Expression of insulin-like growth factor-I in lesional and non-lesional skin of patients with morphoea

Summary Background  Morphoea (scleroderma) is a chronic disorder characterized by circumscribed sclerotic plaques with the hallmark of increased fibroblast activation and fibrosis. Through its effect on connective tissue cells and immune cells, insulin‐like growth factor (IGF)‐I has been found to pl...

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Veröffentlicht in:British journal of dermatology (1951) 2008-07, Vol.159 (1), p.86-90
Hauptverfasser: Fawzi, M.M.T., Tawfik, S.O., Eissa, A.M., El-Komy, M.H.M., Abdel-Halim, M.R.E., Shaker, O.G.
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container_issue 1
container_start_page 86
container_title British journal of dermatology (1951)
container_volume 159
creator Fawzi, M.M.T.
Tawfik, S.O.
Eissa, A.M.
El-Komy, M.H.M.
Abdel-Halim, M.R.E.
Shaker, O.G.
description Summary Background  Morphoea (scleroderma) is a chronic disorder characterized by circumscribed sclerotic plaques with the hallmark of increased fibroblast activation and fibrosis. Through its effect on connective tissue cells and immune cells, insulin‐like growth factor (IGF)‐I has been found to play a role in some autoimmune connective tissue diseases and has been implicated in the pathogenesis of several fibrotic disorders. Objectives  To evaluate the role of IGF‐I in the pathogenesis of morphoea. Methods  The study was carried out on 15 patients with morphoea and nine healthy controls. Two 5‐mm punch skin biopsies were taken from every patient (one from lesional and one from non‐lesional skin) and a single biopsy was taken from the normal skin of each control. A 10‐mL blood sample was also taken from each patient and control. Quantitative detection of tissue and serum levels of IGF‐I was done using an enzyme‐linked immunosorbent assay technique. Results  IGF‐I in lesional skin was significantly higher than in non‐lesional and control skin (P = 0·001 and P = 0·021, respectively). Moreover, a significantly higher level of IGF‐I was detected in patient serum when compared with control serum (P 
doi_str_mv 10.1111/j.1365-2133.2008.08592.x
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Through its effect on connective tissue cells and immune cells, insulin‐like growth factor (IGF)‐I has been found to play a role in some autoimmune connective tissue diseases and has been implicated in the pathogenesis of several fibrotic disorders. Objectives  To evaluate the role of IGF‐I in the pathogenesis of morphoea. Methods  The study was carried out on 15 patients with morphoea and nine healthy controls. Two 5‐mm punch skin biopsies were taken from every patient (one from lesional and one from non‐lesional skin) and a single biopsy was taken from the normal skin of each control. A 10‐mL blood sample was also taken from each patient and control. Quantitative detection of tissue and serum levels of IGF‐I was done using an enzyme‐linked immunosorbent assay technique. Results  IGF‐I in lesional skin was significantly higher than in non‐lesional and control skin (P = 0·001 and P = 0·021, respectively). Moreover, a significantly higher level of IGF‐I was detected in patient serum when compared with control serum (P &lt; 0·001). A direct significant correlation existed between lesional and non‐lesional skin level (r = 0·618, P = 0·014), and between lesional skin level and Rodnan score (r = 0·538, P = 0·039). Conclusions  Despite the small sample size, this study suggests that IGF‐I plays an important role in the pathogenesis of fibrosis, characteristic of morphoea. Studies on a larger number of patients with morphoea as well as on patients with systemic sclerosis are recommended. Furthermore, therapeutic trials using IGF‐I antagonist (octreotide) are highly recommended in patients with morphoea.