Effects of the IGF-I/IGFBP-3 complex on GH and ghrelin nocturnal concentrations in low birth weight children

Summary Objective  There is limited information regarding the effects of IGF‐I and/or IGFBP‐3 on circulating ghrelin concentrations. To determine the effects of IGF‐I on GH and ghrelin concentrations, we examined the GH and ghrelin nocturnal profiles before and after the administration of the IGF‐I/...

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Veröffentlicht in:Clinical endocrinology (Oxford) 2006-11, Vol.65 (5), p.687-692
Hauptverfasser: Iñiguez, German, Salazar, Teresa, Roman, Rossana, Avila, Alejandra, Gunn, Ronald D., Cassorla, Fernando
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container_issue 5
container_start_page 687
container_title Clinical endocrinology (Oxford)
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creator Iñiguez, German
Salazar, Teresa
Roman, Rossana
Avila, Alejandra
Gunn, Ronald D.
Cassorla, Fernando
description Summary Objective  There is limited information regarding the effects of IGF‐I and/or IGFBP‐3 on circulating ghrelin concentrations. To determine the effects of IGF‐I on GH and ghrelin concentrations, we examined the GH and ghrelin nocturnal profiles before and after the administration of the IGF‐I/–IGFBP‐3 complex (Iplex™) to low birth weight children. Design  The children were studied on two separate occasions, the first under basal conditions, and the second time after the sc administration of 1 mg/kg of Iplex™ at 2100 h. Blood samples for determination of GH and ghrelin were obtained every 20 min between 2300 h and 0700 h, while the children were sleeping. In each patient, we calculated the mean GH and ghrelin area under the curve (GH AUC and GHR AUC), both under basal conditions and after the administration of the IGF‐I/IGFBP‐3 complex. Setting  The study was performed at a University Research Centre located at a General Hospital in Santiago, Chile. Patients  Twenty prepubertal children (11 boys and 9 girls), born after a full‐term pregnancy with a birth weight below 2·8 kg were studied at a mean ± SEM age of 7·3 ± 0·5 years (range 4–11 years). Their mean height was −1·8 ± 0·3 standard deviation score (SDS) and their mean BMI was 0·1 ± 0·2 SDS at the time of the study. Main outcome and results  Mean nocturnal GH AUC exhibited a significant decrease (2903 ± 185 vs 1860 ± 122 ng/ml min, P 
doi_str_mv 10.1111/j.1365-2265.2006.02650.x
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To determine the effects of IGF‐I on GH and ghrelin concentrations, we examined the GH and ghrelin nocturnal profiles before and after the administration of the IGF‐I/–IGFBP‐3 complex (Iplex™) to low birth weight children. Design  The children were studied on two separate occasions, the first under basal conditions, and the second time after the sc administration of 1 mg/kg of Iplex™ at 2100 h. Blood samples for determination of GH and ghrelin were obtained every 20 min between 2300 h and 0700 h, while the children were sleeping. In each patient, we calculated the mean GH and ghrelin area under the curve (GH AUC and GHR AUC), both under basal conditions and after the administration of the IGF‐I/IGFBP‐3 complex. Setting  The study was performed at a University Research Centre located at a General Hospital in Santiago, Chile. Patients  Twenty prepubertal children (11 boys and 9 girls), born after a full‐term pregnancy with a birth weight below 2·8 kg were studied at a mean ± SEM age of 7·3 ± 0·5 years (range 4–11 years). Their mean height was −1·8 ± 0·3 standard deviation score (SDS) and their mean BMI was 0·1 ± 0·2 SDS at the time of the study. Main outcome and results  Mean nocturnal GH AUC exhibited a significant decrease (2903 ± 185 vs 1860 ± 122 ng/ml min, P &lt; 0·01), whereas mean GHR AUC showed a significant increase after administration of the IGF‐I/IGFBP‐3 complex (68 ± 16 vs 288 ± 36 ng/ml min, P &lt; 0·01). Conclusions  These findings indicate that the IGF‐I/IGFBP‐3 complex appears to have opposite effects on circulating GH and ghrelin concentrations in low birth weight children, suggesting that, in addition to its known negative feed‐back effect on GH, IGF‐I and/or IGFBP‐3 may have a positive feed‐back effect on ghrelin.