胰岛素生长因子-1(IGF-1)通过PI3K/Akt通路抑制骨髓间充质干细胞(BMSCs)凋亡

该研究通过构建高表达胰岛素生长因子-1(insulin-like growth factor-1,IGF-1)的异常微环境模型探讨IGF-1对骨髓间充质干细胞(bone mesenchymal stem cells,BMSCs)凋亡的影响及可能的作用机制,为BMSCs作为载体在靶向治疗肿瘤过程中的安全应用提供前期实验基础。取分离纯化的大鼠BMSCs,用流式细胞术鉴定BMSCs表面标志,将实验分为4组:BMSCs空白对照组、IGF-1刺激组、IGF-1+LY294002阻断剂组和IGF-1+MK2206阻断剂组。加药处理2周后,CCK-8法检测细胞增殖能力;Hoechst 33342染色观察细胞核形态及凋亡比例;流式细胞术检测细胞凋亡和细胞线粒体膜电位变化;RT-qPCR检测细胞Akt、Bad、Bcl-xl、c-Myc、STAT3的m RNA水平;Western blot检测细胞Akt、p-Akt、Bad、p-Bad、Bcl-xl、c-Myc、STAT3、p-STAT3的蛋白水平。结果显示:IGF-1刺激组细胞与BMSCs空白对照组比较增殖率升高,凋亡率减低;IGF-1刺激组Bad、Bcl-xl、cMyc、STAT3的mRNA的表达均显著高于BMSCs空白对照组(P0.05);IGF-1刺激组p-Akt、Bad、p-Bad、Bcl-xl、c-Myc、STAT3、p-STAT3的蛋白表达水平显著高于BMSCs空白对照组(P0.05)。而阻断剂组细胞(IGF-1+LY294002阻断剂组、IGF-1+MK2206阻断剂组)与IGF-1刺激组比较增殖率均降低,凋亡率增高,相关分子m RNA和蛋白表达水平均明显降低。以上结果表明,IGF-1能通过活化PI3K/Akt通路,激活下游增殖和凋亡相关分子,从而促进BMSCs增殖,抑制BMSCs凋亡。     

用酵母双杂交技术研究IGF-1与其结合蛋白3的相互作用

 为了探讨胰岛素样生长因子结合蛋白 3(IGFBP- 3)分子上的胰岛素样生长因子 1 (IGF- 1 )结合位点并找出其关键氨基酸残基组成 ,首先建立了研究 IGF- 1与 IGFBP- 3相互作用的酵母双杂交模型 ,可以定性和定量地分析两个蛋白质之间的相互作用大小 ;同时利用基因体外定点突变的方法 ,对推断出的 IGF- 1结合位点中的氨基酸突变 ,经 DNA序列分析 ,构建了 5种 IGFBP- 3突变体 .然后在酵母双杂交模型中通过对报告基因活性的定量分析 ,检测 IGF- 1与各种 IGFBP- 3突变体之间相互作用的大小 .结果表明 ,IGFBP- 3分子上的 Lys2 2 2 ,Gln2 2 3突变后 ,与 IGF- 1的结合力大大下降 ,而 Arg2 2 5,Pro2 2 6,Ser2 2 7突变后也导致与 IGF- 1结合力的部分下降 .从而初步确定了IGFBP- 3分子中第 2 2 2～ 2 2 7位的氨基酸区域为 IGF- 1的结合位点 ,并且 IGFBP- 3分子上 Lys2 2 2 ,Gln2 2 3在与 IGF- 1结合中起着重要作用 .     

