Gene expression signatures predict response to therapy with growth hormone.


Journal

The pharmacogenomics journal
ISSN: 1473-1150
Titre abrégé: Pharmacogenomics J
Pays: United States
ID NLM: 101083949

Informations de publication

Date de publication:
10 2021
Historique:
received: 10 05 2020
accepted: 23 04 2021
revised: 17 03 2021
pubmed: 29 5 2021
medline: 11 3 2022
entrez: 28 5 2021
Statut: ppublish

Résumé

Recombinant human growth hormone (r-hGH) is used as a therapeutic agent for disorders of growth including growth hormone deficiency (GHD) and Turner syndrome (TS). Treatment is costly and current methods to model response are inexact. GHD (n = 71) and TS patients (n = 43) were recruited to study response to r-hGH over 5 years. Analysis was performed using 1219 genetic markers and baseline (pre-treatment) blood transcriptome. Random forest was used to determine predictive value of transcriptomic data associated with growth response. No genetic marker passed the stringency criteria for prediction. However, we identified an identical set of genes in both GHD and TS whose expression could be used to classify therapeutic response to r-hGH with a high accuracy (AUC > 0.9). Combining transcriptomic markers with clinical phenotype was shown to significantly reduce predictive error. This work could be translated into a single genomic test linked to a prediction algorithm to improve clinical management. Trial registration numbers: NCT00256126 and NCT00699855.

Identifiants

pubmed: 34045667
doi: 10.1038/s41397-021-00237-5
pii: 10.1038/s41397-021-00237-5
pmc: PMC8455334
doi:

Substances chimiques

Genetic Markers 0
Human Growth Hormone 12629-01-5

Banques de données

ClinicalTrials.gov
['NCT00699855', 'NCT00256126']

Types de publication

Clinical Trial, Phase IV Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

594-607

Subventions

Organisme : Medical Research Council
ID : MR/T024119/1
Pays : United Kingdom

Informations de copyright

© 2021. The Author(s).

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Auteurs

Adam Stevens (A)

Faculty of Biology, Medicine and Health, Division of Developmental Biology and Medicine, University of Manchester and Manchester Academic Health Science Centre, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.

Philip Murray (P)

Faculty of Biology, Medicine and Health, Division of Developmental Biology and Medicine, University of Manchester and Manchester Academic Health Science Centre, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.

Chiara De Leonibus (C)

Faculty of Biology, Medicine and Health, Division of Developmental Biology and Medicine, University of Manchester and Manchester Academic Health Science Centre, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.

Terence Garner (T)

Faculty of Biology, Medicine and Health, Division of Developmental Biology and Medicine, University of Manchester and Manchester Academic Health Science Centre, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.

Ekaterina Koledova (E)

Merck Healthcare KGaA, Darmstadt, Germany.

Geoffrey Ambler (G)

The Children's Hospital, Westmead, Sydney, NSW, Australia.

Klaus Kapelari (K)

Medical University Innsbruck, Innsbruck, Austria.

Gerhard Binder (G)

University-Children's Hospital, Tuebingen, Germany.

Mohamad Maghnie (M)

IRCCS G. Gaslini, Genova, Italy.

Stefano Zucchini (S)

University of Bologna, Bologna, Italy.

Elena Bashnina (E)

North-Western State Medical University, Saint-Petersburg, Russian Federation.

Julia Skorodok (J)

Saint-Petersburg State Medical University, Saint-Petersburg, Russian Federation.

Diego Yeste (D)

Hospital Materno Infantil Vall d'Hebron, Barcelona, Spain.

Alicia Belgorosky (A)

Fundacion Hospital de Pediatria, Buenos Aires, Argentina.

Juan-Pedro Lopez Siguero (JL)

Children's Hospital Malaga, Malaga, Spain.

Regis Coutant (R)

University Hospital, Angers, France.

Eirik Vangsøy-Hansen (E)

Haukeland University Hospital, Bergen, Norway.

Lars Hagenäs (L)

Karolinska Hospital, Stockholm, Sweden.

Jovanna Dahlgren (J)

University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.

Cheri Deal (C)

University of Montreal, Montreal, Quebec, Canada.

Pierre Chatelain (P)

Department Pediatrie, Hôpital Mère-Enfant-Université Claude Bernard, Lyon, France.

Peter Clayton (P)

Faculty of Biology, Medicine and Health, Division of Developmental Biology and Medicine, University of Manchester and Manchester Academic Health Science Centre, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester, UK. peter.clayton@manchester.ac.uk.

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