Growth hormone and igf1 actions in kidney development and function

Evgenia Gurevich, Yael Segev, Daniel Landau

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Growth hormone (GH) exerts multiple effects on different organs including the kidneys, either directly or via its main mediator, insulin-like-growth factor-1 (IGF-1). The GH/IGF1 system plays a key role in normal kidney development, glomerular hemodynamic regulation, as well as tubular water, sodium, phosphate, and calcium handling. Transgenic animal models demonstrated that GH excess (and not IGF1) may lead to hyperfiltration, albuminuria, and glomerulosclerosis. GH and IGF-1 play a significant role in the early development of diabetic nephropathy, as well as in compensatory kidney hypertrophy after unilateral nephrectomy. Chronic kidney disease (CKD) and its complications in children are associated with alterations in the GH/IGF1 axis, including growth retardation, related to a GH-resistant state, attributed to impaired kidney postreceptor GH-signaling and chronic inflammation. This may explain the safety of prolonged rhGH-treatment of short stature in CKD.

Original languageEnglish
Article number3371
Issue number12
StatePublished - 1 Dec 2021


  • Chronic kidney disease
  • Diabetic nephropathy
  • Growth hormone
  • Growth hormone receptor
  • Insulin-like growth factor 1
  • Kidney hypertrophy
  • Receptor signaling

ASJC Scopus subject areas

  • General Medicine


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