</description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1111/j.1365-2133.2008.08592.x</identifier><identifier>PMID: 18489607</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Case-Control Studies ; Child ; Enzyme-Linked Immunosorbent Assay ; Female ; growth factors ; Humans ; Insulin-Like Growth Factor I - metabolism ; insulin-like growth factor-I ; Male ; Middle Aged ; morphoea ; scleroderma ; Scleroderma, Localized - etiology ; sclerosis</subject><ispartof>British journal of dermatology (1951), 2008-07, Vol.159 (1), p.86-90</ispartof><rights>2008 The Authors. Journal Compilation © 2008 British Association of Dermatologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4052-6c412e1a0c5e2e3eac8838974fd9942abb582ef325776b45e526c4f67a8756dc3</citedby><cites>FETCH-LOGICAL-c4052-6c412e1a0c5e2e3eac8838974fd9942abb582ef325776b45e526c4f67a8756dc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2133.2008.08592.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2133.2008.08592.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18489607$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fawzi, M.M.T.</creatorcontrib><creatorcontrib>Tawfik, S.O.</creatorcontrib><creatorcontrib>Eissa, A.M.</creatorcontrib><creatorcontrib>El-Komy, M.H.M.</creatorcontrib><creatorcontrib>Abdel-Halim, M.R.E.</creatorcontrib><creatorcontrib>Shaker, O.G.</creatorcontrib><title>Expression of insulin-like growth factor-I in lesional and non-lesional skin of patients with morphoea</title><title>British journal of dermatology (1951)</title><addtitle>Br J Dermatol</addtitle><description>Summary Background  Morphoea (scleroderma) is a chronic disorder characterized by circumscribed sclerotic plaques with the hallmark of increased fibroblast activation and fibrosis. Through its effect on connective tissue cells and immune cells, insulin‐like growth factor (IGF)‐I has been found to play a role in some autoimmune connective tissue diseases and has been implicated in the pathogenesis of several fibrotic disorders. Objectives  To evaluate the role of IGF‐I in the pathogenesis of morphoea. Methods  The study was carried out on 15 patients with morphoea and nine healthy controls. Two 5‐mm punch skin biopsies were taken from every patient (one from lesional and one from non‐lesional skin) and a single biopsy was taken from the normal skin of each control. A 10‐mL blood sample was also taken from each patient and control. Quantitative detection of tissue and serum levels of IGF‐I was done using an enzyme‐linked immunosorbent assay technique. Results  IGF‐I in lesional skin was significantly higher than in non‐lesional and control skin (P = 0·001 and P = 0·021, respectively). Moreover, a significantly higher level of IGF‐I was detected in patient serum when compared with control serum (P &lt; 0·001). A direct significant correlation existed between lesional and non‐lesional skin level (r = 0·618, P = 0·014), and between lesional skin level and Rodnan score (r = 0·538, P = 0·039). Conclusions  Despite the small sample size, this study suggests that IGF‐I plays an important role in the pathogenesis of fibrosis, characteristic of morphoea. Studies on a larger number of patients with morphoea as well as on patients with systemic sclerosis are recommended. Furthermore, therapeutic trials using IGF‐I antagonist (octreotide) are highly recommended in patients with morphoea.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Female</subject><subject>growth factors</subject><subject>Humans</subject><subject>Insulin-Like Growth Factor I - metabolism</subject><subject>insulin-like growth factor-I</subject><subject>Male</subject><subject>Middle Aged</subject><subject>morphoea</subject><subject>scleroderma</subject><subject>Scleroderma, Localized - etiology</subject><subject>sclerosis</subject><issn>0007-0963</issn><issn>1365-2133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1OGzEUhS3UClLKKyCv2M3gn_HfoguaAqVCIKFCpW4sZ3KnOJmMp_ZECW9fD0nptt7Y8v2-c6WDEKakpPmcL0rKpSgY5bxkhOiSaGFYuT1Ak7fBOzQhhKiCGMmP0IeUFoRQTgQ5REdUV9pIoiaoudz2EVLyocOhwb5L69Z3ReuXgH_FsBmecePqIcTiJg9xCyPpWuy6Oe5CBv9-pKV_Tejd4KEbEt747K5C7J8DuI_ofePaBCf7-xg9Xl1-n34tbu-vb6YXt0VdEcEKWVeUAXWkFsCAg6u15tqoqpkbUzE3mwnNoOFMKCVnlQDBstJI5bQScl7zY3S2y-1j-L2GNNiVTzW0resgrJOVhilthMqg3oF1DClFaGwf_crFF0uJHTu2CztWaccq7dixfe3YbrN6ut-xnq1g_k_cl5qBTztg41t4-e9g-_nbl_GV_WLn-zTA9s13cWml4krYH3fX1jz9vCOVmdoH_gcGyJqO</recordid><startdate>200807</startdate><enddate>200807</enddate><creator>Fawzi, M.M.T.</creator><creator>Tawfik, S.O.</creator><creator>Eissa, A.M.</creator><creator>El-Komy, M.H.M.</creator><creator>Abdel-Halim, M.R.E.