猪背最长肌中胰岛素样生长因子(IGFs)系统基因的发育表达模式

采用荧光定量PCR技术检测了长白猪和梅山猪的背最长肌组织中胰岛素样生长因子1和2(IGF-1和-2)、胰岛素样生长因子1受体和2受体(IGF-1R和-2R)、胰岛素样生长因子结合蛋白3和5(IGFBP-3和-5)基因mRNA丰度在初生(0月龄)、1、2、3、4和5月龄间的表达变化并分析品种间和不同月龄间基因表达的差异及其对肌肉生长发育的影响。结果表明: 两猪种出生后IGF-1 mRNA表达量均表现为逐渐上调, 而IGF-2则恰好相反, 表现为逐渐下调。这与IGF-2主要在胚胎期发挥作用, 而IGF-1则主要在动物个体出生后才发挥促进细胞增殖和个体发育功能的特点相符。IGFRs mRNA与IGFs mRNA 表达的发育性变化模式并不相似, 提示背最长肌组织中IGFRs mRNA 的表达可能没有受到组织局部产生的IGFs调节。长白猪的IGF-1R、IGF-2R 和IGFBP-3 mRNA表达量均在2月龄时达到最高峰, 提示2月龄可能是长白猪IGFs系统发挥作用最为明显的生长发育阶段。以上结果初步揭示猪生长发育过程中胰岛素样生长因子系统基因表达的发育性变化模式和品种差异, 为深入研究胰岛素样生长因子系统基因的相互调控机制提供了基础数据。     

IGFs系统成分在维甲酸诱导的马蹄内翻足畸形中的作用

应用全反式维甲酸(All Trans Retinoic Acid,ATRA)构建Wistar大鼠先天性马蹄内翻足畸形(Congenital Crossfoot,CCF)动物模型,以ATRA和雌激素(雌二醇)分别或联合作用于MC-3T3-E1细胞株,应用Northern印迹杂交、RT—PCR和流式细胞仪检测CCF胎鼠的头盖骨组织和MC-3T3一E1细胞中胰岛素样生长因子-Ⅱ(IGF-Ⅱ)和胰岛素样生长因子结合蛋白-6(IGFBP-6)mRNA的表达以及细胞周期及增殖状态。研究发现,100～140mg／kg浓度的ATRA可以诱导大鼠骨骼畸形发育并产生CCF;IGFs家族基因中IGF-Ⅱ和IGFBP-6表达的调控与大鼠骨骼发育以及成骨细胞的增殖密切相关。     

IGF-1、IGFBP-3在大鼠非酒精性脂肪性肝病进展中的变化

目的：观察非酒精性脂肪性肝病（NAFLD）大鼠血清胰岛素样生长因子1（IGF-1）、胰岛素样生长因子结合蛋白3（ IGFBP-3）的表达及多烯磷脂酰胆碱对其的影响。方法采用高脂饲料喂养建立大鼠NAFLD模型,以多烯磷脂酰胆碱进行干预。 HE染色动态观察大鼠4、8、12周时肝组织病理学变化,IRMA法动态监测血清IGF-1、IGFBP-3含量。结果正常组大鼠各时间点肝组织病理均无明显异常;模型组随高脂饮食时间延长,在4、8、12周3个时相点肝组织脂肪变、炎症程度、气球样变及NAFLD活动度积分逐渐增强,血清IGF-1、IGFBP-3逐渐明显下降,且模型组各时相点IGF-1、IGFBP-3的水平较正常组同一时相点明显降低;应用多烯磷脂酰胆碱干预后,大鼠肝组织炎症程度、NAFLD活动度积分较模型组显著降低,IGF-1、IGFBP-3的水平则较模型组明显增高。结论血清IGF-1、IGFBP-3水平随大鼠NAFLD进展而降低。     

IGF-1、IGF-1结合蛋白3在运动防治肥胖、糖尿病和心血管疾病中的作用

运动防治肥胖、糖尿病和心血管疾病,改善其紊乱的糖脂代谢,但其机制仍未完全阐明。胰岛素类生长因子1(IGF-1)和IGF-1结合蛋白3(IGFBP-3)的水平在肥胖及其相关疾病如2型糖尿病、心血管疾病等的发生、发展和严重程度上的重要作用受到越来越多的关注。运动防治肥胖及其相关疾病的机制,部分与运动增加血清IGF-1、降低IGFBP-3水平和提高IGF-1活性(IGF-1/IGFBP-3摩尔比)有关。本文综述了IGF-1、IGFBP-3与肥胖、糖尿病和心血管疾病的相关性,及其在运动防治上述疾病中的作用及可能机制。     

