2014
DOI: 10.1210/jc.2013-3718
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IGFALS Gene Dosage Effects on Serum IGF-I and Glucose Metabolism, Body Composition, Bone Growth in Length and Width, and the Pharmacokinetics of Recombinant Human IGF-I Administration

Abstract: These gene dosage effects demonstrate that one functional IGFALS allele is insufficient to maintain normal ALS levels, endocrine IGF-I action, full growth potential, muscle size, and periosteal expansion. Similar gene dosage effects may exist for parameters of IR. Despite similar IGF-I elimination compared with severe PIGFD, ALS-deficient patients cannot mount a similar response. Alternative ways of rhIGF-I administration should be sought.

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Cited by 26 publications
(18 citation statements)
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References 51 publications
(58 reference statements)
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“…Lack of ternary complex formation due to ALS deletion was associated with increased adipogenesis from bone marrowderived mesenchymal stromal cells in culture, whereas recombinant ALS inhibited adipogenesis (43). Although ALS-deficient mice had normal body composition and insulin sensitivity (45), humans with ALS deficits are insulinresistant (46,47) and may be obese (47). Therefore, the lack of ternary complex formation of the mutant hIGFBP-3 could explain adiposity and insulin resistance in PGKmutBP3 mice.…”
Section: Discussionmentioning
confidence: 99%
“…Lack of ternary complex formation due to ALS deletion was associated with increased adipogenesis from bone marrowderived mesenchymal stromal cells in culture, whereas recombinant ALS inhibited adipogenesis (43). Although ALS-deficient mice had normal body composition and insulin sensitivity (45), humans with ALS deficits are insulinresistant (46,47) and may be obese (47). Therefore, the lack of ternary complex formation of the mutant hIGFBP-3 could explain adiposity and insulin resistance in PGKmutBP3 mice.…”
Section: Discussionmentioning
confidence: 99%
“…Patients with IGFALS defects do not respond well to either GH or IGF-I treatment. Despite profoundly low circulating concentrations of IGF-I, their growth failure is mild [241,242] . Technical Remark: Outside of the USA, IGF-I is also used at 150-180 μg/kg once daily.…”
Section: Gh Treatment Of Patients With Issmentioning
confidence: 99%
“…Children with ALS deficiency show a mild growth failure, delayed puberty, undetectable serum ALS, low serum IGF1, and even lower IGF binding protein 3 (IGFBP-3) (59), and variable osteopenia and hyperinsulinism (60,61,62). Heterozygosity for IGFALS variants causes a one S.D.…”
Section: Gh Deficiencymentioning
confidence: 99%
“…Heterozygosity for IGFALS variants causes a one S.D. lower height (60,62,63) and may be responsible for a subset of children previously considered having ISS (64).…”
Section: Gh Deficiencymentioning
confidence: 99%