Paradoxical elevations in serum IGF-II and IGF binding protein-2 in acromegaly: Insights into the regulation of these peptides

Andrew Renehan, Andrew G. Renehan, Andrew A. Toogood, W. David Ryder, Jenny Jones, Christopher S. Potten, Sarah T. O'Dwyer, Stephen M. Shalet

    Research output: Contribution to journalArticlepeer-review

    Abstract

    OBJECTIVE: Circulating insulin-like growth factor (IGF)-II and IGF binding protein-2 (IGFBP-2) are frequently altered, often in parallel, in numerous pathologies including neoplastic disease but little is known about their normal regulation. This study compared serum IGF-II and IGFBP-2 distributions between acromegalics and a large normal adult population to explore possible determinants. PATIENTS: Sixty acromegalic patients undergoing screening colonoscopy (age range 25-81 years); normative data from 306 healthy adults (age range 20-89 years). MEASUREMENTS: Serum IGF-I, IGF-II, IGFBP-2 and IGFBP-3 were measured in healthy adults and acromegalics. Mean growth hormone (GH) levels were obtained for acromegalic patients. Differences were compared using t-tests (unadjusted) and multiple regression models (adjusted for age and gender). Correlations were expressed as Pearson's coefficient (r). RESULTS: For acromegalic patients, GH was significantly correlated with IGF-I (r=0.50; P
    Original languageEnglish
    Pages (from-to)469-475
    Number of pages6
    JournalClinical Endocrinology
    Volume55
    Issue number4
    DOIs
    Publication statusPublished - 2001

    Keywords

    • blood: Acromegaly
    • Adult
    • Aged
    • Aged, 80 and over
    • Aging
    • Case-Control Studies
    • blood: Colorectal Neoplasms
    • Humans
    • blood: Insulin-Like Growth Factor Binding Protein 2
    • blood: Insulin-Like Growth Factor Binding Protein 3
    • analysis: Insulin-Like Growth Factor I
    • analysis: Insulin-Like Growth Factor II
    • Middle Aged
    • Regression Analysis

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