烧伤患者血浆IGFBP-1水平的变化及临床意义

目的:探究烧伤患者血浆胰岛素样生长因子结合蛋白-1(IGFBP-1)水平的变化及其临床意义。方法:选择2013年1月-2015年1月我院收治的70例烧伤患者作为研究组,依据总体表烧伤面积(TBSA)将患者分为4个亚组:Ⅰ组(1%~15%)34例、Ⅱ组(16%~30%)9例、Ⅲ组(31%~50%)17例、Ⅳ组(51%~95%)10例;选取同期于我院体检健康者50例作为对照组。测定研究者IGFBP-1、胰岛素样生长因子(IGF-1)水平,分析其与TBSA的相关性。结果:在10d观察期内,Ⅲ组和Ⅳ组患者的IGF-1水平均显著低于对照组(P0.05),而Ⅱ组患者IGF-1水平仅在烧伤后1 d时与对照组存在差异(P0.05),且在烧伤后2 d,随着分级的增加,血浆IGF-1水平有下降的趋势,组间差异具有统计学意义(P0.05);研究组患者的IGFBP-1水平均显著高于对照组(P0.05);随着分级的增加,血浆IGFBP-1有上升的趋势,组间差异具有统计学意义(P0.05);线性相关性分析显示,烧伤患者血浆IGF-1水平与TBSA值呈负相关(r=-0.693,P0.05);血浆IGFBP-1水平与TBSA值呈正相关(r=0.377,P0.05)。结论:烧伤患者血浆IGF-1水平显著下降,而IGFBP-1水平则显著升高,与烧伤严重程度密切相关,二者可作为判断烧伤患者预后的重要预警指标。     

高糖高胰岛素促进小鼠胰腺星状细胞活化和半乳凝素-3表达

该研究观察了高糖高胰岛素对小鼠胰腺星状细胞(pancreatic stellate cells,PSCs)活化、增殖、细胞外基质(extracellular matrix,ECM)合成和半乳凝素-3(galectin-3,Gal-3)表达的影响。分离PSCs并培养至3~5代后进行实验。PSCs干预分为低糖对照组(5 mmol/L葡萄糖)、高糖组(25 mmol/L葡萄糖)、高胰岛素组(5 mmol/L葡萄糖+100 nmol/L胰岛素)、高糖高胰岛素组(25 mmol/L葡萄糖+100 nmol/L胰岛素)。细胞免疫荧光检测胰岛素受体(insulin receptor,IR)和胰岛素样生长因子-1型受体(insulin like growth factor-1 receptor,IGF-1R)在PSCs的表达;MTT法检测PSCs增殖;RT-PCR和Western blot测定平α-滑肌肌动蛋白(α-smooth muscle actin,α-SMA)、I型胶原(type I collagen,Col I)、纤连蛋白(fi bronectin,Fn)和Gal-3的m RNA和蛋白质水平。结果发现,PSCs细胞表达IR和IGF-1R;与低糖对照组相比,高糖组、高胰岛素组、高糖高胰岛素组均诱导PSCs活化、增殖并促进Col I、Fn生成和Gal-3表达,其中以高糖高胰岛素组最为显著。以上结果说明,2型糖尿病高糖、高胰岛素微环境可能促进PSCs活化、增殖、ECM生成和Gal-3表达,在一定程度上可导致胰腺纤维化。     

