Effect of rhGH treatment on lipidome and brown fat activity in prepuberal small for gestational age children: a pilot study

Abstract Recombinant human growth hormone (rhGH) therapy is the primary treatment for children born small for gestational age (SGA) who fail to show spontaneous catch-up growth by two or four years. While its effects on white adipose tissue are well-documented, this pilot study aimed to investigate...

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Main Authors: Lorena González, Carolina Gonzalez-Riano, Pablo Fernández-García, Rubén Cereijo, Aina Valls, Andrea Soria-Gondek, Nativitat Real, Belén Requena, Joan Bel-Comos, Patricia Corrales, David Jiménez-Pavón, Coral Barbas, Francesc Villarroya, David Sánchez-Infantes, Marta Murillo
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-89546-4
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author Lorena González
Carolina Gonzalez-Riano
Pablo Fernández-García
Rubén Cereijo
Aina Valls
Andrea Soria-Gondek
Nativitat Real
Belén Requena
Joan Bel-Comos
Patricia Corrales
David Jiménez-Pavón
Coral Barbas
Francesc Villarroya
David Sánchez-Infantes
Marta Murillo
author_facet Lorena González
Carolina Gonzalez-Riano
Pablo Fernández-García
Rubén Cereijo
Aina Valls
Andrea Soria-Gondek
Nativitat Real
Belén Requena
Joan Bel-Comos
Patricia Corrales
David Jiménez-Pavón
Coral Barbas
Francesc Villarroya
David Sánchez-Infantes
Marta Murillo
author_sort Lorena González
collection DOAJ
description Abstract Recombinant human growth hormone (rhGH) therapy is the primary treatment for children born small for gestational age (SGA) who fail to show spontaneous catch-up growth by two or four years. While its effects on white adipose tissue are well-documented, this pilot study aimed to investigate its impact on the lipidome and the thermogenic and endocrine activities of brown adipose tissue (BAT) in SGA children following rhGH treatment. The study involved 11 SGA children divided into two groups: (a) SGA children who were not treated with rhGH (n = 4) and (b) SGA children who received rhGH treatment with Saizen® (n = 7). This second group of seven SGA children was followed for 12 months after initiating rhGH treatment. Interventions included 12-hour fasting blood extraction and infrared thermography at baseline and 3 and 12 months post-treatment. Five appropriate-for-gestational-age (AGA) children served as controls. Exclusion criteria included endocrinological, genetic, or chronic diseases. Untargeted lipidomics analysis was performed using liquid chromatography-mass spectrometry (LC-MS), and serum biomarker levels were measured using ELISA assays. Serum lipidomic analysis revealed that free fatty acids (FFAs) increased to levels close to those of the AGA group after three months of rhGH administration, including polyunsaturated fatty acids, correlating with reduced leptin levels. Elevated levels of 1a,1b-dihomo-PGJ2 and adrenic acid suggested potential aging markers. rhGH treatment also significantly reduced meteorin-like (METRNL) and monocyte chemoattractant protein-1 (MCP1) serum levels to control levels. rhGH influences the serum lipidome, promoting changes in maturation and metabolism. Further research is required to clarify the direct effects of rhGH on specific lipid species and batokines, potentially addressing metabolic disturbances linked to obesity and aging.
