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胰岛素样生长因子-I(IGF-1):安全性与有效性。

Insulin-like growth factor-I (lGF-l): safety and efficacy.

作者信息

Laron Zvi

机构信息

Endocrinology and Diabetes Research Unit, Schneider Children's Medical Center, WHO Collaborating Center for the Study of Diabetes in Youth, Tel Aviv University, Tel Aviv, Israel.

出版信息

Pediatr Endocrinol Rev. 2004 Nov;2 Suppl 1:78-85.

PMID:16456486
Abstract

Insulin-like growth factor I (IGF-I) is a peptide synthesized mainly in the liver by stimulation by pituitary growth hormone (GH). It circulates almost entirely bound to its binding proteins. It is the anabolic effector hormone of GH. It is the only treatment in states of GH resistance such as Laron syndrome and blocking antibodies to human GH. As it suppresses insulin and GH secretion it has been used in states of insulin resistance including Type II diabetes mellitus. IGF-I is administered by once or twice daily injections. Adverse effects are mostly caused by overdosage. The usual daily dose in children ranges from 100-200 microg/kg.

摘要

胰岛素样生长因子I(IGF-I)是一种主要由垂体生长激素(GH)刺激肝脏合成的肽。它几乎完全以与结合蛋白结合的形式循环。它是GH的合成代谢效应激素。它是治疗诸如拉伦综合征和人GH阻断抗体等GH抵抗状态的唯一药物。由于它能抑制胰岛素和GH分泌,已被用于包括II型糖尿病在内的胰岛素抵抗状态。IGF-I通过每日注射一次或两次给药。不良反应大多由过量用药引起。儿童的通常日剂量为100 - 200微克/千克。

相似文献

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Insulin-like growth factor-I (lGF-l): safety and efficacy.胰岛素样生长因子-I(IGF-1):安全性与有效性。
Pediatr Endocrinol Rev. 2004 Nov;2 Suppl 1:78-85.
2
Insulin-like growth factor-I treatment of children with Laron syndrome (primary growth hormone insensitivity).胰岛素样生长因子-I治疗拉伦综合征(原发性生长激素不敏感)儿童。
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Insulin-like growth factor-I treatment of growth disorders, diabetes mellitus and insulin resistance.胰岛素样生长因子-I治疗生长障碍、糖尿病和胰岛素抵抗。
Trends Endocrinol Metab. 2005 May-Jun;16(4):190-7. doi: 10.1016/j.tem.2005.03.011.
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Secondary diabetes associated with principal endocrinopathies: the impact of new treatment modalities.与主要内分泌疾病相关的继发性糖尿病:新治疗模式的影响
Acta Diabetol. 2009 Jun;46(2):85-95. doi: 10.1007/s00592-009-0112-9. Epub 2009 Mar 26.
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Therapeutic applications of the insulin-like growth factors.胰岛素样生长因子的治疗应用。
Growth Horm IGF Res. 2004 Aug;14(4):301-8. doi: 10.1016/j.ghir.2004.04.001.
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Statement 6: patients who are unresponsive to GH therapy should be given a trial of IGF-I.
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Long-term IGF-I treatment of children with Laron syndrome increases adiposity.长期使用胰岛素样生长因子-I(IGF-I)治疗拉伦综合征患儿会增加肥胖程度。
Growth Horm IGF Res. 2006 Feb;16(1):61-4. doi: 10.1016/j.ghir.2005.12.001. Epub 2006 Jan 27.
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Therapeutic aspects of growth hormone and insulin-like growth factor-I treatment on visceral fat and insulin sensitivity in adults.生长激素和胰岛素样生长因子-I治疗对成人体内脂肪及胰岛素敏感性的治疗作用
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Treatment with insulin glargine does not suppress serum IGF-1.使用甘精胰岛素治疗不会抑制血清胰岛素样生长因子-1(IGF-1)。
Diabet Med. 2006 Jul;23(7):814-7. doi: 10.1111/j.1464-5491.2006.01863.x.
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IGF-1 and insulin as growth hormones.胰岛素样生长因子-1和胰岛素作为生长激素。
Novartis Found Symp. 2004;262:56-77; discussion 77-83, 265-8.

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