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Growth hormone replacement—implications for bone health

Hypopituitarism, including growth hormone (GH) deficiency, is accompanied by increased morbidity and mortality. These factors may be due to the underlying disease and treatments such as surgery or radiotherapy, but can also arise from GH substitution therapy at nonphysiological doses. Nevertheless, emerging long-term data on GH replacement therapy now indicate benefits for bone health.

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References

  1. Elbornsson, M. et al. Fifteen years of growth hormone (GH) replacement increases bone mineral density in hypopituitary patients with adult onset GH deficiency. Eur. J. Endocrinol. http://dx.doi.org/10.1530/EJE-11-1072.

  2. Giustina, A. Mazziotti, G. & Canalis, E. Growth hormone, insulin-like growth factors, and the skeleton. Endocr. Rev. 29, 535–539 (2008).

    Article  CAS  Google Scholar 

  3. Holmer, H. et al. Fracture incidence in GH-deficient patients on complete hormone replacement including GH. J. Bone Miner. Res. 22, 1842–1850 (2007).

    Article  Google Scholar 

  4. Brixen, K. et al. Short-term treatment with growth hormone stimulates osteoblastic and osteoclastic activity in osteopenic postmenopausal women: a dose response study. J. Bone Miner. Res. 10, 1865–1874 (1995).

    Article  CAS  Google Scholar 

  5. Hansen, T. B. et al. Effects of 12 months of growth hormone (GH) treatment on calciotropic hormones, calcium homeostasis, and bone metabolism in adults with acquired GH deficiency: a double blind, randomized, placebo-controlled study. J. Clin. Endocrinol. Metab. 81, 3352–3359 (1996).

    CAS  PubMed  Google Scholar 

  6. Götherström, G., Bengtsson, B. A., Bosaeus, I., Johannsson, G. & Svensson, J. Ten-year GH replacement increases bone mineral density in hypopituitary patients with adult onset GH deficiency. Eur. J. Endocrinol. 156, 55–64 (2007).

    Article  Google Scholar 

  7. Jørgensen, A. P. et al. Favorable long-term effects of growth hormone replacement therapy on quality of life, bone metabolism, body composition and lipid levels in patients with adult-onset growth hormone deficiency. Growth Horm. IGF Res. 21, 69–75 (2011).

    Article  Google Scholar 

  8. Rubeck, K. Z. Bertelsen, S., Vestergaard, P. & Jørgensen, J. O. Impact of GH substitution on exercise capacity and muscle strength in GH-deficient adults: a meta-analysis of blinded, placebo-controlled trials. Clin. Endocrinol. (Oxf.) 71, 860–866 (2009).

    Article  CAS  Google Scholar 

  9. Götherström, G. et al. Ten years of growth hormone (GH) replacement normalizes muscle strength in GH-deficient adults. J. Clin. Endocrinol. Metab. 94, 809–816 (2009).

    Article  Google Scholar 

  10. Benito, M. et al. Effect of testosterone replacement on trabecular architecture in hypogonadal men. J. Bone Miner. Res. 20, 1785–1791 (2005).

    Article  CAS  Google Scholar 

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Correspondence to Jens Bollerslev.

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A. P. Jørgensen declares associations with the following companies: Novartis (speakers bureau), Novo Nordisk (speakers bureau; grant/research support), Merck Serono (speakers bureau; grant/research support), Pfizer (speakers bureau; grant/research support). J. Bollerslev declares he has received grant/research support from the following companies: Novartis, Novo Nordisk, Merck Serono, Pfizer.

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Jørgensen, A., Bollerslev, J. Growth hormone replacement—implications for bone health. Nat Rev Endocrinol 8, 325–326 (2012). https://doi.org/10.1038/nrendo.2012.50

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