Abstract
Objective: To analyze and determine the quality of functioning in different components of GHRH-GH-IGF1 axis in children with Down syndrome (DS). Design: Systematic review and mini meta-analysis of the literature. Methods: A search was performed in PubMed, Embase, Scopus, and PsycINFO through August 2022. Eligible studies included pediatric patients with DS who had undergone any laboratory evaluation of the GHRH-GH-IGF1 axis. Two reviewers independently screened articles for eligibility. Results of each type of test were weighed together in patients both with and without DS and were pooled using a random effects meta-analysis. Results: In total, 20 studies assessed the GHRH-GH-IGF1 axis function. A defect in three major components of GHRH-GH-IGF1 axis was found in a significant proportion of pediatric DS patients. Conclusions: A significant portion of short-stature pathogenesis in children with DS is associated with impaired GHRH-GH-IGF1 axis function.
Original language | English |
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Article number | 1132296 |
Journal | Frontiers in Pediatrics |
Volume | 11 |
DOIs | |
State | Published - 1 Jan 2023 |
Keywords
- Down syndrome
- IGF1
- bio-inactive GH
- growth hormone
- hypothalamus
- neurosecretory dysfunction
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health