胰岛素样生长因子结合蛋白—1（IGFBP—1）研究进展

胰岛素样生长因子结合蛋白-1（IGFBP-1）参与生长、发育、生殖及血糖等生理过程,它是一个多功能蛋白,主要通过与IGF-1结合发挥作用,在IGFBP-1蛋白质结构中,N端是与IGF-1结合的重要区域,中心区决定了IGFBP的特异性,C端部分参与了与IGF-1结合并与细胞粘附相关。IGFBP-1是否磷酸化对其生物学作用有着重要影响。IGFBP-1基因转录受到多种转录因子共同调控,其中胰岛素是其主要的调控因子。     

甲状旁腺素和胰岛素样生长因子促成骨样细胞ROS 17/2.8增殖分化中的协同作用

 间歇性小剂量地给予甲状旁腺素 (parathyroid hormone,PTH)可促进成骨 .胰岛素样生长因子 - I(insulin- like growth factor- I,IGF- I)由成骨细胞所产生并贮存于骨基质中 ,可促进成骨细胞的增殖分化 .为进一步了解向钙性激素和骨源性生长因子对骨生长的影响 ,利用成骨样细胞 ROS1 7/ 2 .8进行体外实验 ,观察了 PTH和 IGF- I这两种在骨生长和代谢中有重要作用的激素和因子相互作用的效果 ,并对其相互作用机制作出初步探讨 .结果显示 :联合使用 IGF- I及 PTH(间歇性给药 )时 ,(1 ) SRB(sodium rhodamine B,SRB)染色显示经 PTH(1 0 -9mol/ L,间歇给药 )和 IGF- I(1 0 -9mol/ L)联合处理的细胞 ,其数目明显增加 ,且明显高于单独处理组 ;(2 ) 3H- Td R参入增加 ,也明显高于单独处理组 ;(3)与增殖相关的原癌基因 (c- fos,c- jun,c- ki- ras)的表达增强 ,明显高于单独处理组 ;(4)骨钙素 (osteocalcin)基因 m RNA表达增强 ,明显高于单独处理组 ;(5) IGF- I(1 0 -8mol/L,1 0 -9mol/ L)可使 PTH受体基因 m RNA表达增强 .这些结果提示 PTH和 IGF- I在成骨样细胞ROS 1 7/ 2 .8增殖分化中具有协同作用 ,原癌基因的表达增强可能是其作用的一个环节 .此外 ,IGF- I可能通过增强 PTH受体表达 ,使细胞对 PTH的反应性增强     

特发性矮小症患儿治疗前后血清IGF-1、IGFBP-3、25（OH）D、皮质醇水平变化及其与体格发育和骨龄的相关性分析

摘要 目的：探究特发性矮小症（ISS）患儿治疗前后血清胰岛素样生长因子1（IGF-1）、胰岛素样生长因子结合蛋白3（IGFBP-3）、25羟维生素D[25（OH）D]、皮质醇水平变化及其与体格发育和骨龄的相关性。方法：选取安徽省儿童医院于2017年7月～2021年3月收治的88例ISS患儿作为研究组。另选取同期体检健康儿童88例作为对照组。比较两组血清IGF-1、IGFBP-3、25（OH）D及皮质醇水平。比较ISS患儿治疗前后血清IGF-1、IGFBP-3、25（OH）D及皮质醇水平,体格指标以及骨龄指标。通过Pearson相关性分析ISS患儿血清IGF-1、IGFBP-3、25（OH）D及皮质醇水平与体格指标、骨龄指标的相关性。结果：研究组患儿血清IGF-1、IGFBP-3、25（OH）D水平均低于对照组,而皮质醇水平高于对照组（均P＜0.05）。ISS患儿治疗后血清IGF-1、IGFBP-3、25（OH）D水平均高于治疗前,而皮质醇水平低于治疗前（均P＜0.05）。ISS患儿治疗后身高、体重、骨龄年龄差（BAD）、骨龄指数（BAI）以及体质指数（BMI）均高于治疗前（均P＜0.05）。经Pearson相关性分析发现：ISS患儿血清IGF-1、IGFBP-3、25（OH）D水平与身高、体重、BAD、BAI以及BMI均呈正相关;皮质醇与身高、体重、BAD、BAI以及BMI均呈负相关（均P＜0.05）。结论：ISS患儿血清IGF-1、IGFBP-3、25（OH）D水平异常降低,皮质醇水平升高,且上述四项指标均和身高、体重、BAD以及BAI有关。     

