Evaluation of serum kisspeptin levels in girls in the diagnosis of central precocious puberty and in the assessment of pubertal suppression.
Demirbilek. Huseyin H; Gonc. Elmas Nazli EN; Ozon. Alev A; Alikasifoglu. Ayfer A; Kandemir. Nurgun N
Key Findings
- Girls with central precocious puberty have higher serum kisspeptin (ā10.2āÆpg/mL) than preāpubertal peers (ā8.6āÆpg/mL).
- Kisspeptin levels fall significantly (to ā7.3āÆpg/mL) after six months of GnRHāanalog therapy that suppresses puberty.
- The change in kisspeptin may be useful as an additional lab marker for diagnosing CPP and monitoring treatment effectiveness.
Practical Outcomes
- For most biohackers, this isnāt a direct tool for performance or longevity, but it highlights kisspeptinās link to puberty regulation. If youāre exploring hormone modulation, measuring kisspeptin could help confirm whether a GnRHāblocking regimen is effective, though itās mainly a clinical diagnostic aid.
Summary
The study found that girls with early puberty have higher blood levels of the hormone kisspeptin, and those levels drop when treatment successfully stops puberty. This suggests kisspeptin could help doctors confirm early puberty and track if treatment is working, but it doesnāt give a new way to boost health or performance for most people.
Abstract
Onset of puberty is dependent on pulsatile secretion of gonadotropin releasing hormone (GnRH). The kisspeptin-GPR54 signaling system has a considerable role in GnRH physiology and induction of puberty. To evaluate kisspeptin levels in girls with central precocious puberty (CPP) at the time of the diagnosis and during follow-up, to determine whether or not kisspeptin may serve as a marker for diagnosis and follow-up of CPP. Kisspeptin levels of 28 girls with CPP were measured at the time of diagnosis and repeated at the 6th month of therapy after complete pubertal suppression and compared to kisspeptin levels of 13 age-matched prepubertal controls. Kisspeptin levels of girls with CPP (10.2 +/- 2.6 pg/mL) were higher than those in controls (8.6 +/- 1.5 pg/mL (p = 0.019). There was a significant decline in the kisspeptin levels (7.3 +/- 1.3 pg/mL) of girls with CPP after pubertal suppression (p < 0.0001). These findings suggest that kisspeptin levels can be used as corroborative evidence for diagnosis of CPP and a valuable parameter for monitoring treatment efficacy.
Study Information
pubmed
2012
2012-04-01T00:00:00.000Z
10.1515/jpem-2011-0445
27
16