Insulin-like growth factor-1 level is a poor diagnostic indicator of growth hormone deficiency
نویسندگان
چکیده
Abstract We evaluated the diagnostic accuracy of insulin-like growth factor-1 (IGF-1) for screening hormone deficiency (GHD) to determine usefulness IGF-1 as a test. Among 298 consecutive children who had short stature or decreased height velocity, we measured levels and performed (GH) secretion test using clonidine, arginine, and, in cases with different results two tests, L-dopa. Patients congenital abnormalities were excluded. GHD was defined peak GH ≤ 6.0 ng/mL tests. identified 60 238 patients without GHD, respectively. The mean standard deviation (SD) not significantly between non-GHD groups (p = 0.23). Receiver operating characteristic curve analysis demonstrated best at an cutoff − 1.493 SD, 0.685 sensitivity, 0.417 specificity, 0.25 positive 0.823 negative predictive values, 0.517 area under curve. Correlation revealed that none items patients’ characteristics increased power IGF-1. level poor GHD. Therefore, should be used alone screening. A biomarker developed future.
منابع مشابه
Insulin-like growth factor 1 (IGF-1): a growth hormone.
AIM To contribute to the debate about whether growth hormone (GH) and insulin-like growth factor 1 (IGF-1) act independently on the growth process. METHODS To describe growth in human and animal models of isolated IGF-1 deficiency (IGHD), such as in Laron syndrome (LS; primary IGF-1 deficiency and GH resistance) and IGF-1 gene or GH receptor gene knockout (KO) mice. RESULTS Since the descri...
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متن کامل
Insulin like growth factors and growth hormone deficiency.
polypeptides that act as endocrine mediators of growth hormone (GH)-induced actions. They also function in a paracrine and autocrine manner to regulate cell growth, differentiation, apoptosis and transformation. The IGF system is a complex network comprised of two growth factors (IGF-I and -II), cell surface receptors (IGF-IR and -IIR), high affinity binding proteins (IGFBP), IGFBP proteases as...
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ژورنال
عنوان ژورنال: Scientific Reports
سال: 2021
ISSN: ['2045-2322']
DOI: https://doi.org/10.1038/s41598-021-95632-0