Detection of HGH Doping: Isoform Method
HGH Isoform Method (Christian Strasburger Method): An effective method for detecting HGH was first presented by Strasburger et al. in 1999. In this method, the concentration of 22 kD growth hormone (molecular weight 22,000, 22 kD) is determined relative to the sum of all growth hormone isoforms produced in the pituitary gland (see references below).
Since genetically engineered HGH consists solely of HGH with a molecular weight of 22 kD, the 22 kD fraction increases significantly after HGH administration compared to the sum of all growth hormone isomers. This makes it possible to distinguish between doping use and endogenous production. During natural stimulation of HGH production (such as after physical exertion), all growth hormone variants are produced in increased amounts and released into the blood. The ratio of 22 kD to the total pituitary growth hormones remains relatively constant.
References:
- Bidlingmaier M, Suhr J, Ernst A, Wu Z, Keller A, Strasburger CJ, Bergmann A: High-sensitivity chemiluminescence immunoassays for detection of growth hormone doping in sports. Clin Chem. 2009 Mar;55(3):445-53. Epub 2009 Jan 23.
- Bidlingmaier M, Manolopoulou J: Detecting growth hormone abuse in athletes. Endocrinol Metab Clin North Am. 2010 Mar;39(1):25-32, vii.
- Barroso O, Schamasch P, Rabin O. Detection of GH abuse in sport: Past, present and future. Growth Horm IGF Res. 2009 Aug;19(4):369-74.
- Bidlingmaier M, Wu Z, Strasburger CJ.: Doping with growth hormone. J Pediatr Endocrinol Metab. 2001 Sep-Oct;14(8):1077-83.ff
- Bidlingmaier M, Wu Z, Strasburger CJ.: Test method: GH. Baillieres Best Pract Res Clin Endocrinol.
Metab. 2000 Mar;14(1):99-109. - Wu Z, Bidlingmaier M, Dall R, Strasburger CJ: Detection of doping with human growth hormone. Lancet, 353 (1999) 895.
Detection of doping with HGH: Marker method
HGH marker method (Peter Sönksen method): Another method for detecting the use of recombinant HGH, which determines indirect parameters, was developed as early as 2000 by Sönksen et al. as part of the “GH-2000” project funded by the EU and the IOC.
The test, which measures the parameters IGF-1 and precollagen III, was first approved by WADA for the 2012 Summer Olympics in London.
References:
- Holt RI: Detecting growth hormone abuse in athletes. Anal Bioanal Chem. 2011 Aug;401(2):449-62. Epub 2011 May 18.
- Bassett EE, Erotokritou-Mulligan I: Statistical issues in implementing the marker method. Growth Horm IGF Res. 2009 Aug;19(4):361-5. Epub 2009 Jun 9.
- Longobardi S, Keay N, Ehrnborg C, Cittadini A, Rosen T, Dall R, Boroujerdi MA, Bassett EE, Healy ML, Pentecost C, Wallace JD, Powrie J, Jorgensen JO, Sacca L. Growth hormone (GH) effects on bone and collagen turnover in healthy adults and its potential as a marker of GH abuse in sports: a double-blind, placebo-controlled study. The GH-2000 Study Group. J Clin Endocrinol Metab. 2000 Apr;85(4):1505-12.
- Dall R, Longobardi S, Ehrnborg C, Keay N, Rosen T, Jorgensen JO, Cuneo RC, Boroujerdi MA, Cittadini A, Napoli R, Christiansen JS, Bengtsson BA, Sacca L, Baxter RC, Basset EE, Sonksen. The effect of four weeks of supraphysiological growth hormone administration on the insulin-like growth factor axis in women and men. GH-2000 Study Group. J Clin Endocrinol Metab. 2000 Nov;85(11):4193-200