Effect of anthelmintic treatment on serum free IGF-1 and IGFBP-3: a cluster-randomized-controlled trial in Indonesia

In children, soil-transmitted helminth infections have been linked to poor nutritional status and growth retardation in association with lower levels of IGF-1. In adults, IGF-1 has an anabolic and metabolic function and is related to nutritional status. Here, we assessed the impact of helminth infec...

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Veröffentlicht in:Scientific reports 2020-11, Vol.10 (1), p.19023, Article 19023
Hauptverfasser: Kurniawan, Farid, Tahapary, Dicky L., de Ruiter, Karin, Yunir, Em, Biermasz, Nienke R., Smit, Johannes W. A., Supali, Taniawati, Sartono, Erliyani, Yazdanbakhsh, Maria, Soewondo, Pradana
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container_title Scientific reports
container_volume 10
creator Kurniawan, Farid
Tahapary, Dicky L.
de Ruiter, Karin
Yunir, Em
Biermasz, Nienke R.
Smit, Johannes W. A.
Supali, Taniawati
Sartono, Erliyani
Yazdanbakhsh, Maria
Soewondo, Pradana
description In children, soil-transmitted helminth infections have been linked to poor nutritional status and growth retardation in association with lower levels of IGF-1. In adults, IGF-1 has an anabolic and metabolic function and is related to nutritional status. Here, we assessed the impact of helminth infection on free IGF-1 and its major binding protein, IGFBP-3, in adults. The levels of IGF-1 and IGFBP3 were measured in 1669 subjects aged ≥ 16 years, before and after receiving four rounds of albendazole 400 mg/day or matching placebo for three consecutive days. Helminth infection status was assessed by microscopy (Kato-Katz) and PCR. Serum free IGF-1 level was significantly lower in helminth-infected subjects [mean difference and 95% CI − 0.068 (− 0.103; − 0.033), P 
doi_str_mv 10.1038/s41598-020-75781-4
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A. ; Supali, Taniawati ; Sartono, Erliyani ; Yazdanbakhsh, Maria ; Soewondo, Pradana</creator><creatorcontrib>Kurniawan, Farid ; Tahapary, Dicky L. ; de Ruiter, Karin ; Yunir, Em ; Biermasz, Nienke R. ; Smit, Johannes W. A. ; Supali, Taniawati ; Sartono, Erliyani ; Yazdanbakhsh, Maria ; Soewondo, Pradana</creatorcontrib><description>In children, soil-transmitted helminth infections have been linked to poor nutritional status and growth retardation in association with lower levels of IGF-1. In adults, IGF-1 has an anabolic and metabolic function and is related to nutritional status. Here, we assessed the impact of helminth infection on free IGF-1 and its major binding protein, IGFBP-3, in adults. The levels of IGF-1 and IGFBP3 were measured in 1669 subjects aged ≥ 16 years, before and after receiving four rounds of albendazole 400 mg/day or matching placebo for three consecutive days. Helminth infection status was assessed by microscopy (Kato-Katz) and PCR. Serum free IGF-1 level was significantly lower in helminth-infected subjects [mean difference and 95% CI − 0.068 (− 0.103; − 0.033), P &lt; 0.001 after adjustment for age, sex, body mass index, and fasting insulin level]. There was no difference in IGFBP-3 level between helminth infected versus non-infected subjects. In the whole study population, albendazole treatment significantly increased serum free IGF-1 level [estimate and 95% CI 0.031 (0.004; − 0.057), P = 0.024] whereas no effect was found on the IGFBP-3 level. Our study showed that helminth infection in adults is associated with lower free IGF-1 levels but not with IGFBP-3 and albendazole treatment significantly increases free IGF-1 levels in the study population. 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The levels of IGF-1 and IGFBP3 were measured in 1669 subjects aged ≥ 16 years, before and after receiving four rounds of albendazole 400 mg/day or matching placebo for three consecutive days. Helminth infection status was assessed by microscopy (Kato-Katz) and PCR. Serum free IGF-1 level was significantly lower in helminth-infected subjects [mean difference and 95% CI − 0.068 (− 0.103; − 0.033), P &lt; 0.001 after adjustment for age, sex, body mass index, and fasting insulin level]. There was no difference in IGFBP-3 level between helminth infected versus non-infected subjects. In the whole study population, albendazole treatment significantly increased serum free IGF-1 level [estimate and 95% CI 0.031 (0.004; − 0.057), P = 0.024] whereas no effect was found on the IGFBP-3 level. Our study showed that helminth infection in adults is associated with lower free IGF-1 levels but not with IGFBP-3 and albendazole treatment significantly increases free IGF-1 levels in the study population. 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Clinical Trial Registration : https://www.isrctn.com/ISRCTN75636394 .</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>33149205</pmid><doi>10.1038/s41598-020-75781-4</doi><oa>free_for_read</oa></addata></record>
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subjects 692/163
692/163/2743
692/420
692/420/254
Adult
Albendazole
Albendazole - therapeutic use
Anthelmintic agents
Anthelmintics - therapeutic use
Antiparasitic agents
Body mass index
Case-Control Studies
Child
Child, Preschool
Clinical trials
Cluster Analysis
Female
Growth rate
Helminthiasis - blood
Helminthiasis - drug therapy
Humanities and Social Sciences
Humans
Indonesia
Infections
Insulin
Insulin-Like Growth Factor Binding Protein 3 - metabolism
Insulin-like growth factor I
Insulin-Like Growth Factor I - metabolism
Insulin-like growth factor-binding protein 3
Male
multidisciplinary
Nutritional status
Placebos
Population studies
Science
Science (multidisciplinary)
title Effect of anthelmintic treatment on serum free IGF-1 and IGFBP-3: a cluster-randomized-controlled trial in Indonesia
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