[en] In 12 patients (11 girls, 1 boy) with central precocious puberty and 4 patients (3 girls, 1 boy) with idiopathic short stature treated for 1 year with a GnRH superagonist, buserelin (0.3 mg intranasally, 4 times a day), a variable degree of inhibition of sex steroid secretion and pubertal development was observed. Regression of breast or genital development required a daily dosage of buserelin ≥ 34 μg/kg. After 3, 6, 9 and 12 months of treatment, the serum oestradiol level in the girls was positively related (r = 0.69) to basal serum LH measured at the same time and to change in breast development during the previous 3 months. In contrast, LH response to GnRH was very low in all the patients and not related to the degree of oestradiol inhibition. Height velocity and bone age velocity during the year of treatment showed no significant correlation with mean oestradiol level. Bone age velocity during treatment was inversely related to bone age at onset of buserelin. These data show that 1) the pituitary gonadal suppression during intranasal administration of buserelin is variable and dose-dependent; 2) gonadotropin response to GnRH is not a sensitive indicator of incomplete pituitary suppression during buserelin treatment; and 3) bone age velocity during treatment is more reduced the more advanced bone age is at onset of treatment.
Disciplines :
Endocrinology, metabolism & nutrition
Author, co-author :
Bourguignon, Jean-Pierre ; Université de Liège - ULiège > Département des sciences cliniques > Pédiatrie
Heinrichs, C.; Université de Liège - ULiège > Département de pédiatrie
Van Vliet, G.
Vandeweghe, M.; Universiteit Gent - UGent > Department of Endocrinology
Vanderschueren-Lodeweyckx, M.; Katholieke Universiteit Leuven - KUL > Department of Pediatrics
Malvaux, P.; Université Catholique de Louvain - UCL > Department of Paediatrics
Du Caju, M.
Craen, M.
Lambrechts, L.; Université de Liège - ULiège > Département de pédiatrie
Delire, M.
Ernould, Christian ; Université de Liège - ULiège > Département de pédiatrie
Language :
English
Title :
Evaluation and significance of the degree of pituitary-gonadal inhibition during intranasal administration of buserelin
Publication date :
1987
Journal title :
Acta Endocrinologica
ISSN :
0001-5598
Publisher :
Munksgaard International Publishers, Denmark
Volume :
116
Issue :
4
Pages :
519-525
Peer reviewed :
Peer Reviewed verified by ORBi
Funders :
FRSM - Fonds de la Recherche Scientifique Médicale
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