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Normal values of circulating insulin-like growth factor-I bioactivity in the healthy population: Comparison with five widely used IGF-I immunoassays

Title: Normal values of circulating insulin-like growth factor-I bioactivity in the healthy population: Comparison with five widely used IGF-I immunoassays
Authors: Brugts, Michel; Ranke, MB; Hofland, Leo; van der Wansem, K (Katy); Weber, K; Frystyk, J; Lamberts, S.W.J.; Janssen, J.A.M.J.L.
Source: Brugts, M, Ranke, MB, Hofland, L, van der Wansem, K, Weber, K, Frystyk, J, Lamberts, S W J & Janssen, J A M J L 2008, 'Normal values of circulating insulin-like growth factor-I bioactivity in the healthy population: Comparison with five widely used IGF-I immunoassays', Journal of Clinical Endocrinology and Metabolism, vol. 93, no. 7, pp. 2539-2545. https://doi.org/10.1210/jc.2007-2454
Publication Year: 2008
Subject Terms: /dk/atira/pure/keywords/researchprograms/AFL001000/EMCMM013901; name=EMC MM-01-39-01
Description: Background: IGF-I immunoassays are primarily used to estimate IGF-I bioactivity. Recently an IGF-I-specific kinase receptor activation assay (KIRA) has been developed as an alternative method. However, no normative values have been established for the IGF-I KIRA. Objective: The objective of the study was to establish normative values for the IGF-I KIRA in healthy adults. Design: This was a cross-sectional study in healthy nonfasting blood donors. Study Participants: Participants included 426 healthy individuals (310 males, 116 females; age range 18-79 yr). Main Outcome Measures: IGF-I bioactivity determined by the KIRA was measured. Results were compared with total IGF-I, measured by five different IGF-I immunoassays. Results: Mean (+/- SD) IGF-I bioactivity was 423 (+/- 131) pmol/liter and decreased with age (beta = -3.4 pmol/liter.yr, P < 0.001). In subjects younger than 55 yr, mean IGF-I bioactivity was significantly higher in women than men. Above this age this relationship was inverse, suggesting a drop in IGF-I bioactivity after menopause. This drop was not reflected in total IGF-I levels. IGF-I bioactivity was significantly related to total IGF-I (r(s) varied between 0.46 and 0.52; P < 0.001). Conclusions: We established age-specific normative values for the IGF-I KIRA. We observed a significant drop in IGF-I bioactivity in women between 50 and 60 yr, which was not perceived by IGF-I immunoassays. The IGF-I KIRA, when compared with IGF-I immunoassays, theoretically has the advantage that it measures net effects of IGF-binding proteins on IGF-I receptor activation. However, it has to be proven whether information obtained by the IGF-I KIRA is clinically more relevant than measurements obtained by IGF-I immunoassays.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: unknown
ISSN: 0021-972X; 1945-7197
Relation: info:eu-repo/semantics/altIdentifier/pmid/18397983; info:eu-repo/semantics/altIdentifier/pissn/0021-972X; info:eu-repo/semantics/altIdentifier/eissn/1945-7197
DOI: 10.1210/jc.2007-2454
Availability: https://pure.eur.nl/en/publications/5da22d3d-93c1-462c-b743-cced77a82571; https://doi.org/10.1210/jc.2007-2454; https://pure.eur.nl/ws/files/46786134/jc.2007-2454v1.pdf; https://hdl.handle.net/1765/13710
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.AD3743D1
Database: BASE