Home Serum insulin-like growth factor-binding protein-3 level correlated with glycemic control and lipid profiles in children and adolescents with type 1 diabetes
Article
Licensed
Unlicensed Requires Authentication

Serum insulin-like growth factor-binding protein-3 level correlated with glycemic control and lipid profiles in children and adolescents with type 1 diabetes

  • Min Sun Kim and Dae-Yeol Lee EMAIL logo
Published/Copyright: May 13, 2014

Abstract

Increasing evidence suggests a role of the IGF axis in the maintenance of normal glucose and lipid metabolism. The local IGF-IGFBP environment changes significantly in response to the diabetes milieu. We aimed at determining serum IGF-1 and IGFBP-3 levels in children with type 1 diabetes mellitus (T1DM) and their relationship with clinical variables. Seventy-eight patients with T1DM and 47 healthy control subjects were included in this study. Significant reduction for concentration of serum IGF-1 was observed in patients with T1DM compared to healthy controls. However, serum IGFBP-3 levels were similar in patients with T1DM compared to controls. Both serum IGF-1 and IGFBP-3 levels were significantly correlated with age, BMI, and serum c-peptide levels. In addition, serum IGFBP-3 levels showed significant positive correlation with HbA1c, total cholesterol, and LDL-cholesterol in the uncontrolled diabetic patients. These findings suggest that IGFBP-3 may be involved in the glucose control and lipid metabolism in those with uncontrolled T1DM. Further studies are needed to document their roles on glucose and lipid metabolism in T1DM.


Corresponding author: Dae-Yeol Lee, MD, Department of Pediatrics, Chonbuk National University Medical School and Research Institute of Clinical Medicine of Chonbuk National University; and Biomedical Institute of Chonbuk National University Hospital, Jeonju, Jeonbuk 561-712, Korea, Phone: 82-63-250-1469, Fax: 82-63-250-1464, E-mail:

References

1. Daughaday WH. The possible autocrine/paracrine and endocrine roles of insulin-like growth factors of human tumors. Endocrinology 1990;127:1–4.10.1210/endo-127-1-1Search in Google Scholar

2. LeRoith D. Seminars in medicine of the Beth Israel Deaconess Medical Center. Insulin-like growth factors. N Engl J Med 1997;336:633–40.10.1056/NEJM199702273360907Search in Google Scholar

3. Baxter RC, Martin JL. Binding proteins for the insulin-like growth factor: structure, regulation and function. Prog Growth Factor Res 1989;1:49–68.10.1016/0955-2235(89)90041-0Search in Google Scholar

4. Jones JL, Clemmons DR. Insulin-like growth factors and their binding proteins: biological actions. Endocr Rev. 1995;16:3–34.Search in Google Scholar

5. Jogie-Brahim S, Feldman D, Oh Y. Unraveling IGFBP-3 actions in human disease. Endocr Rev 2009;30:417–37.10.1210/er.2008-0028Search in Google Scholar PubMed PubMed Central

6. Walker GE, Kim HS, Yang YF, Oh Y. IGF-independent effects of the IGF superfamily. In: Le Roith D, Zumkeller W, Baxter R, editors. Insulin-like growth factors. Austin, TX: Landes Biosciences 2004;1–22.Search in Google Scholar

7. Dunger DB, Cheetham TD, Holly JM, Matthews DR. Does recombinant insulin-like growth factor I have a role in the treatment of insulin-dependent diabetes mellitus during adolescence? Acta Paediatrica 1993:388(Suppl);49–52.10.1111/j.1651-2227.1993.tb12841.xSearch in Google Scholar PubMed

8. Holt RI, Simpson HL, Sonksen PH. The role of the growth hormone – insulin-like growth factor axis in glucose homeostasis. Diabet Med 2003;20:3–15.10.1046/j.1464-5491.2003.00827.xSearch in Google Scholar PubMed