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spelling doaj-art-7e7e1711164e4ec4bc1f6ed0713d71352025-02-09T12:32:30ZengNature PortfolioScientific Reports2045-23222025-02-0115111110.1038/s41598-025-89546-4Effect of rhGH treatment on lipidome and brown fat activity in prepuberal small for gestational age children: a pilot studyLorena González0Carolina Gonzalez-Riano1Pablo Fernández-García2Rubén Cereijo3Aina Valls4Andrea Soria-Gondek5Nativitat Real6Belén Requena7Joan Bel-Comos8Patricia Corrales9David Jiménez-Pavón10Coral Barbas11Francesc Villarroya12David Sánchez-Infantes13Marta Murillo14Fundació Institut Germans Trias i PujolCentro de Metabolómica y Bioanálisis (CEMBIO), Facultad de Farmacia, Universidad San Pablo-CEU, CEU Universities, Urbanización MontepríncipeDepartment of Basic Health Sciences, University Rey Juan Carlos (URJC)Departament of Biochemistry and Molecular Biomedicine, and Institut de Biomedicina (IBUB), University of BarcelonaPediatric Department, Hospital Universitari Germans Trias i PujolPediatric Department, Hospital Universitari Germans Trias i PujolPediatric Department, Hospital Universitari Germans Trias i PujolCentro de Metabolómica y Bioanálisis (CEMBIO), Facultad de Farmacia, Universidad San Pablo-CEU, CEU Universities, Urbanización MontepríncipePediatric Department, Hospital Universitari Germans Trias i PujolDepartment of Basic Health Sciences, University Rey Juan Carlos (URJC)MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of CadizCentro de Metabolómica y Bioanálisis (CEMBIO), Facultad de Farmacia, Universidad San Pablo-CEU, CEU Universities, Urbanización MontepríncipeDepartament of Biochemistry and Molecular Biomedicine, and Institut de Biomedicina (IBUB), University of BarcelonaDepartment of Basic Health Sciences, University Rey Juan Carlos (URJC)Pediatric Department, Hospital Universitari Germans Trias i PujolAbstract Recombinant human growth hormone (rhGH) therapy is the primary treatment for children born small for gestational age (SGA) who fail to show spontaneous catch-up growth by two or four years. While its effects on white adipose tissue are well-documented, this pilot study aimed to investigate its impact on the lipidome and the thermogenic and endocrine activities of brown adipose tissue (BAT) in SGA children following rhGH treatment. The study involved 11 SGA children divided into two groups: (a) SGA children who were not treated with rhGH (n = 4) and (b) SGA children who received rhGH treatment with Saizen® (n = 7). This second group of seven SGA children was followed for 12 months after initiating rhGH treatment. Interventions included 12-hour fasting blood extraction and infrared thermography at baseline and 3 and 12 months post-treatment. Five appropriate-for-gestational-age (AGA) children served as controls. Exclusion criteria included endocrinological, genetic, or chronic diseases. Untargeted lipidomics analysis was performed using liquid chromatography-mass spectrometry (LC-MS), and serum biomarker levels were measured using ELISA assays. Serum lipidomic analysis revealed that free fatty acids (FFAs) increased to levels close to those of the AGA group after three months of rhGH administration, including polyunsaturated fatty acids, correlating with reduced leptin levels. Elevated levels of 1a,1b-dihomo-PGJ2 and adrenic acid suggested potential aging markers. rhGH treatment also significantly reduced meteorin-like (METRNL) and monocyte chemoattractant protein-1 (MCP1) serum levels to control levels. rhGH influences the serum lipidome, promoting changes in maturation and metabolism. Further research is required to clarify the direct effects of rhGH on specific lipid species and batokines, potentially addressing metabolic disturbances linked to obesity and aging.https://doi.org/10.1038/s41598-025-89546-4Recombinant human growth hormoneLipidomeBrown adipose tissueSmall for gestational age
spellingShingle Lorena González
Carolina Gonzalez-Riano
Pablo Fernández-García
Rubén Cereijo
Aina Valls
Andrea Soria-Gondek
Nativitat Real
Belén Requena
Joan Bel-Comos
Patricia Corrales
David Jiménez-Pavón
Coral Barbas
Francesc Villarroya
David Sánchez-Infantes
Marta Murillo
Effect of rhGH treatment on lipidome and brown fat activity in prepuberal small for gestational age children: a pilot study
Scientific Reports
Recombinant human growth hormone
Lipidome
Brown adipose tissue
Small for gestational age
title Effect of rhGH treatment on lipidome and brown fat activity in prepuberal small for gestational age children: a pilot study
title_full Effect of rhGH treatment on lipidome and brown fat activity in prepuberal small for gestational age children: a pilot study
title_fullStr Effect of rhGH treatment on lipidome and brown fat activity in prepuberal small for gestational age children: a pilot study
title_full_unstemmed Effect of rhGH treatment on lipidome and brown fat activity in prepuberal small for gestational age children: a pilot study
title_short Effect of rhGH treatment on lipidome and brown fat activity in prepuberal small for gestational age children: a pilot study
title_sort effect of rhgh treatment on lipidome and brown fat activity in prepuberal small for gestational age children a pilot study
topic Recombinant human growth hormone
Lipidome
Brown adipose tissue
Small for gestational age
url https://doi.org/10.1038/s41598-025-89546-4
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