Effect of hypoxia/reoxygenation on the biological effect of IGF system and the inflammatory mediators in cultured synoviocytes

Hypoxia/reoxygenation (H/R) plays an important role in the pathogenesis of osteoarthritis. Fibroblast-like synoviocytes (FLS), which are highly sensitive to H/R, are thought to be associated with cartilage degradation during osteoarthritis development. In this study, we investigated the biological effects of insulin-like growth factor (IGF) system and the expression of inflammatory mediators in FLS. We also pretreated FLS with tumor necrosis factor-α (TNF-α) before H/R in order to observe the response of FLS with the background of inflammatory cytokines. H/R increased the levels of TNF-α-induced C-C chemokine ligand 5 (CCL5), interleukin-1β (IL-1β) and interleukin-6 (IL-6) in cell-free culture supernatants; H/R also increased the expression of TNF-α-induced insulin-like growth factor binding protein 3 (IGFBP-3), downregulated the expression of insulin-like growth factor 1 (IGF-1), promoted the loss of mitochondrial membrane potential (MMP), the openness of mitochondrial permeability transition pore (MPTP), the release of intracellular reactive oxygen species (ROS), and mitochondrial matrix swelling, outer membrane rupture and decrease in cristae. Furthermore, H/R induced the expression of catabolic factors and activated the NF-κB signaling pathway in FLS. We therefore concluded that H/R may play a role in inducing inflammation and increase the TNF-α-induced inflammatory effect in FLS, contributing to osteoarthritis pathogenesis.     

补偿生长对异育银鲫IGF-1、IGFBP-1水平及IGF-1、IGF-1RmRNA表达的影响

该实验分析饥饿和恢复投喂对异育银鲫血液IGF-1和IGFBP-1水平和肝脏IGF-1、白肌IGF-1RmRNA表达量的影响。结果显示:饥饿期(14d)血液中IGF-1和IGFBP-1水平逐渐下降,在饥饿第14天均出现显著性降低(P<0.05);恢复投喂后第1天IGF-1迅速恢复到对照组水平,而IGFBP-1水平仍显著低于对照组(P<0.05),随后逐渐升高,直至于恢复投喂第14天后显著高于对照组水平(P<0.05);饥饿期肝脏IGF-1mRNA表达量呈下降趋势,但与对照组无显著性差异(P>0.05);恢复投喂初期(第1、3天),IGF-1mRNA表达量仍继续下降(P<0.05),对营养条件的变化反应滞后,至第7天,表达水平恢复到对照组水平。白肌IGF-1RmRNA表达水平在饥饿第3天出现显著性下降(P<0.05),继续饥饿其水平出现补偿性升高;恢复投喂后第14天IGF-1RmRNA表达量显著高于对照组水平(P<0.05)。该结果揭示恢复投喂期高水平的IGFBP-1含量和IGF-1RmRNA表达量可能通过提高IGF-1的促生长作用参与异育银鲫的补偿生长调节。     