</description><identifier>ISSN: 0300-0664</identifier><identifier>EISSN: 1365-2265</identifier><identifier>DOI: 10.1111/j.1365-2265.2006.02650.x</identifier><identifier>PMID: 17054474</identifier><identifier>CODEN: CLECAP</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Area Under Curve ; Biological and medical sciences ; Child ; Endocrinopathies ; Follow-Up Studies ; Fundamental and applied biological sciences. 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To determine the effects of IGF‐I on GH and ghrelin concentrations, we examined the GH and ghrelin nocturnal profiles before and after the administration of the IGF‐I/–IGFBP‐3 complex (Iplex™) to low birth weight children. Design  The children were studied on two separate occasions, the first under basal conditions, and the second time after the sc administration of 1 mg/kg of Iplex™ at 2100 h. Blood samples for determination of GH and ghrelin were obtained every 20 min between 2300 h and 0700 h, while the children were sleeping. In each patient, we calculated the mean GH and ghrelin area under the curve (GH AUC and GHR AUC), both under basal conditions and after the administration of the IGF‐I/IGFBP‐3 complex. Setting  The study was performed at a University Research Centre located at a General Hospital in Santiago, Chile. Patients  Twenty prepubertal children (11 boys and 9 girls), born after a full‐term pregnancy with a birth weight below 2·8 kg were studied at a mean ± SEM age of 7·3 ± 0·5 years (range 4–11 years). Their mean height was −1·8 ± 0·3 standard deviation score (SDS) and their mean BMI was 0·1 ± 0·2 SDS at the time of the study. Main outcome and results  Mean nocturnal GH AUC exhibited a significant decrease (2903 ± 185 vs 1860 ± 122 ng/ml min, P &lt; 0·01), whereas mean GHR AUC showed a significant increase after administration of the IGF‐I/IGFBP‐3 complex (68 ± 16 vs 288 ± 36 ng/ml min, P &lt; 0·01). Conclusions  These findings indicate that the IGF‐I/IGFBP‐3 complex appears to have opposite effects on circulating GH and ghrelin concentrations in low birth weight children, suggesting that, in addition to its known negative feed‐back effect on GH, IGF‐I and/or IGFBP‐3 may have a positive feed‐back effect on ghrelin.</description><subject>Area Under Curve</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Endocrinopathies</subject><subject>Follow-Up Studies</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Ghrelin</subject><subject>Growth Disorders - metabolism</subject><subject>Growth Hormone - blood</subject><subject>Humans</subject><subject>Infant, Low Birth Weight - metabolism</subject><subject>Infant, Newborn</subject><subject>Insulin-Like Growth Factor Binding Protein 3 - pharmacology</subject><subject>Insulin-Like Growth Factor I - pharmacology</subject><subject>Medical sciences</subject><subject>Multiprotein Complexes - pharmacology</subject><subject>Peptide Hormones - blood</subject><subject>Secretory Rate</subject><subject>Statistics, Nonparametric</subject><subject>Vertebrates: endocrinology</subject><issn>0300-0664</issn><issn>1365-2265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEFv0zAUxy0EYqXwFZAvcEv2EieOc-AAVdd1GoMDiKPlOM9Liut0dqp23x5nrbYrlmU_6f3-z9aPEJpBmsV1uUkzxsskz3mZ5gA8hVhBenxFZs-N12QGDCABzosL8i6EDQCUAqq35CKroCyKqpgRuzQG9RjoYOjYIV2vrpL1ZTy__UwY1cN2Z_FIB0dX11S5lt53Hm3vqBv0uPdO2cg4jW70auwHF2js2eFAm96PHT1gf9-NVHe9bT269-SNUTbgh_M9J7-vlr8W18ntj9V68fU20QUrIcGWYyuM1hUTIEpkjWBFU9U5lIy3pgFdIYAooEbEVpem1lzUyPM2bzKDFZuTz6e5Oz887DGMctsHjdYqh8M-yEgLxuO0OREnUPshBI9G7ny_Vf5RZiAn03IjJ6FyEion0_LJtDzG6MfzG_tmi-1L8Kw2Ap_OgApaWeOV03144USesYyJyH05cYfe4uN_f0AulndTFfPJKd-HEY_PeeX_Sl6xqpR_7lby5nvN4gbJ2D_uM6ed</recordid><startdate>200611</startdate><enddate>200611</enddate><creator>Iñiguez, German</creator><creator>Salazar, Teresa</creator><creator>Roman, Rossana</creator><creator>Avila, Alejandra</creator><creator>Gunn, Ronald D.