</creator><creator>Shaker, O.G.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</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>200807</creationdate><title>Expression of insulin-like growth factor-I in lesional and non-lesional skin of patients with morphoea</title><author>Fawzi, M.M.T. ; Tawfik, S.O. ; Eissa, A.M. ; El-Komy, M.H.M. ; Abdel-Halim, M.R.E. ; Shaker, O.G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4052-6c412e1a0c5e2e3eac8838974fd9942abb582ef325776b45e526c4f67a8756dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Female</topic><topic>growth factors</topic><topic>Humans</topic><topic>Insulin-Like Growth Factor I - metabolism</topic><topic>insulin-like growth factor-I</topic><topic>Male</topic><topic>Middle Aged</topic><topic>morphoea</topic><topic>scleroderma</topic><topic>Scleroderma, Localized - etiology</topic><topic>sclerosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fawzi, M.M.T.</creatorcontrib><creatorcontrib>Tawfik, S.O.</creatorcontrib><creatorcontrib>Eissa, A.M.</creatorcontrib><creatorcontrib>El-Komy, M.H.M.</creatorcontrib><creatorcontrib>Abdel-Halim, M.R.E.</creatorcontrib><creatorcontrib>Shaker, O.G.</creatorcontrib><collection>Istex</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>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fawzi, M.M.T.</au><au>Tawfik, S.O.</au><au>Eissa, A.M.</au><au>El-Komy, M.H.M.</au><au>Abdel-Halim, M.R.E.</au><au>Shaker, O.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Expression of insulin-like growth factor-I in lesional and non-lesional skin of patients with morphoea</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>2008-07</date><risdate>2008</risdate><volume>159</volume><issue>1</issue><spage>86</spage><epage>90</epage><pages>86-90</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><abstract>Summary Background  Morphoea (scleroderma) is a chronic disorder characterized by circumscribed sclerotic plaques with the hallmark of increased fibroblast activation and fibrosis. Through its effect on connective tissue cells and immune cells, insulin‐like growth factor (IGF)‐I has been found to play a role in some autoimmune connective tissue diseases and has been implicated in the pathogenesis of several fibrotic disorders. Objectives  To evaluate the role of IGF‐I in the pathogenesis of morphoea. Methods  The study was carried out on 15 patients with morphoea and nine healthy controls. Two 5‐mm punch skin biopsies were taken from every patient (one from lesional and one from non‐lesional skin) and a single biopsy was taken from the normal skin of each control. A 10‐mL blood sample was also taken from each patient and control. Quantitative detection of tissue and serum levels of IGF‐I was done using an enzyme‐linked immunosorbent assay technique. Results  IGF‐I in lesional skin was significantly higher than in non‐lesional and control skin (P = 0·001 and P = 0·021, respectively). Moreover, a significantly higher level of IGF‐I was detected in patient serum when compared with control serum (P &lt; 0·001). A direct significant correlation existed between lesional and non‐lesional skin level (r = 0·618, P = 0·014), and between lesional skin level and Rodnan score (r = 0·538, P = 0·039). Conclusions  Despite the small sample size, this study suggests that IGF‐I plays an important role in the pathogenesis of fibrosis, characteristic of morphoea. Studies on a larger number of patients with morphoea as well as on patients with systemic sclerosis are recommended. Furthermore, therapeutic trials using IGF‐I antagonist (octreotide) are highly recommended in patients with morphoea.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18489607</pmid><doi>10.1111/j.1365-2133.2008.08592.x</doi><tpages>5</tpages></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Aged
Case-Control Studies
Child
Enzyme-Linked Immunosorbent Assay
Female
growth factors
Humans
Insulin-Like Growth Factor I - metabolism
insulin-like growth factor-I
Male
Middle Aged
morphoea
scleroderma
Scleroderma, Localized - etiology
sclerosis
title Expression of insulin-like growth factor-I in lesional and non-lesional skin of patients with morphoea
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