Clinical Effects of E. coli Derived Recombinant Human Growth Hormone (DA
- Author:
Sei Won YANG
;
Jeh Hoon SHIN
;
Duk Hi KIM
;
Byung Churl LEE
;
Hyung Ro MOON
- Publication Type:Original Article
- Keywords:
Human growth hormone;
DA
- MeSH:
Body Height;
Chemistry;
Child;
DNA, Recombinant;
Growth Hormone;
Human Growth Hormone;
Humans;
Insulin-Like Growth Factor I;
Korea;
Plasma;
Thyroid Gland;
Treatment Outcome;
Urinalysis
- From:Journal of Korean Society of Endocrinology
1995;10(4):377-385
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recently, methionyl-hGH was produced in the E. coil K-12, W3110 by recombinant DNA technology in Korea. In this paper, the clinical efficacy and immunogenicity of this GH were studied in 43 patients with growth hormone deficency.The subjects of this study were aged 4.3-18.5 years and each patient received GH 0.5-0.71U/kg week subcutaneously, 6-7 times a week for 1 year. During treatment, height, body weight and bone age were checked. Blood count, urinalysis, blood chemistry and thyroid hormonal concentrations were checked before and every 3 months. The measurement of IGF-1 was performed and assay of antibody against hGH was performed before and every 6 months.The height velocities significantly increased from 3.7+-3.0 cm/year to 11.0+-4.2 cm/year and 9.9+-3.2 cm/year at 6 and 12 months after GH therapy, respectively. The Height SDS were significantly improved after GH therapy with increasing ratio of bone age to chronological age from 0.60+-0.19 at pretreatment to 0.68+-0.16 at 6 month, 0.69+-0.16 at 12 month of therapy. The plasma IGF-1 levels significantly increased during treatment. Three out of 35 patients(8.3%) showed antibody against hGH after 1 year of treatment. Thoughout study, we could not observe any remarkable side effect with GH treatment.These results indicate that this E. coli derived methionyl recombinant growth hormone is effective in improving the index of linear growth in the children with growth hormone deficiency without significant side effect.
