT, Subramaniam N, Sherman MH, Wilson C, Rao R, Leblanc M, Coulter S, He M, Scott C, Lau SL, Atkins AR, Barish GD, Gunton JE, Liddle C, Downes M, Evans RM (2013) A vitamin D Receptor/SMAD genomic circuit gates hepatic fibrotic response. Cell 153:601–613

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Fernández-Cancio M, Audi L, Carrascosa A, Toran N, Andaluz P, Esteban C, Granada ML (2009) Vitamin D and growth hormone regulate growth hormone/insulin-like growth factor (GH-IGF) axis gene expression in human fetal epiphyseal chondrocytes. Growth Horm IGF Res 19(3):232–237

    Article  PubMed  Google Scholar 

  • Gascon-Barré M, Demers C, Mirshahi A, Néron S, Zalzal S, Nanci A (2003) The normal liver harbors the vitamin D nuclear receptor in nonparenchymal and biliary epithelial cells. Hepatology 37:1034–1042

    Article  PubMed  Google Scholar 

  • Gómez JM, Maravall FJ, Gómez N, Navarro MA, Casamitjana R, Soler J (2004) Relationship between 25-(OH) D3, the IGF-I system, leptin, anthropometric and body composition variables in a healthy, randomly selected population. Horm Metab Res 36(1):48–53

    Article  PubMed  Google Scholar 

  • Gómez JM (2006) The role of insulin-like growth factor I components in the regulation of vitamin D. Curr Pharm Biotechnol 7(2):125–132

    Article  PubMed  Google Scholar 

  • Greulich WW, Pyle SI (1959) Radiographic atlas of skeletal development of the hand and wrist, 2nd edn. Stanford University Press, Stanford

    Google Scholar 

  • Henry HL (2011) Regulation of vitamin D metabolism. Best Pract Res Clin Endocrinol Metab 25:531–551

    Article  CAS  PubMed  Google Scholar 

  • Kamenický P, Blanchard A, Gauci C, Salenave S, Letierce A, Lombès M, Brailly-Tabard S, Azizi M, Prié D, Souberbielle JC, Chanson P (2012) Pathophysiology of renal calcium handling in acromegaly: what lies behind hypercalciuria? J Clin Endocrinol Metab 97:2124–2133

    Article  PubMed  Google Scholar 

  • Kamenický P, Mazziotti G, Lombés M, Giustina A, Chanson P (2014) Growth hormone, insulin-like growth factor-1, and the kidney: pathophysiological and clinical implications. Endocr Rev 35(2):234–281

    Article  PubMed  Google Scholar 

  • Kamycheva E, Berg V, Jorde R (2013) Insulin-like growth factor I, growth hormone, and insulin sensitivity: the effects of a one-year cholecalciferol supplementation in middle-aged overweight and obese subjects. Endocrine 43:412–418

    Article  CAS  PubMed  Google Scholar 

  • Marcus R, Butterfield G, Holloway L, Gilliland L, Baylink DJ, Hintz RL, Sherman BM (1990) Effects of short term administration of recombinant human growth hormone to eldrly people. J Clin Endocrinol Metab 70:519–527

    Article  CAS  PubMed  Google Scholar 

  • Murray PG, Dattani MT, Clayton PE (2016) Controversies in the diagnosis and management of growth hormone deficiency in childhood and adolescence. Arch Dis Child 101(1):96–100

    Article  CAS  PubMed  Google Scholar 

  • Ohlsson C, Mohan S, Sjögren K, Tivesten Å, Isgaard J, Isaksson O, Jansson JO, Svensson J (2009) The Role of liver-derived insulin-like growth factor-I. Endocr Rev 30(5):494–535

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pawlikowska-Haddal A, Cohen P, Cook DM (2012) How useful are serum IGF-I measurements for managing GH replacement therapy in adults and children? Pituitary 15:126–136

    Article  CAS  PubMed  Google Scholar 

  • Pyrżak B, Witkowska-Sędek E, Krajewska M, Demkow U, Kucharska AM (2015) Metabolic and immunological consequences of vitamin D deficiency in obese children. Adv Exp Med Biol 840:13–19

    PubMed  Google Scholar 

  • Soliman AT, Al Khalaf F, Alhemaidi N, Al Ali M, Al Zyoud M, Yakoot K (2008) Linear growth in relation to the circulating concentrations of insulin-like growth factor I, parathyroid hormone, and 25-hydroxy vitamin D in children with nutritional rickets before and after treatment: endocrine adaptation to vitamin D deficiency. Metabolism 57:95–102

    Article  CAS  PubMed  Google Scholar 

  • Wei S, Tanaka H, Seino Y (1998) Local action of exogenous growth hormone and insulin-like growth factor-I on dihydroxyvitamin D production in LLC-PK1 cells. Eur J Endocrinol 139:454–460

    Article  CAS  PubMed  Google Scholar 

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Correspondence to E. Witkowska-Sędek .

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Witkowska-Sędek, E., Kucharska, A., Rumińska, M., Pyrżak, B. (2016). Relationship Between 25(OH)D and IGF-I in Children and Adolescents with Growth Hormone Deficiency. In: Pokorski, M. (eds) Prospect in Pediatric Diseases Medicine. Advances in Experimental Medicine and Biology(), vol 912. Springer, Cham. https://doi.org/10.1007/5584_2016_212

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