Pediatric endocrinology

Growth Hormone Deficiency and Subsequent Replacement Therapy Trigger Differential Expression of Specific MicroRNAs in Males and Females: Not Just a Matter of Height

Horm Res PaediatrPublished Secondary analysis of a published miRNA profiling dataset

Authors' conclusion

Overall, in addition to the shared changes previously documented by our group, this study shows that prepubertal males and females with isolated idiopathic GHD have distinct miRNA profiles before and after 3 months on GHT, suggesting gender effects that are not currently taken into consideration while treating pediatric patients.

Study context

Population
Prepubertal children with isolated idiopathic GH deficiency (GHD)
Comparison
miRNA profiles in females vs males with GHD, before and after 3 months of GH therapy (GHT)
Primary endpoint
Gender-specific changes in miRNA profile
Follow-up
Before and after 3 months on GHT
Methodological detailsGSE193450, re-analysis, pathway enrichment analysis, sex-stratified
  • GSE193450
  • Re-analysis
  • Pathway enrichment analysis
  • Sex-stratified

Primary result

As reported in the abstract

Significantly upregulated miRNAs · before start of GHT
  • Females: 3 microRNAs (miRNAs) significantly upregulated (hsa-miR-185-5p, hsa-miR-380-3p, hsa-miR-486-5p)
  • Males: 9 miRNAs significantly upregulated (hsa-miR-30b-5p, hsa-miR-30c-5p, hsa-miR-132-3p, hsa-miR-139-5p, hsa-miR-142-5p, hsa-miR-195-5p, hsa-miR-197-3p, hsa-miR-200c-3p, hsa-miR-340-5p)

Further findings

Significantly upregulated miRNAs · after 3 months of GHT

Females: 3 miRNAs significantly upregulated (hsa-miR-124-3p, hsa-miR-215-5p, hsa-miR-525-3p)
Males: 4 miRNAs significantly upregulated (hsa-miR-30c-5p, hsa-miR-30e-5p, hsa-miR-551b-3p, hsa-miR-671-3p)

Pathway enrichment

Most affected pathways included Wnt, TGFβ, Jak-STAT and p53 signaling

Original publication

Growth Hormone Deficiency and Subsequent Replacement Therapy Trigger Differential Expression of Specific MicroRNAs in Males and Females: Not Just a Matter of Height. Horm Res Paediatr. Published 20 March 2026. doi:10.1159/000551459

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