Discordance Between Gh and Igf-1 Levels in Turkish Acromegalic Patients

Objective: Discordance between insulin-like growth factor-1 (IGF-1) and growth hormone (GH) levels is an important problem in the follow-up of patients diagnosed with acromegaly. Our aims were to evaluate the discordance between IGF-1 and GH levels and compare the performance of different cut-off levels for the nadir in GH (GHn) in acromegalic patients.Methods: The study included 63 acromegalic patients in a follow-up at a tertiary care university hospital facility. Levels of IGF-1, IGF binding protein-3 (IGFBP-3), and GH were investigated. The baseline GH and GHn levels were evaluated after an oral glucose tolerance test (cut-offs of 0.4 and 1 ng/mL, respectively). The discordance rates between GHn and IGF-1 levels, and IGF-1/IGFBP-3 ratios were determined.Results: We first adopted a GHn cut-off value of 1 ng/mL and found that 27 patients (42.9%) exhibited biochemical remission (BR) (IGF-1 <95^th percentile, GH <1), and 25 patients (39.7%) had no BR (NBR) (IGF-1 ≥95^th percentile, GH >1).Discordance in the presence of normal IGF-1 and nonsuppressed GH (DC1) occurred in 2 of 63 (3.2%) patients; discordance in the presence of high IGF-1 and suppressed GH (DC2) occurred in 9 of 63 (14.3%) patients. If the GHn cut-off value adopted was 0.4 ng/mL, the distributions were 17 of 63 (27.0%) patients in BR, 29 of 63 (46.0%) patients in NBR, 12 of 63 (19.0%) in DC1, and 5 of 63 (7.9%) patients in DC2. If only the baseline GH values were considered, the distributions were very similar to those with a GHn cut-off value of 0.4 ng/mL. The IGF-1/IGFBP-3 ratio was lowest in the BR group.Conclusion: Adopting a GHn cut-off value of 0.4 ng/mL did not increase the test performance compared with baseline GH only. In contrast, in the follow-up of acromegalic patients, the IGF-1/IGFBP-3 ratio might be a useful measurement when discordance between IGF-1 and GH levels occurs. We propose that these values be considered in clinical practice.Abbreviations:BR = biochemical remissionDC1 = discordance group 1DC2 = discordance group 2DM = diabetes mellitusGH = growth hormoneGHn = nadir in GHIGF-1 = insulin-like growth factor-1IGFBP-3 = IGF binding protein-3LAR = long-acting releaseNBR = not in biochemical remissionOGTT = oral glucose tolerance test     

Association between Circulating Levels of IGF-1 and IGFBP-3 and Lung Cancer Risk: A Meta-Analysis

Background

The insulin-like growth factor (IGF) system was documented to play a predominant role in neoplasia. As lung cancer is one of the most malignant cancers, we conducted a meta-analysis in order to investigate the strength of association between circulating IGF-1 and IGFBP-3 levels and lung cancer.

Methodology/Principal Findings

A systematic literature search was conducted to identify all prospective case-control studies and case-control studies on circulating IGFs and IGFBPs levels. Six nested case-control studies (1 043 case subjects and 11 472 control participants) and eight case-control studies (401 case subjects and 343 control participants) were included in this meta-analysis. Pooled measure was calculated as the inverse variance-weighted mean of the natural logarithm of multivariate adjusted OR with 95% CIs for highest vs. lowest levels to assess the association of circulating IGF-1 and IGFBP-3 concentrations and lung cancer. Standard mean difference (SMD) was also calculated to indicate the difference of the circulating IGF-1 and IGFBP-3 concentrations between the lung cancer case group and the control group. Of the nested case-control studies, ORs for the highest vs. lowest levels of IGF-1 and IGFBP-3 were 1.047 (95% CI: [0.802,1.367], P = 0.736) and 0.960 (95%CI: [0.591,1.559], P = 0.868) respectively; and SMDs were −0.079 (95%CI:[ −0.169, 0.011], P = 0.086) and −0.097 (95%CI:[ −0.264,0.071], P = 0.258) for IGF-1 and IGFBP-3 respectively. As to the case-control studies, SMDs were 0.568 (95%CI:[ −0.035, 1.171], P = 0.065) and −0.780 (95%CI:[ −1.358, −0.201], P = 0.008) for IGF-1 and IGFBP-3 respectively.

