PMID- 21648284 OWN - NLM STAT- MEDLINE DCOM- 20110705 LR - 20190907 IS - 0334-018X (Print) IS - 0334-018X (Linking) VI - 24 IP - 3-4 DP - 2011 TI - Evidence of insulin-like growth factor binding protein-3 proteolysis during growth hormone stimulation testing. PG - 163-7 AB - OBJECTIVES: The ternary complex is composed of insulin-like growth factor (IGF)-I, IGF binding protein (IGFBP)-3 and acid labile subunit (ALS). Growth hormone (GH) promotes IGFBP-3 proteolysis to release free IGF-I, ALS, and IGFBP-3 fragments. Our aim was to determine whether elevated GH levels during GH stimulation testing would trigger IGFBP-3 proteolysis. DESIGN: This prospective study of 10 short prepubertal children (height standard deviation score -2.37 +/- 0.31) used arginine and GH releasing hormone stimulation to study dynamic changes in the ternary complex moieties. IGFBP-3 was measured in two assays: a radioimmunoassay (RIA) that detects both cleaved and intact IGFBP-3; and an immunochemiluminescence assay (ICMA) that detects only intact IGFBP-3. RESULTS: IGFBP-3 measured by RIA increased by 19% (p < 0.05), while IGFBP-3 measured by ICMA did not significantly increase (6.1%). CONCLUSION: The significant increase in IGFBP-3 measured by RIA, but not ICMA, provides evidence of IGFBP-3 proteolysis during acute GH stimulation. FAU - Nwosu, Benjamin U AU - Nwosu BU AD - Division of Endocrinology, Department of Pediatrics, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA. benjamin.nwosu@umassmemorial.org FAU - Soyka, Leslie A AU - Soyka LA FAU - Angelescu, Amanda AU - Angelescu A FAU - Lee, Mary M AU - Lee MM LA - eng SI - ClinicalTrials.gov/NCT00235599 GR - DK32520/DK/NIDDK NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - Germany TA - J Pediatr Endocrinol Metab JT - Journal of pediatric endocrinology & metabolism : JPEM JID - 9508900 RN - 0 (Insulin-Like Growth Factor Binding Protein 3) RN - 12629-01-5 (Human Growth Hormone) RN - 9034-39-3 (Growth Hormone-Releasing Hormone) RN - 94ZLA3W45F (Arginine) SB - IM MH - Arginine/blood MH - Child MH - Dwarfism/*drug therapy/metabolism MH - Female MH - Growth Hormone-Releasing Hormone/*therapeutic use MH - Human Growth Hormone/*metabolism MH - Humans MH - Insulin-Like Growth Factor Binding Protein 3/*blood MH - Male MH - Prospective Studies MH - Puberty EDAT- 2011/06/09 06:00 MHDA- 2011/07/06 06:00 CRDT- 2011/06/09 06:00 PHST- 2011/06/09 06:00 [entrez] PHST- 2011/06/09 06:00 [pubmed] PHST- 2011/07/06 06:00 [medline] AID - 10.1515/jpem.2011.088 [doi] PST - ppublish SO - J Pediatr Endocrinol Metab. 2011;24(3-4):163-7. doi: 10.1515/jpem.2011.088.