Pediatric endocrinology

Combined Arginine and Insulin Stimulation Elicits a Robust and Consistent Copeptin Response in Short Children

Horm Res PaediatrPublished Prospective single-arm study

Authors' conclusion

Arginine and insulin appear to have an additive and consistent effect resulting in significant stimulation of copeptin secretion in children. The AITT may be a useful tool to evaluate for normal posterior pituitary function in this age-group, with potential implications for the evaluation of polyuria-polydipsia syndrome.

Study context

Population
Children aged 7–16 years undergoing GH stimulation testing with arginine-insulin tolerance test (AITT) for short stature or growth deceleration, tertiary referral center
Participants
38 children
Outcome
Peak copeptin concentration
Methodological detailstertiary referral center
  • Tertiary referral center

Main finding

As reported in the abstract

Serum copeptin concentration · 0, 60 and 90 min

Copeptin at 0 min (mean ± SD)

9.9 ± 5.0 pmol/L

Copeptin at 60 min (post-arginine; mean ± SD)

13.2 ± 5.8 pmol/L; p < 0.0001 vs. 0 min

Copeptin at 90 min (post-insulin; mean ± SD)

27.7 ± 14.2 pmol/L; p < 0.0001 vs. 0 and 60 min

Observational data: associations, not effects.

Further findings

No significant correlation between copeptin concentrations and age, BMI, pubertal status, cortisol, GH or glucose concentrations

Original publication

Combined Arginine and Insulin Stimulation Elicits a Robust and Consistent Copeptin Response in Short Children. Horm Res Paediatr. Published 13 December 2022. doi:10.1159/000528661

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