Somatomedin C (insulin-like growth factor 1) levels decrease during acute changes of stress related hormones. Relevance for fibromyalgia

J Rheumatol. 1994 Jul;21(7):1332-4.

Abstract

Objective: To determine the effects of stress hormones on insulin-like growth factor 1 (IGF-1).

Methods: Insulin induced hypoglycemia (< 3 mmol/l) and clonidine induced depression of noradrenergic tone were used to assess the acute effects of cortisol, human growth hormone (hGH), and norepinephrine (NE).

Results: Despite the increase of hGH during hypoglycemia, a statistically significant decrease of IGF-1 was observed along with the expected rise of cortisol and NE. To eliminate the role played by NE, NE tone was depressed by administering clonidine. A statistically significant decrease of IGF-1 was also observed.

Conclusion: Acute cortisol release or a NE decrease induce low IGF-1 levels.

MeSH terms

  • Clonidine / pharmacology
  • Female
  • Fibromyalgia / blood*
  • Growth Hormone / pharmacology*
  • Humans
  • Hydrocortisone / blood*
  • Hydrocortisone / pharmacology*
  • Hypoglycemia / blood
  • Hypoglycemia / chemically induced
  • Insulin
  • Insulin-Like Growth Factor I / analysis*
  • Middle Aged
  • Norepinephrine / antagonists & inhibitors
  • Norepinephrine / pharmacology*
  • Time Factors

Substances

  • Insulin
  • Insulin-Like Growth Factor I
  • Growth Hormone
  • Clonidine
  • Hydrocortisone
  • Norepinephrine