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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">problendo</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы Эндокринологии</journal-title><trans-title-group xml:lang="en"><trans-title>Problems of Endocrinology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0375-9660</issn><issn pub-type="epub">2308-1430</issn><publisher><publisher-name>Endocrinology Research Centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/probl201056311-15</article-id><article-id custom-type="elpub" pub-id-type="custom">problendo-4756</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Опыт использования отечественного препарата Растан при лечении детей с синдромом Шерешевского-Тернера</article-title><trans-title-group xml:lang="en"><trans-title>Experience with the use of domestic somatotropin Rastan for the treatment of children with Turner syndrome</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Dedov</surname><given-names>I I</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Volevodz</surname><given-names>N N</given-names></name></name-alternatives><email xlink:type="simple">nnvolevodz@mail.ru</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Malievskiĭ</surname><given-names>O A</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Peterkova</surname><given-names>V A</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib></contrib-group><pub-date pub-type="collection"><year>2010</year></pub-date><pub-date pub-type="epub"><day>15</day><month>06</month><year>2010</year></pub-date><volume>56</volume><issue>3</issue><issue-title>ТОМ 56, №3 (2010)</issue-title><fpage>11</fpage><lpage>15</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Dedov I.I., Volevodz N.N., Malievskiĭ O.A., Peterkova V.A., 2010</copyright-statement><copyright-year>2010</copyright-year><copyright-holder xml:lang="ru">Dedov I.I., Volevodz N.N., Malievskiĭ O.A., Peterkova V.A.</copyright-holder><copyright-holder xml:lang="en">Dedov I.I., Volevodz N.N., Malievskiĭ O.A., Peterkova V.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.probl-endojournals.ru/jour/article/view/4756">https://www.probl-endojournals.ru/jour/article/view/4756</self-uri><abstract><p>Целью исследования явилась оценка эффективности и безопасности лечения девочек с синдромом Шерешевского-Тернера препаратом рекомбинантного гормона роста (р-ГР) Растан (ОАО «Фармстандарт-УфаВИТА»). Под наблюдением находились 29 девочек с данным диагнозом (хронологический возраст детей при постановке диагноза 7,9±1,2 года, на начало терапии 9,8±1,6 года, костный возраст 7,5±1,1 года, длительность лечения 24 мес). Использовался препарат р-ГР в виде лиофилизата 1,33 мг для приготовления раствора для подкожного введения в дозе 0,05 мг/кг массы тела ежедневно подкожно в вечернее время. До начала лечения р-ГР скорость роста девочек с синдромом Шерешевского-Тернера составила в среднем 4,2±0,6 см/год, в первый год лечения - 8,7±0,6 см/год, на втором году лечения - 6,2±1,2 см/год. Всего за 2 года рост девочек в среднем увеличился на 0,84 SD. Не зарегистрировано каких-либо нежелательных явлений. Авторы делают заключение об эффективности и безопасности применения препарата Растан при проведении стимулирующей рост терапии у девочек с синдромом Шерешевского-Тернера.</p></abstract><trans-abstract xml:lang="en"><p>The objective of the present study was to evaluate the efficiency and safety of the treatment of girls presenting with Turner syndrome by recombinant growth hormone Rastan (Farmstandart-UfaVITA). A total 29 girls in this condition were available for observation. Their chronological age at the time of diagnosis averaged 7.9±1.2 years at the time of diagnosis and 9.8±1.6 at the onset of therapy; the bone age was 7.5±1.1 years. Duration of the treatment was 24 months. Recombinant somatotropin was used in the form of lyophilisate (1.33 mg) to prepare a solution for subcutaneous injections at a dose of 0.05 mg/kg of body weight. The solution was administered daily at evening hours. The mean growth rate of the patients with Turner syndrome was estimated at 4.2±0.6 cm/year prior to Rastan therapy, 8.7±0.6 cm/year during the first 12 months of the treatment, and 6.1±1.2 cm/yr in the second year. Overall, the height of the girls increased by 0.84 SD within the two years. No adverse effects of therapy were documented. It is concluded that the use of recombinant somatotropin Rastan is an efficacious and safe therapeutic modality for the acceleration of growth in girls with Turner syndrome.