Pediatric endocrinology

The Use of miRNA Panel as a Growth Plate Marker of Short‐Term Response to Growth Hormone (GH)

Clin Endocrinol (Oxf)Published Prospective study

Authors' conclusion

While this miRNA panel identified treatment-responsive miRNAs, it did not correlate with growth outcomes. Increasing the sample size and incorporating additional miRNAs could enhance its clinical utility for predicting GH treatment sensitivity in GHD patients.

Study context

Population
Prepubertal children with growth hormone deficiency (GHD) treated with daily rhGH (0.033 mg/kg) for 6 months3 excluded or withdrew
Participants
16 children
Exposure
Circulating miRNA levels during rhGH therapy; treatment-naïve vs prior GH therapy
Outcome
Circulating levels of six miRNAs (miR-22-3p, miR-30c-5p, miR-140-5p, miR-340-5p, miR-494-3p, miR-16-5p) by digital PCR
Follow-up
Baseline, 1, 3 and 6 months

Main finding

As reported in the abstract

  • All microRNAs (miRNAs): significant increases at 1 and 6 months, with a transient decline at 3 months
  • No significant correlations between miRNA levels and growth velocity, height SDS or IGF-1 levels

Observational data: associations, not effects.

Further findings

OutcomeP value
Height-SDS gains, treatment-naïve vs prior GH therapyGreater height-SDS gains with treatment-naïveP = 0.008

miRNA expression, treatment-naïve vs prior GH therapy

No differences in miRNA expression between groups; no correlation between miRNA levels and height-SDS increments

Original publication

The Use of miRNA Panel as a Growth Plate Marker of Short‐Term Response to GH. Clin Endocrinol (Oxf). Published 20 May 2025. doi:10.1111/cen.15278

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