We have previously reported transient depression of % B cells, Phytohemagglutinin (PHA) responsiveness and T Helper/Suppressor cell (T H/S) ratios in GH-deficient children during treatment (Tx) with pituitary derived human growth hormone (PHGH) (J Pediatr 109:434, 1986). In vitro, incubation of peripheral blood lymphocytes. (PBL) with GH resulted in decreased % B cells. The PBL of children undergoing GH Tx had increased baseline and GH stimulated proliferation. In the current study, we evaluated IF during Tx with BMHGH (kindly provided by Eli Lilly & Co.) in 7 children, ages 4-15, 2 female. Four pts. had been part of the previously cited report. Cell surface markers (SM) and interleukin-2 receptors (IL-2r) were measured by flow cytometry. All pts. had normal baseline IF. Data obtained during 6 months of Tx were analyzed. % B cells decreased significantly at 1 month of Tx (mean change vs baseline −3.9 ± 3.2, p<.05 by two-tailed paired T test) and remained below baseline in most pts. at 3 and 6 months, confirming our in vitro and in vivo findings with PHGH. % T total cells increased (mean change +3.5 ± 3.4, p<.05) at 1 month. There were no other statistically significant changes in SM. Mitogen responses to PHA and concanavalin-A (Con-A) increased in 5/7 and 6/7 pts. at 1 day-1 month of Tx, in agreement with our in vitro data. At 3 months of Tx PHA and Con-A responses decreased in 2/7 and 6/7 children respectively. IL-2r expression was diminished at 1 day-1 month in 6/7 pts. Most of these changes were transient and none was clinically evident. We provide first evidence that BMHGH treatment does affect IF in children. The effects of BMHGH on IF appear to be similar to those of PHGH. These data further support our concept of the presence of a GH-immune network that needs to be considered when treating children with human growth hormone.
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