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>синдром Шерешевского-Тернера</kwd><kwd>соматотропин</kwd><kwd>рекомбинантный гормон роста</kwd><kwd>дети</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Turner syndrome</kwd><kwd>recombinant somatotropin</kwd><kwd>growth hormone</kwd><kwd>children</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Волеводз Н.Н. Системные и метаболические эффекты гормона роста у детей с различными вариантами низкорослости: Автореф. дис. … д-ра мед. наук. М 2005;283.</mixed-citation><mixed-citation xml:lang="en">Волеводз Н.Н. Системные и метаболические эффекты гормона роста у детей с различными вариантами низкорослости: Автореф. дис. … д-ра мед. наук. М 2005;283.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Дедов И.И., Волеводз Н.Н., Петеркова В.А. Синдром Шерешевского-Тернера. М 2009;56.</mixed-citation><mixed-citation xml:lang="en">Дедов И.И., Волеводз Н.Н., Петеркова В.А. Синдром Шерешевского-Тернера. М 2009;56.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Дедов И.И., Петеркова В.А. Руководство по детской эндокринологии. М: Универсум Паблишинг 2006.</mixed-citation><mixed-citation xml:lang="en">Дедов И.И., Петеркова В.А. Руководство по детской эндокринологии. М: Универсум Паблишинг 2006.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Lyon A.J., Preece M.A., Grant D.B. Growth curve for girls with Turner syndrome. Arch Dis Child 1985;60:10:932-935.</mixed-citation><mixed-citation xml:lang="en">Lyon A.J., Preece M.A., Grant D.B. Growth curve for girls with Turner syndrome. Arch Dis Child 1985;60:10:932-935.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Park E., Bailey J.D., Cowell C.A. Growth and maturation of patients with Turner's syndrome. Pediat Res 1983;17:1:1-7.</mixed-citation><mixed-citation xml:lang="en">Park E., Bailey J.D., Cowell C.A. Growth and maturation of patients with Turner's syndrome. Pediat Res 1983;17:1:1-7.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Ranke M.B., Stubbe P., Majewski F. Spontaneous growth in Turner syndrome. Acta Paediat Scand 1988;343:Suppl:22-30.</mixed-citation><mixed-citation xml:lang="en">Ranke M.B., Stubbe P., Majewski F. Spontaneous growth in Turner syndrome. Acta Paediat Scand 1988;343:Suppl:22-30.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Ranke M.B., Pfluger H., Rosendahl W. et al. Turner syndrome: spontaneous growth in 150 cases and review of the literature. Eur J Pediat 1983;141:2:81-88.</mixed-citation><mixed-citation xml:lang="en">Ranke M.B., Pfluger H., Rosendahl W. et al. Turner syndrome: spontaneous growth in 150 cases and review of the literature. Eur J Pediat 1983;141:2:81-88.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Chen H., Faigenbaum В. Psychosocial aspects of patients with the Ullrich-Turner syndrome. Am J Med Genet 1981;8:2:191- 203.</mixed-citation><mixed-citation xml:lang="en">Chen H., Faigenbaum В. Psychosocial aspects of patients with the Ullrich-Turner syndrome. Am J Med Genet 1981;8:2:191- 203.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Tanner J.M., Whitehouse R.H. Clinical longitudinal standards for height, weight, height velocity, and the stages of puberty. Arch Dis Child 1976;51:170-179.</mixed-citation><mixed-citation xml:lang="en">Tanner J.M., Whitehouse R.H. Clinical longitudinal standards for height, weight, height velocity, and the stages of puberty. Arch Dis Child 1976;51:170-179.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Ranke M.B. An introduction to Turners syndrome. Oxford Clinical Communications 1990.</mixed-citation><mixed-citation xml:lang="en">Ranke M.B. An introduction to Turners syndrome. Oxford Clinical Communications 1990.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Tanner J.M. Growth at Adolescence. 2nd ed. Oxford: Blackwell 1962.</mixed-citation><mixed-citation xml:lang="en">Tanner J.M. Growth at Adolescence. 2nd ed. Oxford: Blackwell 1962.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Greulich W.W., Pule S.I. Radiographic atlas of skeletal development of the hand and wrist. 