PMID- 16902264 OWN - NLM STAT- MEDLINE DCOM- 20070402 LR - 20221207 IS - 0918-8959 (Print) IS - 0918-8959 (Linking) VI - 53 IP - 5 DP - 2006 Oct TI - Long-term effects of recombinant human insulin-like growth factor I treatment on glucose and lipid metabolism and the growth of a patient with congenital generalized lipodystrophy. PG - 639-45 AB - Congenital generalized lipodystrophy (CGL) is a disease characterized by generalized lack of body fat, insulin resistance, hypertriglyceridemia, and fatty liver. We studied the long-term effects of recombinant human insulin-like growth factor I (rhIGF-I) treatment on glucose and lipid metabolism and the growth in a patient with CGL. During rhIGF-I treatment, the serum triglyceride level was maintained almost within the normal range, and the plasma glycosylated hemoglobin A1c (HbA1c) levels were maintained under 8.0% (5.8%-7.9%). Thus, rhIGF-I treatment was effective in lowering glucose and triglyceride levels over the long-term in a CGL patient. However, it was difficult to suppress the patient's voracious appetite. Although serum total IGF-I levels were extremely high (1000-1700 ng/ml), growth was not accelerated after the start of rhIGF-I treatment, likely because of normal IGF binding protein 3 (IGFBP-3) levels. During rhIGF-I treatment, the patient developed a recurrence of mild hypertrophic cardiomyopathy and a mild elevation of intraocular pressure. FAU - Satoh, Mari AU - Satoh M AD - First Department of Pediatrics, Toho University School of medicine, Oomorinishi, Tokyo, Japan. FAU - Yoshizawa, Atsuko AU - Yoshizawa A FAU - Takesue, Masarou AU - Takesue M FAU - Saji, Tsutomu AU - Saji T FAU - Yokoya, Susumu AU - Yokoya S LA - eng PT - Case Reports PT - Journal Article DEP - 20060811 PL - Japan TA - Endocr J JT - Endocrine journal JID - 9313485 RN - 0 (Blood Proteins) RN - 0 (Glycated Hemoglobin A) RN - 0 (Recombinant Proteins) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Adolescent MH - Blood Proteins/analysis MH - Female MH - Glucose/*metabolism MH - Glucose Tolerance Test MH - Glycated Hemoglobin/analysis MH - Growth and Development/*drug effects MH - Humans MH - Insulin-Like Growth Factor I/adverse effects/analysis/*therapeutic use MH - Lipid Metabolism/*drug effects MH - Lipodystrophy, Congenital Generalized/*drug therapy MH - Recombinant Proteins/therapeutic use MH - Time EDAT- 2006/08/12 09:00 MHDA- 2007/04/03 09:00 CRDT- 2006/08/12 09:00 PHST- 2006/08/12 09:00 [pubmed] PHST- 2007/04/03 09:00 [medline] PHST- 2006/08/12 09:00 [entrez] AID - JST.JSTAGE/endocrj/K06-014 [pii] AID - 10.1507/endocrj.k06-014 [doi] PST - ppublish SO - Endocr J. 2006 Oct;53(5):639-45. doi: 10.1507/endocrj.k06-014. Epub 2006 Aug 11.