Conclusions/Significance

Inverse association was shown between IGFBP-3 and lung cancer in the case-control studies,and the circulating level of IGFBP-3 underwent a decline during tumorogenesis and development of lung cancer, which suggested IGFBP-3 a promising candidate for the biomarker of lung cancer.     

Mutual regulation between IGF-1R and IGFBP-3 in human corneal epithelial cells

The insulin-like growth factor type 1 receptor (IGF-1R) is part of the receptor tyrosine kinase superfamily. The activation of IGF-1R regulates several key signaling pathways responsible for maintaining cellular homeostasis, including survival, growth, and proliferation. In addition to mediating signal transduction at the plasma membrane, in serum-based models, IGF-1R undergoes SUMOylation by SUMO 1 and translocates to the nucleus in response to IGF-1. In corneal epithelial cells grown in serum-free culture, however, IGF-1R has been shown to accumulate in the nucleus independent of IGF-1. In this study, we report that the insulin-like growth factor binding protein-3 (IGFBP-3) mediates nuclear translocation of IGF-1R in response to growth factor withdrawal. This occurs via SUMOylation by SUMO 2/3. Further, IGF-1R and IGFBP-3 undergo reciprocal regulation independent of PI3k/Akt signaling. Thus, under healthy growth conditions, IGFBP-3 functions as a gatekeeper to arrest the cell cycle in G0/G1, but does not alter mitochondrial respiration in cultured cells. When stressed, IGFBP-3 functions as a caretaker to maintain levels of IGF-1R in the nucleus. These results demonstrate mutual regulation between IGF-1R and IGFBP-3 to maintain cell survival under stress. This is the first study to show a direct relationship between IGF-1R and IGFBP-3 in the maintenance of corneal epithelial homeostasis.     

Interactions between plasma levels of 25-hydroxyvitamin D, insulin-like growth factor (IGF)-1 and C-peptide with risk of colorectal cancer

Background

Vitamin D status and levels of insulin-like growth factor (IGF)-1 and C-peptide have been implicated in colorectal carcinogenesis. However, in contrast to vitamin D IGF-1 is not an easily modifiable risk factor.

Methods

Combining data from the Health Professionals Follow up Study (HPFS) and the Nurses'' Health Study cohort (NHS) additive and multiplicative interactions were examined between plasma 25-hydroxyvitamin D (25(OH)D) and IGF-1, IGFBP-3 as well as C-peptide levels in 499 cases and 992 matched controls. For the various analytes, being high or low was based on being either above (or equal) or below the medians, respectively.

Results

Compared to participants with high 25(OH)D and low IGF-1/IGFBP-3 ratio (reference group), participants with a high IGF-1/IGFBP-3 ratio were at elevated risk of colorectal cancer when 25(OH)D was low (odds ratio (OR): 2.05 (95% CI: 1.43 to 2.92), but not when 25(OH)D was high (OR:1.20 (95% CI: 0.84 to 1.71, p(interaction): additive  = 0.06, multiplicative  = 0.25). Similarly, compared to participants with high 25(OH)D and low molar IGF-1/IGFBP-3 ratio and low C-peptide levels (reference group), participants with a combination of either high IGF-1/IGFBP-3 ratio or high C-peptide were at elevated risk for colorectal cancer when 25(OH)D was low (OR = 1.90, 95% CI: 1.22 to 2.94) but not when 25(OH)D was high (OR = 1.15, 95% CI: 0.74 to 1.77, p(interaction): additive = 0.004; multiplicative  = 0.04).

Conclusion

The results from this study suggest that improving vitamin D status may help lower risk of colorectal cancer associated with higher IGF-1/IGFBP-3 ratio or C-peptide levels.     