2nd ed. Stanford: University Press 1959.</mixed-citation><mixed-citation xml:lang="en">Greulich W.W., Pule S.I. Radiographic atlas of skeletal development of the hand and wrist. 2nd ed. Stanford: University Press 1959.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Rao E., Weiss B., Fukami M., Rump A. Pseudoautosomal deletion encompassing a novel homeobox gene: cause of growth failure in idiopathic short stature and Turner syndrome. Nat Genet 1997;16:54-63.</mixed-citation><mixed-citation xml:lang="en">Rao E., Weiss B., Fukami M., Rump A. Pseudoautosomal deletion encompassing a novel homeobox gene: cause of growth failure in idiopathic short stature and Turner syndrome. Nat Genet 1997;16:54-63.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Guyda H.J. Four Decades of Growth Hormone Therapy for Short Children: What Have We Achieved? J Clin Endocrinol Metab 1999;84:12:4307-4316.</mixed-citation><mixed-citation xml:lang="en">Guyda H.J. Four Decades of Growth Hormone Therapy for Short Children: What Have We Achieved? J Clin Endocrinol Metab 1999;84:12:4307-4316.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Haeusler G., Schmitt K., Blumel P. et al. Growth hormone in combination with anabolic steroids in patients with Turner syndrome: effect on bone maturation and final height. Acta Paediat 1996;85:1408-1414.</mixed-citation><mixed-citation xml:lang="en">Haeusler G., Schmitt K., Blumel P. et al. Growth hormone in combination with anabolic steroids in patients with Turner syndrome: effect on bone maturation and final height. Acta Paediat 1996;85:1408-1414.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Rosenfeld R.G., Attie K.M., Frane J. et al. Growth hormone therapy of Turner's syndrome: beneficial effect on adult height. J Pediat 1998;132:2:319-324.</mixed-citation><mixed-citation xml:lang="en">Rosenfeld R.G., Attie K.M., Frane J. et al. Growth hormone therapy of Turner's syndrome: beneficial effect on adult height. J Pediat 1998;132:2:319-324.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Rosenfeld R.G. Growth hormone therapy in Turner's syndrome: an update on final height. Genentech National Cooperative Study Group. Acta Paediat 1992;Suppl:383:3-6.</mixed-citation><mixed-citation xml:lang="en">Rosenfeld R.G. Growth hormone therapy in Turner's syndrome: an update on final height. Genentech National Cooperative Study Group. Acta Paediat 1992;Suppl:383:3-6.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Sas T.C., de Muinck Keizer-Schrama S.M., Stijnen T. et al. Normalization of height in girls with Turner syndrome after long-term growth hormone treatment: results of a randomized dose-response trial. J Clin Endocrinol Metab 1999;84:12:4607-4612.</mixed-citation><mixed-citation xml:lang="en">Sas T.C., de Muinck Keizer-Schrama S.M., Stijnen T. et al. Normalization of height in girls with Turner syndrome after long-term growth hormone treatment: results of a randomized dose-response trial. J Clin Endocrinol Metab 1999;84:12:4607-4612.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Baxter L., Bryant J., Cave C.B., Milne R. Recombinant growth hormone for children and adolescents with Turner syndrome. Cochrane Database Syst Rev 2007;24:1.</mixed-citation><mixed-citation xml:lang="en">Baxter L., Bryant J., Cave C.B., Milne R. Recombinant growth hormone for children and adolescents with Turner syndrome. Cochrane Database Syst Rev 2007;24:1.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Chu C.E., Paterson W.F., Kelnar C.J. et al. Variable effect of growth hormone on growth and final adult height in Scottish patients with Turner's syndrome. Acta Paediat 1997;86:2:160-164.</mixed-citation><mixed-citation xml:lang="en">Chu C.E., Paterson W.F., Kelnar C.J. et al. Variable effect of growth hormone on growth and final adult height in Scottish patients with Turner's syndrome. Acta Paediat 1997;86:2:160-164.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Hsu P.Y., Tung Y.C., Tsai W.Y. et al. Effect of growth hormone therapy on adult height of children with Turner syndrome. J Formos Med Ass 2008;107:9:704-709.