The insulin-like growth factor-I/binding protein axis: physiology, pathophysiology and therapeutic manipulation

Eur J Clin Invest. 1993 Sep;23(9):503-16. doi: 10.1111/j.1365-2362.1993.tb00958.x.

Abstract

Insulin-like growth factor-I (IGF-I) is a single-chain polypeptide which has multiple metabolic actions and effects on the differentiation and proliferation of a wide variety of cell types. IGF-I has endocrine, paracrine and autocrine actions and is bound in the circulation to a complex system of binding proteins which alter its bioavailability and activity. Thus its physiology is complex and is altered in a number of pathological states. This review will discuss these states and the actual and proposed therapeutic applications of recombinant human IGF-I (rhIGF-I).

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Carrier Proteins / analysis
  • Carrier Proteins / chemistry
  • Carrier Proteins / physiology*
  • Child
  • Diabetes Mellitus / physiopathology*
  • Diabetes Mellitus / therapy
  • Dwarfism / physiopathology*
  • Dwarfism / therapy
  • Female
  • Humans
  • Insulin-Like Growth Factor Binding Proteins
  • Insulin-Like Growth Factor I / chemistry
  • Insulin-Like Growth Factor I / physiology*
  • Insulin-Like Growth Factor I / therapeutic use
  • Pregnancy

Substances

  • Carrier Proteins
  • Insulin-Like Growth Factor Binding Proteins
  • Insulin-Like Growth Factor I