Administration of human recombinant insulin-like growth factor-I in critically ill patients

1997 ◽  
Vol 25 (8) ◽  
pp. 1352-1361 ◽  
Author(s):  
Gary D. Yarwood ◽  
Richard J. M. Ross ◽  
Sami Medbak ◽  
John Coakley ◽  
Charles J. Hinds
1993 ◽  
Vol 296 (3) ◽  
pp. 765-769 ◽  
Author(s):  
E Roth ◽  
L Valentini ◽  
T Hölzenbein ◽  
S Winkler ◽  
T Sautner ◽  
...  

The effects of acute administration of human recombinant insulin-like growth factor-I (rhIGF-I) on amino acid (AA) flux between hindlimbs, liver and gut were investigated in anaesthetized post-operative dogs. rhIGF-I produced about a 10-fold increase in plasma IGF-I concentrations above baseline values (P < 0.001), increased the plasma levels of glucagon and adrenaline (P < 0.05), and evoked a fall in plasma glucose (-55 +/- 8%; (P < 0.001) and plasma total AA levels (-23 +/- 8%; P < 0.05). AA flux in post-absorptive dogs under NaCl infusions was characterized by an efflux of AA from the hindlimbs (as a result of the protein-catabolic situation), an equal AA balance across the gut and an AA uptake by the liver. The administration of rhIGF-I increased hepatic AA uptake in the NaCl group from 3.51 +/- 0.8 to 7.5 +/- 0.4 mumol/min per kg (P < 0.01) and in the AA-infused group from 16.8 +/- 0.6 to 22.4 +/- 1.5 mumol/min per kg (P < 0.05), but did not influence the AA balance across hindlimbs and gut. Glucose infusions normalized the plasma concentrations of counter-regulatory hormones without influencing the inter-organ AA balances. We conclude that hypoaminoacidaemia caused by rhIGF-I infusions is the result of a stimulated AA uptake by the liver, but is unrelated to alterations of AA exchange across the hindlimbs.


1987 ◽  
Vol 15 (8) ◽  
pp. 732-736 ◽  
Author(s):  
FELICITY H. HAWKER ◽  
PETER M. STEWART ◽  
ROBERT C. BAXTER ◽  
MARK BORKMANN ◽  
KRIS TAN ◽  
...  

1992 ◽  
Vol 37 (6) ◽  
pp. 542-551 ◽  
Author(s):  
John P. Miell ◽  
Alastair M. Taylor ◽  
Jennifer Jones ◽  
Charles R. Buchanan ◽  
John Rennie ◽  
...  

1991 ◽  
Vol 9 (4) ◽  
pp. 363-366 ◽  
Author(s):  
Elisabet Samuelsson ◽  
Henrik Wadensten ◽  
Maris Hartmanis ◽  
Tomas Moks ◽  
Mathias Uhlén

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