RT Journal Article T1 Gene expression signatures predict response to therapy with growth hormone. A1 Stevens, Adam A1 Murray, Philip A1 De-Leonibus, Chiara A1 Garner, Terence A1 Koledova, Ekaterina A1 Ambler, Geoffrey A1 Kapelari, Klaus A1 Binder, Gerhard A1 Maghnie, Mohamad A1 Zucchini, Stefano A1 Bashnina, Elena A1 Skorodok, Julia A1 Yeste, Diego A1 Belgorosky, Alicia A1 Lopez-Siguero, Juan-Pedro A1 Coutant, Regis A1 Vangsoy-Hansen, Eirik A1 Hagenas, Lars A1 Dahlgren, Jovanna A1 Deal, Cheri A1 Chatelain, Pierre A1 Clayton, Peter K1 Gene Expression Profiling K1 Genetic Markers K1 Growth Disorders K1 Human Growth Hormone AB Recombinant human growth hormone (r-hGH) is used as a therapeutic agent for disorders of growth including growth hormone deficiency (GHD) and Turner syndrome (TS). Treatment is costly and current methods to model response are inexact. GHD (n = 71) and TS patients (n = 43) were recruited to study response to r-hGH over 5 years. Analysis was performed using 1219 genetic markers and baseline (pre-treatment) blood transcriptome. Random forest was used to determine predictive value of transcriptomic data associated with growth response. No genetic marker passed the stringency criteria for prediction. However, we identified an identical set of genes in both GHD and TS whose expression could be used to classify therapeutic response to r-hGH with a high accuracy (AUC > 0.9). Combining transcriptomic markers with clinical phenotype was shown to significantly reduce predictive error. This work could be translated into a single genomic test linked to a prediction algorithm to improve clinical management. PB Nature Publishing Group YR 2021 FD 2021-05-27 LK http://hdl.handle.net/10668/17843 UL http://hdl.handle.net/10668/17843 LA en NO Stevens A, Murray P, De Leonibus C, Garner T, Koledova E, Ambler G, et al. Gene expression signatures predict response to therapy with growth hormone. Pharmacogenomics J. 2021 Oct;21(5):594-607 DS RISalud RD Apr 7, 2025