1992
DOI: 10.1172/jci115693
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Decreased serum insulin-like growth factor-I associated with growth failure in newborn lambs with experimental cyanotic heart disease.

Abstract: To determine whether chronic hypoxemia results in alterations in endocrine function that may contribute to growth failure, we measured growth hormone (GH), somatomedins (insulin-like growth factors I and II, IGF-I and IGF-2), hepatic growth hormone receptors, and circulating IGF-binding proteins IGFBP-3 and IGFBP-2 in 12 newborn lambs with surgically created pulmonic stenosis and atrial septal defect, and in 10 controls. During chronic hypoxemia (oxygen saturation of60-74% for 2 wk), weight gain was 60% of con… Show more

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Cited by 32 publications
(14 citation statements)
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“…This is in agreement with our previous findings in intrauterine growth retardation fe tuses, which also showed a marked increase in serum IGFBP-1 and IGFBP-2 levels [12]. Chronic hypoxia in newborn lambs has also been reported to increase the 28-kD band, although the identity of this band was not deter mined [27], Northern blot analysis indicates that only the increase in IGFBP-1 is due to increased production in the hypoxic dams. The lack of changes in IGFBP-2 expres sion between the groups suggests that only IGFBP-1 is transcriptionally regulated by hypoxia.…”
Section: Discussionsupporting
confidence: 92%
“…This is in agreement with our previous findings in intrauterine growth retardation fe tuses, which also showed a marked increase in serum IGFBP-1 and IGFBP-2 levels [12]. Chronic hypoxia in newborn lambs has also been reported to increase the 28-kD band, although the identity of this band was not deter mined [27], Northern blot analysis indicates that only the increase in IGFBP-1 is due to increased production in the hypoxic dams. The lack of changes in IGFBP-2 expres sion between the groups suggests that only IGFBP-1 is transcriptionally regulated by hypoxia.…”
Section: Discussionsupporting
confidence: 92%
“…Hypoxia can serve as a potential trigger of reduced dietary intake (8,15,30) and decreased circulating IGF-I and IGFBP-3 (5,16,21,22). Total body energy balance (V O 2 /daily food intake), hemoglobin and lactate levels, and arterial oxygenation were similar to those of the control group, within normal physiological range (12,27).…”
Section: The Experimental Modelmentioning
confidence: 76%
“…In recent animal models of cyanotic heart disease, decreased levels of IGF-1 were associated with chronic hypoxemia, and growth failure (18) . D ü ndar et al (3) evaluated serum IGF-1 levels, oxygen saturation, and nutritional status in C children with CHD compared with controls.…”
Section: Discussionmentioning
confidence: 99%