</creator><creator>Cassorla, Fernando</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200611</creationdate><title>Effects of the IGF-I/IGFBP-3 complex on GH and ghrelin nocturnal concentrations in low birth weight children</title><author>Iñiguez, German ; Salazar, Teresa ; Roman, Rossana ; Avila, Alejandra ; Gunn, Ronald D. ; Cassorla, Fernando</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4350-ed6ed8fcc738085e3b834b7920536dfb0c7e008409eeedc5f9c689e62d2b1fe73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Area Under Curve</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Endocrinopathies</topic><topic>Follow-Up Studies</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Ghrelin</topic><topic>Growth Disorders - metabolism</topic><topic>Growth Hormone - blood</topic><topic>Humans</topic><topic>Infant, Low Birth Weight - metabolism</topic><topic>Infant, Newborn</topic><topic>Insulin-Like Growth Factor Binding Protein 3 - pharmacology</topic><topic>Insulin-Like Growth Factor I - pharmacology</topic><topic>Medical sciences</topic><topic>Multiprotein Complexes - pharmacology</topic><topic>Peptide Hormones - blood</topic><topic>Secretory Rate</topic><topic>Statistics, Nonparametric</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iñiguez, German</creatorcontrib><creatorcontrib>Salazar, Teresa</creatorcontrib><creatorcontrib>Roman, Rossana</creatorcontrib><creatorcontrib>Avila, Alejandra</creatorcontrib><creatorcontrib>Gunn, Ronald D.</creatorcontrib><creatorcontrib>Cassorla, Fernando</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical endocrinology (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iñiguez, German</au><au>Salazar, Teresa</au><au>Roman, Rossana</au><au>Avila, Alejandra</au><au>Gunn, Ronald D.</au><au>Cassorla, Fernando</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of the IGF-I/IGFBP-3 complex on GH and ghrelin nocturnal concentrations in low birth weight children</atitle><jtitle>Clinical endocrinology (Oxford)</jtitle><addtitle>Clin Endocrinol (Oxf)</addtitle><date>2006-11</date><risdate>2006</risdate><volume>65</volume><issue>5</issue><spage>687</spage><epage>692</epage><pages>687-692</pages><issn>0300-0664</issn><eissn>1365-2265</eissn><coden>CLECAP</coden><abstract>Summary Objective  There is limited information regarding the effects of IGF‐I and/or IGFBP‐3 on circulating ghrelin concentrations. To determine the effects of IGF‐I on GH and ghrelin concentrations, we examined the GH and ghrelin nocturnal profiles before and after the administration of the IGF‐I/–IGFBP‐3 complex (Iplex™) to low birth weight children. Design  The children were studied on two separate occasions, the first under basal conditions, and the second time after the sc administration of 1 mg/kg of Iplex™ at 2100 h. Blood samples for determination of GH and ghrelin were obtained every 20 min between 2300 h and 0700 h, while the children were sleeping. In each patient, we calculated the mean GH and ghrelin area under the curve (GH AUC and GHR AUC), both under basal conditions and after the administration of the IGF‐I/IGFBP‐3 complex. Setting  The study was performed at a University Research Centre located at a General Hospital in Santiago, Chile. Patients  Twenty prepubertal children (11 boys and 9 girls), born after a full‐term pregnancy with a birth weight below 2·8 kg were studied at a mean ± SEM age of 7·3 ± 0·5 years (range 4–11 years). Their mean height was −1·8 ± 0·3 standard deviation score (SDS) and their mean BMI was 0·1 ± 0·2 SDS at the time of the study. Main outcome and results  Mean nocturnal GH AUC exhibited a significant decrease (2903 ± 185 vs 1860 ± 122 ng/ml min, P &lt; 0·01), whereas mean GHR AUC showed a significant increase after administration of the IGF‐I/IGFBP‐3 complex (68 ± 16 vs 288 ± 36 ng/ml min, P &lt; 0·01). Conclusions  These findings indicate that the IGF‐I/IGFBP‐3 complex appears to have opposite effects on circulating GH and ghrelin concentrations in low birth weight children, suggesting that, in addition to its known negative feed‐back effect on GH, IGF‐I and/or IGFBP‐3 may have a positive feed‐back effect on ghrelin.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17054474</pmid><doi>10.1111/j.1365-2265.2006.02650.x</doi><tpages>6</tpages></addata></record>
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subjects Area Under Curve
Biological and medical sciences
Child
Endocrinopathies
Follow-Up Studies
Fundamental and applied biological sciences. Psychology
Ghrelin
Growth Disorders - metabolism
Growth Hormone - blood
Humans
Infant, Low Birth Weight - metabolism
Infant, Newborn
Insulin-Like Growth Factor Binding Protein 3 - pharmacology
Insulin-Like Growth Factor I - pharmacology
Medical sciences
Multiprotein Complexes - pharmacology
Peptide Hormones - blood
Secretory Rate
Statistics, Nonparametric
Vertebrates: endocrinology
title Effects of the IGF-I/IGFBP-3 complex on GH and ghrelin nocturnal concentrations in low birth weight children
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