We studied the serum concentrations of IGF-I, IGFbinding protein 3 (IGFBP-3), and testosterone in relation to blood Hb in 60 healthy prepubertal or early pubertal boys twice, with a 9-mo interval. Serum IGF-I and testosterone levels were measured by RIA, and serum IGFBP-3 was measured by monoclonal immunofluorometric assay. Positive correlations were observed between the concentrations of blood Hb and serum IGF-I at the first examination (r = 0.36, p = 0.008) and Hb and IGFBP-3 at both examinations (r = 0 . 5 3 ,~ < 0.001, and r = 0 . 3 9 ,~ = 0.003). No association between Hb and testosterone concentrations was found. Our results show that blood Hb is positively correlated to serum IGF-I and IGFBP-3 levels, indicating indirectly the involvement of growth hormone in the regulation of physiologic Hb concentration. Because no association was found between Hb and testosterone concentrations, this may indicate that the role of androgens in erythropoiesis may be different at different stages of puberty. It is concluded that the IGF system may be involved in the rise of Hb level during early puberty. IGF-I and IGF-I1 act as mediators of growth hormone actions and participate in the regulation of cell division, growth, and differentiation (1). The serum concentration of the major IGF-binding protein (IGFBP-3) reflects the total amount of IGF-I and IGF-I1 in the circulation and the secretion of growth hormone similarly or even better than the serum concentration of IGF-I alone (2). IGF-I has a role in the regulation of the erythropoietic system in vitro and also in vivo (3-9). IGF-I stimulates proliferation of murine and human erythroid progenitor cells in bone marrow culture systems (4, 6). The optimum in vitro erythropoiesis appears to depend on several systems, including erythropoietin, stem cell factor, IGF-I, and unidentified factors (8, 9).The stimulatory effect of androgens on erythropoiesis is well documented (10). Thomsen et al. (11) found that the marked rise in blood Hb concentration takes place during a short period in male puberty coinciding with an Supported by grants from the Sigrid Juselius Foundation, the Academy of Finland, the Cancer Society of Finland, the University of Helsinki, Finland, and the Nordisk Insulin Foundation Committee. increasing serum testosterone level. We studied the role of serum concentrations of IGF-I, IGFBP-3, and testosterone in the maintenance of blood Hb concentration in 60 healthy prepubertal or early pubertal boys twice, with a 9-mo interval. Possibly several regulatory mechanisms of increasing erythropoiesis have different roles at different stages of male puberty.
METHODSSubjects. An opportunity to participate in the study was offered to 84 boys of the same secondary school level in three schools near the Children's Hospital, Helsinki. The study was approved by the parents, the school authorities, those responsible for school health care, and the Ethical Committee of the Children's Hospital. Written information about the study was sent to the families. Of the 84 boys, 62...