</mixed-citation><mixed-citation xml:lang="en">Hsu P.Y., Tung Y.C., Tsai W.Y. et al. Effect of growth hormone therapy on adult height of children with Turner syndrome. J Formos Med Ass 2008;107:9:704-709.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Khadilkar V.V., Khadilkar A.V., Nandy M., Maskati G.B. Growth hormone in turner syndrome. Indian Pediat 2006;43:3:236-240.</mixed-citation><mixed-citation xml:lang="en">Khadilkar V.V., Khadilkar A.V., Nandy M., Maskati G.B. Growth hormone in turner syndrome. Indian Pediat 2006;43:3:236-240.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Morin A., Guimarey L.M., Apezteguia M., Santucci Z.C. Adult height in Turner Syndrome girls after long-term growth hormone treatment. Medicina (B Aires) 2009;69:4:431-436.</mixed-citation><mixed-citation xml:lang="en">Morin A., Guimarey L.M., Apezteguia M., Santucci Z.C. Adult height in Turner Syndrome girls after long-term growth hormone treatment. Medicina (B Aires) 2009;69:4:431-436.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Pasquino A.M., Pucarelli I., Segni M. et al. Adult height in sixty girls with Turner syndrome treated with growth hormone matched with an untreated group. J Endocrinol Inv 2005;28:4:350-356.</mixed-citation><mixed-citation xml:lang="en">Pasquino A.M., Pucarelli I., Segni M. et al. Adult height in sixty girls with Turner syndrome treated with growth hormone matched with an untreated group. J Endocrinol Inv 2005;28:4:350-356.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Soriano-Guillen L., Coste J., Ecosse E. et al. Adult height and pubertal growth in Turner syndrome after treatment with recombinant growth hormone. J Clin Endocrinol Metab 2005;90:9:5197-5204.</mixed-citation><mixed-citation xml:lang="en">Soriano-Guillen L., Coste J., Ecosse E. et al. Adult height and pubertal growth in Turner syndrome after treatment with recombinant growth hormone. J Clin Endocrinol Metab 2005;90:9:5197-5204.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Stephure D.K. Canadian Growth Hormone Advisory Committee. Impact of growth hormone supplementation on adult height in turner syndrome: results of the Canadian randomized controlled trial. J Clin Endocrinol Metab 2005;90:6:3360-3366.</mixed-citation><mixed-citation xml:lang="en">Stephure D.K. Canadian Growth Hormone Advisory Committee. Impact of growth hormone supplementation on adult height in turner syndrome: results of the Canadian randomized controlled trial. J Clin Endocrinol Metab 2005;90:6:3360-3366.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Van den Broeck J., Massa G.G., Attanasio A. et al. Final height after long-term growth hormone treatment in Turner syndrome. J Pediat 1995;127:729-735.</mixed-citation><mixed-citation xml:lang="en">Van den Broeck J., Massa G.G., Attanasio A. et al. Final height after long-term growth hormone treatment in Turner syndrome. J Pediat 1995;127:729-735.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Davenport M.L., Crowe B.J., Travers S.H. et al. Growth hormone treatment of early growth failure in toddlers with Turner syndrome: a randomized, controlled, multicenter trial. J Clin Endocrinol Metab 2007;92:9:3406-3416.</mixed-citation><mixed-citation xml:lang="en">Davenport M.L., Crowe B.J., Travers S.H. et al. Growth hormone treatment of early growth failure in toddlers with Turner syndrome: a randomized, controlled, multicenter trial. J Clin Endocrinol Metab 2007;92:9:3406-3416.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Ranke M.B., Wilton P. Growth homone therapy in KIGS: 10 years' experience. Leipzig: Barth 1999.</mixed-citation><mixed-citation xml:lang="en">Ranke M.B., Wilton P. Growth homone therapy in KIGS: 10 years' experience. Leipzig: Barth 1999.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Ranke M.B., Lindberg A., Ferrández Longás A. et al. KIGS International Board. Major determinants of height development in Turner syndrome (TS) patients treated with GH: analysis of 987 patients from KIGS. Pediat Res 2007;61:1:105-110.</mixed-citation><mixed-citation xml:lang="en">Ranke M.B., Lindberg A., Ferrández Longás A. et al. KIGS International Board. Major determinants of height development in Turner syndrome (TS) patients treated with GH: analysis of 987 patients from KIGS. Pediat Res 2007;61:1:105-110.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
