PMID- 10516115 OWN - NLM STAT- MEDLINE DCOM- 19991122 LR - 20181002 IS - 0002-9513 (Print) IS - 0002-9513 (Linking) VI - 277 IP - 4 DP - 1999 Oct TI - Pharmacokinetics of insulin-like growth factor I in hypopituitarism: correlation with binding proteins. PG - E579-84 LID - 10.1152/ajpendo.1999.277.4.E579 [doi] AB - We investigated the pharmacokinetics of recombinant human insulin-like growth factor I (rhIGF-I) in growth hormone deficiency (GHD). Nine GHD adults [age 25 +/- 3 (SE) yr] received rhIGF-I (60 microgram/kg sc) twice, 10 h apart, and blood was sampled over 24 h. IGF-I and free IGF-I concentrations increased, whereas IGF binding protein 3 (IGFBP-3) and acid labile subunit (ALS) were unchanged during treatment. There was no correlation between absorption or terminal half-life of IGF-I and IGFBP-3 or ALS, but negative correlations with IGF-I clearance (CL/F) and volume of distribution (V/F). Positive correlations between both IGFBP-3 and ALS and IGF-I maximal concentration (C(max)) and time of C(max) (T(max)) were observed. Compared with normal individuals studied similarly (using 80 microgram/kg), GHD subjects showed a normal absorption half-life, a faster elimination half-life, lower C(max), yet normal T(max) and V/F. In conclusion, GHD is associated with normal absorption and distribution of IGF-I yet faster elimination kinetics. Additionally, IGFBP-3 and ALS concentrations modulate the peak concentrations of IGF-I achieved and correlate reciprocally with its V/F and CL/F, underscoring the critical importance of binding proteins in modulating the bioavailability of IGF-I in vivo in humans. FAU - Mauras, N AU - Mauras N AD - Nemours Children's Clinic, Jacksonville, Florida 32207, USA. FAU - Quarmby, V AU - Quarmby V FAU - Bloedow, D C AU - Bloedow DC LA - eng GR - R01-DK-51360/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Physiol JT - The American journal of physiology JID - 0370511 RN - 0 (Carrier Proteins) RN - 0 (Glycoproteins) RN - 0 (Insulin-Like Growth Factor Binding Protein 3) RN - 0 (Insulin-Like Growth Factor Binding Proteins) RN - 0 (Recombinant Proteins) RN - 0 (insulin-like growth factor binding protein, acid labile subunit) RN - 12629-01-5 (Human Growth Hormone) RN - 67763-97-7 (Insulin-Like Growth Factor II) RN - 9002-72-6 (Growth Hormone) SB - IM MH - Absorption MH - Adolescent MH - Adult MH - Carrier Proteins/blood MH - Female MH - Glycoproteins/blood MH - Growth Hormone/*deficiency MH - Half-Life MH - Human Growth Hormone/analysis/*pharmacokinetics MH - Humans MH - Hypopituitarism/blood/*metabolism MH - Insulin-Like Growth Factor Binding Protein 3/blood MH - Insulin-Like Growth Factor Binding Proteins/*blood MH - Insulin-Like Growth Factor II/analysis MH - Male MH - Osmolar Concentration MH - Recombinant Proteins/blood/pharmacokinetics EDAT- 1999/10/12 00:00 MHDA- 1999/10/12 00:01 CRDT- 1999/10/12 00:00 PHST- 1999/10/12 00:00 [pubmed] PHST- 1999/10/12 00:01 [medline] PHST- 1999/10/12 00:00 [entrez] AID - 10.1152/ajpendo.1999.277.4.E579 [doi] PST - ppublish SO - Am J Physiol. 1999 Oct;277(4):E579-84. doi: 10.1152/ajpendo.1999.277.4.E579.