Effects of GH and/or sex steroids on circulating IGF-I and IGFBPs in healthy, aged women and men

Autor: Thomas Münzer, S. Mitchell Harman, John D. Sorkin, Clifford J. Rosen, Katherine M. Pabst, Marc R. Blackman, Carol St. Clair
Rok vydání: 2006
Předmět:
Blood Glucose
Male
medicine.medical_specialty
Physiology
Endocrinology
Diabetes and Metabolism

medicine.medical_treatment
Osteocalcin
Medroxyprogesterone Acetate
Growth hormone
Insulin-like growth factor-binding protein
Double-Blind Method
Physiology (medical)
Internal medicine
medicine
Humans
Insulin
Testosterone
Insulin-Like Growth Factor I
Gonadal Steroid Hormones
Aged
Aged
80 and over

Estradiol
biology
Human Growth Hormone
business.industry
Body Weight
Insulin-Like Growth Factor Binding Protein 1
Insulin-Like Growth Factor Binding Proteins
Insulin-Like Growth Factor Binding Protein 2
Insulin-Like Growth Factor Binding Protein 3
Endocrinology
Insulin-Like Growth Factor Binding Protein 4
Sex steroid
biology.protein
Female
Insulin-Like Growth Factor Binding Protein 5
business
hormones
hormone substitutes
and hormone antagonists

Hormone
Zdroj: American Journal of Physiology-Endocrinology and Metabolism. 290:E1006-E1013
ISSN: 1522-1555
0193-1849
DOI: 10.1152/ajpendo.00166.2005
Popis: Circulating GH, IGF-I, IGFBP-3, and sex steroid concentrations decrease with age. GH or sex steroid treatment increases IGFBP-3, but little is known regarding the effects of these hormones on other IGFBPs. We assessed the effects of 26 wk of administration of GH, sex steroids, or GH + sex steroids on AM levels of IGF-I, IGFBPs 1–5, insulin, glucose, and osteocalcin and 2-h urinary excretion of deoxypyridinolline (DPD) cross-links in 53 women and 71 men aged 65–88 yr. Before treatment, in women and men, IGF-I was directly related to IGFBP-3 ( P < 0.001 and P < 0.0001) and IGFBP-1 to IGFBP-2 ( P = 0.0001). In women, IGFBP-1 was inversely related to insulin ( P < 0.0005) and glucose ( P < 0.005) and IGFBP-4 to osteocalcin ( P < 0.01). IGFBP-4 and IGFBP-5 were not significantly related to DPD cross-links. GH and/or sex steroid increased IGF-I levels in both sexes, with higher concentrations in men ( P < 0.001). In women, the IGF-I increment after GH was attenuated by hormone replacement therapy (HRT) coadministration ( P < 0.05). Hormone administration also increased IGFBP-3. IGFBP-1 was unaffected by GH + sex steroids, whereas GH decreased IGFBP-2 by 15% in men ( P < 0.05). Hormone administration did not change IGFBP-4, whereas in men IGFBP-5 increased by 20% after GH ( P < 0.05) and 56% after GH + testosterone ( P = 0.0003). These data demonstrate sexually dimorphic IGFBP responses to GH. Additonally, HRT attenuated or prevented GH-mediated increases in IGF-I and IGFBP-3. Whether GH and/or sex steroid administration alters local tissue production of IGFBPs and whether the latter influence autocrine or paracrine actions of IGF-I remain to be determined.
Databáze: OpenAIRE