In the first year of this pilot study we successfully initiated a prospective study of growth and growth factors in pediatric patients. The preliminary findings are exciting because of two major findings. The first is that during illnesses which have been shown to alter insulin- like growth factors (IGF) and induce proteolysis of insulin-like binding proteins (IGFBP), acid labile substance (ALS) and IGFBP-2 levels are not altered. These growth factors may be the best serum factors to evaluate growth hormone (GH) production. The relationship of these growth factors and primed provocative GH testing during illness will be of extreme interest. Such studies are planned for the beginning of the year after diagnosis. Several patients are approaching that anniversary. The second is that the poor growth immediately following cancer diagnosis and treatment is not due to GHD and may not be due to IGF-1 or IGFBP-3 deficiency. The second year studies should further validate these preliminary results.

Project Start
Project End
Budget Start
1997-10-01
Budget End
1998-09-30
Support Year
34
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Children's Hospital of Philadelphia
Department
Type
DUNS #
073757627
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
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