9. Munoz MT, Barrios V, Pozo J, Argente J. Insulin-like growth factor-I and its binding protein 1 and 3, and growth hormone-binding protein in children and adolescents with insulin-dependent diabetes mellitus: clinical implications. Pediatric Research 1996;39:992–8.10.1203/00006450-199606000-00011Search in Google Scholar PubMed

10. Niedzwiedzka A, Dziatkowiak H, Sztefko K. Insulin-like growth factor I(IGF-I) and its binding protein 1 and 3 in children and adolescents with IDDM. Horm Res 1999;51(Suppl 2):95.Search in Google Scholar

11. Cinaz P, Kendirci M, Kurtoglu S, Gokcora N, Buyan N, et al. Serum levels of insulin-like growth factor-I and insulin-like growth factor binding protein-3 in children with insulin dependent diabetes mellitus. J Pediatr Endocrinol Metab 1996;9:475–82.10.1515/JPEM.1996.9.4.475Search in Google Scholar PubMed

12. Kaplan RC, McGinn AP, Pollak MN, Kuller LH, Strickler HD, et al. Association of total insulin-like growth factor-I, insulin-like growth factor binding protein-1(IGFBP-1), and IGFBP-3 levels with incident coronary events and ischemic stroke. J Clin Endocrinol Metab 2007;92:1319–25.10.1210/jc.2006-1631Search in Google Scholar PubMed

13. Gomez JM, Maravall FJ, Gomez N, Navarro MA, Casamitjana R, et al. The IGF-I system component concentrations that decrease with ageing are lower in obesity in relationship to body mass index and body fat. Growth Horm IGF Res 2004;14:91–6.10.1016/j.ghir.2003.11.004Search in Google Scholar PubMed

14. Kielczewski JL, Hu P, Shaw LC, Li Calzi S, Mames RN, et al. Novel protective properties of IGFBP-3 result in enhanced pericyte ensheathment, reduced microglial activation, increased microglial apoptosis, and neuronal protection after ischemic retinal injury. Am J Pathol 2011;178:1517–1528.10.1016/j.ajpath.2010.12.031Search in Google Scholar

15. Mohanraj L, Kim HS, Li Wei, Cai Q, Kim EK, et al. IGFBP-3 inhibits cytokine-induced insulin resistance and early manifestations of athelosclerosis. Plos One 2013;8:e55084.10.1371/journal.pone.0055084Search in Google Scholar

16. Boni-Schnetzler M, Schmid C, Meier PJ, Froesch ER. Insulin regulates insulin-like growth factor I mRNA in rat hepatocytes. Am J Physiol 1991;e846–51.10.1152/ajpendo.1991.260.6.E846Search in Google Scholar

17. Brisma K, Fernqvist-Forbes E, Wahren J, Hall K. Effect of insulin on the hepatic production of insulin-like growth factor binding protein-1(IGFBP-1), IGFBP-3, and IGF-I in insulin-dependent diabetes. J Clin Endocrinol Metab 1994;79:872–8.Search in Google Scholar

18. Chiarelli F, Giannini C, Mohn A. Growth, growth factors and diabetes. Eur J Endocrinol 2004;151:109.10.1530/eje.0.151u109Search in Google Scholar

19. Dunger DB, Regan, FM, Acerini CL. Childhood and adolescent diabetes. Endocr Dev 2005;9:107.10.1159/000085761Search in Google Scholar

20. Bideci A, Camurdan MO, Cinaz P, Demirel F. Ghrelin, IGF-I and IGFBP-3 levels in children with type 1 diabetes mellitus. J Pediatr Endocrinol Metab 2005;18:1433–9.10.1515/JPEM.2005.18.12.1433Search in Google Scholar

21. Bereket A, Lang CH, Blethen SL, Fan J, Frost RA, et al. Insulin-like growth factor binding protein-3 proteolysis in children with insulin-dependent diabetes mellitus: a possible role for insulin in the regulation of IGFBP-3 protease activity. J Clin Endocrinol Metab 1995;80:2282–8.Search in Google Scholar

