Biochemical and hormonal changes induced by one week of administration of rIGF-I to patients with Laron type dwarfism.

Abstract:

OBJECTIVE:The purpose of this investigation was to evaluate the effectiveness of short-term administration of recombinant biosynthetic IGF-I on patients with an hereditary inability to generate this hormone. DESIGN AND PATIENTS:Ten patients with Laron type dwarfism (LTD) (4 males, six females) aged 3 1/2 to 37 3/4 years were submitted to seven daily s.c. injections of recombinant IGF-I in doses of 120 or 150 micrograms/kg/day. MEASUREMENTS:Blood samples were drawn before, after three and seven injections, and one week after stopping the trial. RESULTS:The main biochemical and hormonal changes registered were (mean +/- SD): a marked rise in serum type III procollagen (PIIINP) from 4.2 +/- 0.9 to 7.3 +/- 2 micrograms/l (P less than 0.0003) and decrease in the following blood components: plasma hGH from 32.51 +/- 43.77 to 4.02 +/- 2.48 mU/l (P less than 0.001), serum cholesterol from 5.9 +/- 1 to 5.7 +/- 0.8 mmol/l (P less than 0.04), serum SGOT from 28.9 +/- 11.6 to 15.5 +/- 7.6 U/l (P less than 0.01) and serum LDH from 286 +/- 88 to 222 +/- 37 U/l (P less than 0.0005). The response of plasma insulin was variable, decreasing in seven of ten and increasing in three. Some of these effects were transitory, and were found after 3 days therapy but afterwards decreased (insulin, cholesterol and liver tests), others persisted throughout the whole treatment period (hGH, PIINP). CONCLUSIONS:IGF-I mimics the biochemical and hormonal changes described after administration of hGH. The administration of IGF-I in patients with Laron type dwarfism is devoid of side-effects and warrants assessment in long-term studies.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Laron Z,Klinger B,Jensen LT,Erster B

doi

10.1111/j.1365-2265.1991.tb03513.x

subject

Has Abstract

pub_date

1991-08-01 00:00:00

pages

145-50

issue

2

eissn

0300-0664

issn

1365-2265

journal_volume

35

pub_type

临床试验,杂志文章
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    更新日期:2011-01-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 临床试验,杂志文章,随机对照试验

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    doi:10.1111/j.1365-2265.1993.tb01756.x

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    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.14173

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    pub_type: 杂志文章

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    更新日期:1977-08-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    journal_title:Clinical endocrinology

    pub_type: 杂志文章

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    更新日期:1982-05-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    pub_type: 临床试验,杂志文章,随机对照试验

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