Tanaka Hiroyuki
Department of Pediatrics, Okayama Saiseikai General Hospital.
Clin Calcium. 2009 Jul;19(7):984-9.
Growth hormone (GH) and Insulin-like growth factor-I (IGF-I) play important roles in the homeostasis of bone throughout human life. GH deficiency causes growth failure in children and osteoporosis in adults. However, clinical situation did not always endorse such relation. And it is still unknown that the replacement may ameliorates bone loss caused by GH deficiency. Several problems after the approval of GH treatment in adult GH deficiency were discussed.
生长激素(GH)和胰岛素样生长因子-I(IGF-I)在人类一生中对骨骼的稳态起着重要作用。生长激素缺乏会导致儿童生长发育迟缓以及成人骨质疏松。然而,临床情况并不总是支持这种关系。而且,生长激素替代治疗是否能改善生长激素缺乏引起的骨质流失仍不清楚。本文讨论了成人生长激素缺乏症患者接受生长激素治疗获批后出现的几个问题。