22. Wedrychowicz A, Dziatkowiak H, Nazim J, Sztefko K. Insulin-like growth factor-1 and its binding proteins, IGFBP-1 and IGFBP-3, in adolescents with type-1 diabetes mellitus and microalbuminuria. Horm Res 2005;63:245–51.10.1159/000085941Search in Google Scholar

23. Gambaro G, Baggio B. Growth factors and the kidney in diabetes mellitus. Crit Rev Clin Lab Sci 1988;35:117–51.10.1080/10408369891234174Search in Google Scholar

24. Rinderknecht E, Humbel RE. The amino acid sequence of human insulin-like growth factor I and its structural homology with proinsulin. J Biol Chem 1978;253:2769–76.10.1016/S0021-9258(17)40889-1Search in Google Scholar

25. Russell-Jones DL, Bates AT, Umpleby AM, Hennessy TR, Bowes SB, et al. A comparison of the effects of IGF-I and insulin on glucose metabolism, fat metabolism and the cardiovascular system in normal human volunteers. Eur J Clin Invest 1995;25: 403–11.10.1111/j.1365-2362.1995.tb01721.xSearch in Google Scholar PubMed

26. Moses AC, Young SC, Morrow LA, O’Brien M, Clemmons DR. Recombinant human insulin-like growth factor I increases insulin sensitivity and improves glycemic control in type II diabetes. Diabetes 1996;45:91–100.10.2337/diab.45.1.91Search in Google Scholar PubMed

27. Kanazawa I, Yamaguchi T, Sugimoto T. Serum insulin-like growth factor I is negatively associated with serum adiponectin in type 2 diabetes mellitus. Growth Horm IGF Res 2011;21:268–71.10.1016/j.ghir.2011.07.004Search in Google Scholar PubMed

28. Muzumdar RH, Ma X, Fishman S, Yang X, Atzmon G, et al. Central and opposing effects of IGF-I and IGF-binding protein-3 on systemic insulin action. Diabetes 2006;55:2788–96.10.2337/db06-0318Search in Google Scholar PubMed

29. Silha JV, Gui Y, Murphy LJ. Impaired glucose homeostasis in insulin-like growth factor-binding protein-3 transgenic mice. Am J Physiol Endocrinol Metab 2002;283:e937–45.10.1152/ajpendo.00014.2002Search in Google Scholar PubMed

30. Schedlish LJ, Le Page SL, Firth SM, Briggs LJ, Jans DA, et al. Nuclear import of insulin-like growth factor-binding protein-3 and -5 mediated by the importin beta subunit. J Biol Chem 2000;275:23462–70.10.1074/jbc.M002208200Search in Google Scholar PubMed

31. Yamada PM, Mehta HH, Hwang D, Roos KP, Hevener AL, et al. Evidence of a role for insulin-like growth factor binding protein (IGFBP)-3 in metabolic regulation. Endocrinology 2010;151: 5741–50.10.1210/en.2010-0672Search in Google Scholar PubMed PubMed Central

32. Pratipanawatr T, Pratipanawatr W, Rosen C, Berria R, Bajaj M, et al. Effect of IGF-I on FFA and glucose metabolism in control and type 2 diabetic subjects. Am J Physiol Endocrinol Metab 2002;282:e1360–8.10.1152/ajpendo.00335.2001Search in Google Scholar PubMed

Received: 2013-9-3
Accepted: 2014-4-1
Published Online: 2014-5-13
Published in Print: 2014-9-20