可乐定联合精氨酸激发试验在矮小儿童生长激素缺乏症中的诊断价值及生长激素峰值的影响因素分析

目的:探讨可乐定联合精氨酸激发试验在矮小儿童生长激素缺乏症(GHD)中的诊断价值,并分析生长激素(GH)峰值的影响因素。方法:选取2016年5月到2018年7月期间因身材矮小来安徽理工大学附属亳州医院就诊的矮小儿童120例,所有儿童均进行可乐定、精氨酸激发试验,比较可乐定、精氨酸、可乐定联合精氨酸激发试验的阳性率,以可乐定联合精氨酸激发试验的结果为标准,将120例矮小儿童分为GHD组(76例)和非GHD组(44例),比较两组儿童的年龄、骨龄、体质量指数(BMI)、体重指数标准差积分(BMI SDS)、胰岛素样生长因子-1(IGF-1)、胰岛素样生长因子结合蛋白-3(IGFBP-3)、GH峰值,分析可乐定联合精氨酸激发试验中GH峰值与各临床指标的相关性,并采用多因素逐步回归分析法分析可乐定联合精氨酸激发试验中GH峰值的影响因素。结果:可乐定联合精氨酸激发试验的阳性率高于可乐定激发试验和精氨酸激发试验的阳性率(P0.05),可乐定激发试验的阳性率高于精氨酸激发试验的阳性率(P0.05)。GHD组儿童BMI、BMI SDS高于非GHD组,IGF-1、GH峰值低于非GHD组(P0.05)。经Pearson相关分析显示,可乐定联合精氨酸激发试验中儿童的BMI、BMI SDS与GH峰值呈负相关,IGF-1与GH峰值呈正相关(P0.05)。多因素逐步回归分析结果显示,可乐定联合精氨酸激发试验中儿童的BMI SDS和IGF-1是GH峰值的影响因素(P0.05)。结论:可乐定联合精氨酸激发试验在矮小儿童GHD诊断中具有较高的阳性率,其诊断价值高于两种药物单独进行激发试验,且儿童的BMI SDS和IGF-1是激发试验GH峰值的影响因素,在进行激发试验时需考虑儿童的BMI SDS和IGF-1水平对诊断结果造成的影响。     

Relationships between IGF-1 and IGFBP-1 and adiposity in obese African-American and Latino adolescents

The purpose of this study was to examine interrelationships between insulin-like growth factor 1 (IGF-1), IGF binding proteins (IGFBPs), and adiposity in 49 African-American and 77 Latino obese adolescents (15.3 ± 0.1 and 15.4 ± 0.2 years; BMI: 33.0 ± 0.7 and 35.0 ± 1.0 kg/m(2), respectively). Immunoradiometric assays were used to measure IGF-1, IGFBP-1, and IGFBP-3. Total fat and soft lean tissue were measured by dual-energy X-ray absorptiometry and visceral adipose tissue (VAT), subcutaneous abdominal adipose tissue (SAAT), and hepatic fat fraction (HFF) were measured by magnetic resonance imaging. IGF-1 levels were 23.1% higher and IGFBP-1 were 40.4% higher in African Americans compared to Latinos after adjustment for total lean and total fat mass. IGF-1 and IGFBP-1 were inversely correlated with BMI, total fat mass, VAT, and HFF (r = -0.20 to -0.33, P < 0.05) while IGFBP-1 was inversely correlated with SAAT (r = -0.22, P < 0.05). These relationships did not differ by ethnicity, however, the relationship between IGF-1 and SAAT, as well as IGFBP-1 and HFF, differed by ethnicity. Predicted mean IGF-1 levels were 30.7% higher for African Americans at the 75th compared to 25th percentile of SAAT and only 11.7% higher for Latinos. Predicted mean IGFBP-1 levels were 158% higher for African Americans at the 25th compared to the 75th percentile of HFF while IGFBP-1 levels were 1.7% higher for Latinos at the 75th compared to the 25th percentile. These results demonstrate that the relationship between IGF-1 and SAAT as well as IGFBP-1 and HFF are different in African-American and Latino adolescents and may contribute to the higher IGF-1 levels in African-Americans.