Evidence map›Paper›PMID 41211650›Full record

ArticleClinical genetics2026

Impact of Growth Hormone Treatment in Children From an Extended Family With ACAN -Related Short Stature.

Einat Shalev-Goldman, Ayman Asaly, Hadas Ityel, Ben Pode-Shakked, Dalit Modan-Moses, Yael Levy-Shraga

Abstract read
In one paragraph

Article in Clinical genetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Einat Shalev-GoldmanFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Ayman AsalyFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Hadas ItyelFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Ben Pode-ShakkedFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Dalit Modan-MosesFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Yael Levy-ShragaFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-8603-4230

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heterozygous variants in the ACAN gene are a recognized cause of short stature. We aimed to evaluate the response to growth hormone (GH) treatment in members of an extended family carrying an ACAN variant. Clinical and laboratory data of five related children were retrospectively collected. GH therapy was initiated at a mean age of 3.2 ± 2.1 years and treated for 6.4 ± 5.0 years. The height standard deviation scores (SDS) increased from -3.3 ± 1.0 to -2.0 ± 1.1 (p = 0.001), with a mean gain of 1.3 ± 0.3 SDS. The most notable increase in growth velocity SDS occurred during the first year of treatment (-0.5 ± 0.6 to 2.1 ± 1.2; p = 0.04). No adverse effects were observed, and bone age did not advance significantly. Three children entered puberty between the ages of 10 and 11.6 years and received adjunctive gonadotropin releasing hormone analog therapy. Genetic testing identified a heterozygous nonsense variant in the ACAN (c.2023C>T; p.Arg675*). Our findings suggest that GH therapy can improve growth velocity in children with ACAN-related short stature, though the degree of response varies even within the same family. The long-term impact on final adult height remains to be elucidated.

Indexed as

AggrecansDwarfismGrowth DisordersGrowth HormoneHuman Growth HormoneAdolescentBody HeightChildChild, PreschoolExtended FamilyFemaleHeterozygoteHumansMalePedigreeRetrospective StudiesACAN protein, humanAggrecansGrowth HormoneHuman Growth HormoneACANgrowth hormoneidiopathic short staturetreatment

Identifiers

PMID41211650
PMCPMC12779246

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.