About this Research Topic
Current guidelines about GHD diagnosis and treatment have been elaborated, but many questions remain debated. New tests for diagnosis have recently been proposed, and non-conventional indications for diagnosis and treatment deserve further investigations. Controlled trials on the beneficial effects on morbidity and mortality are still lacking and new formulations of GH are under investigation. Several questions are related to the age of affected patients (from transition age to ageing) and no indications are available on how long the therapy should be considered. Other concerns are related to a possible pro-oncogenic effect, especially in patients who develop the deficiency after a removal of a hypothalamic-pituitary tumor. The interrelations with other pituitary axes need further clarification since isolate GHD and multiple pituitary deficiencies may have a different spectrum of manifestation.
The aim of this Research Topic is to furnish deeper insight to questions related to aGHD: from molecular pathways involved in the pathophysiology to diagnostic tools and replacement therapy.
Review articles and original papers, both translational and clinical, are welcome, and should focus on one of the following topics
• Interaction of GH-IGF-1 axis with other regulatory factors (Ghrelin, Klotho…)
• Interaction of GH with other pituitary defects (in clinical presentation, diagnosis, and treatment)
• GH as co-gonadotropin and its impact on reproduction
• Diagnosis and treatment of transition age
• Cut-off for diagnosis in specific setting
• GH therapy in diabetic patients
• GH treatment in oncology
• GH replacement in the elderly
• Role of GHR polymorphisms on therapy efficacy
• Usefulness and/or potential pitfall of long-acting GH analogues
Keywords: Hypopituitarism, growth hormone, personalized medicine, pituitary, neuroendocrinology
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