©2014 by De Gruyter

Articles in the same Issue

  1. Frontmatter
  2. Review article
  3. Towards an optimization of the management of endocrine complications of thalassemia
  4. Original articles
  5. The natural course of Hashimoto’s thyroiditis in children and adolescents
  6. Muscle strength and body composition during the transition phase in patients treated with recombinant GH to final height
  7. Benign vaginal bleeding in 24 prepubertal patients: clinical, biochemical and imaging features
  8. Evaluation of epicardial adipose tissue, carotid intima-media thickness and ventricular functions in obese children and adolescents
  9. Counseling patients with succinate dehydrogenase subunit defects: genetics, preventive guidelines, and dealing with uncertainty
  10. Pubertal development profile in patients with Turner syndrome
  11. A novel CASR mutation associated with neonatal severe hyperparathyroidism transmitted as an autosomal recessive disorder
  12. Serum insulin-like growth factor-binding protein-3 level correlated with glycemic control and lipid profiles in children and adolescents with type 1 diabetes
  13. Adult human liver mesenchymal progenitor cells express phenylalanine hydroxylase
  14. Clinical applicability of rapid detection of SRY and DYS14 genes in patients with disorders of sex development using an indigenously developed 5′ exonuclease based assay
  15. Hereditary 1,25-dihydroxyvitamin D-resistant rickets with alopecia in four Egyptian families: report of three novel mutations in the vitamin D receptor gene
  16. Permanent neonatal diabetes mellitus in Jordan
  17. The effect of adenotonsilectomy on ghrelin, leptin, IGF-1 levels and growth parameters in children with adenotonsillar hypertrophy
  18. The role of anti-Mullerian and inhibin B hormones in the evaluation of 46,XY disorders of sex development
  19. The evaluation of thyroid carcinoma in childhood and concomitance of autoimmune thyroid disorders
  20. Lipid patterns in treated growth hormone deficient children vs. short stature controls
  21. Assessment of aortic morphology and compliance in children and adolescents with Ullrich-Turner syndrome (UTS) using magnetic resonance imaging (MRI)
  22. Management of central diabetes insipidus with oral desmopressin lyophilisate in infants
  23. Maternal factors and complications of preterm birth associated with neonatal thyroid stimulating hormone
  24. Patient reports
  25. A rare case of pituitary infarction leading to spontaneous tumour resolution and CSF-sella syndrome in an 11-year-old girl and a review of the paediatric literature
  26. Rare case of homozygous epimerase deficiency and heterozygous of duarte 2 variant
  27. Persistent congenital hyperinsulinism in two patients with Beckwith-Wiedemann syndrome due to mosaic uniparental disomy 11p
  28. Growth hormone treatment in a patient with Hurler-Scheie syndrome
  29. Neonatal diagnosis of a patient with hypoparathyroidism, sensorineural deafness and renal dysplasia (HDR) syndrome associated with cerebral infarction
  30. Early-onset diabetes mellitus and neurodevelopmental retardation: the first Greek case of Wolcott-Rallison syndrome
  31. Type III Bartter-like syndrome in an infant boy with Gitelman syndrome and autosomal dominant familial neurohypophyseal diabetes insipidus
  32. Cushing’s syndrome: hidden risk in usage of topical corticosteroids
  33. Prader-Willi syndrome: a case report with atypical developmental features
  34. Berardinelli-Seip congenital lipodystrophy: an autosomal recessive disorder with rare association of duodenocolonic polyps
  35. Ectopic Cushing syndrome secondary to metastatic medullary thyroid cancer in a child with multiple endocrine neoplasia syndrome type 2B: clues to early diagnosis of the paraneoplastic syndromes
  36. Ovarian hyperstimulation syndrome treated by medroxyprogesterone acetate
  37. Symptomatic cerebral infarction in a child with severe diabetic ketoacidosis
  38. A rare case of familial Cushing’s syndrome with a common presentation of weight gain due to a mutation of the PRKAR1A gene causing isolated primary pigmented nodular adrenocortical disease
  39. Multiple autoimmunity, type 1 diabetes (T1DM), autoimmune thyroiditis and thyroid cancer: is there an association? A case report and literature review
  40. Cholestasis and protein-losing enteropathy secondary to hyperthyroidism in a 6-year-old girl
  41. Short communication
  42. An essential splice site mutation (c.317+1G>A) in the TSHR gene leads to severe thyroid dysgenesis
  43. Letter to the Editor
  44. Pubertal gynecomastia: what about the remaining 10%?
Downloaded on 27.9.2025 from https://www.degruyterbrill.com/document/doi/10.1515/jpem-2013-0358/html
Scroll to top button