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Old 08-08-2018, 06:31 AM
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rss IGF - Altered levels of circulating insulin-like growth factor I (IGF-I) following is

Related Articles Altered levels of circulating insulin-like growth factor I (IGF-I) following ischemic stroke are associated with outcome - a prospective observational study.

BMC Neurol. 2018 Aug 06;18(1):106

Authors: Åberg ND, Åberg D, Jood K, Nilsson M, Blomstrand C, Kuhn HG, Svensson J, Jern C, Isgaard J

Abstract
BACKGROUND: Insulin-like growth factor I (IGF-I) has neuroprotective effects in experimental ischemic stroke (IS). However, in patients who have suffered IS, various associations between the levels of serum IGF-I (s-IGF-I) and clinical outcome have been reported, probably reflecting differences in sampling time-points and follow-up periods. Since changes in the levels of post-stroke s-IGF-I have not been extensively explored, we investigated whether decreases in the levels of s-IGF-I between the acute time-point (median, 4.days) and 3.months (?IGF-I, further transformed into ?IGF-I-quintiles, ?IGF-I-q) are associated with IS severity and outcome.
METHODS: In the Sahlgrenska Academy Study on Ischemic Stroke (SAHLSIS) conducted in Gothenburg, Sweden, patients with IS who had s-IGF-I measurements available were included (N = 354; 65% males; mean age, 55.years). Baseline stroke severity was evaluated using the National Institutes of Health Stroke Scale (NIHSS) and converted into NIHSS-quintiles (NIHSS-q). Outcomes were assessed using the modified Rankin Scale (mRS) at 3.months and 2.years.
RESULTS: In general, the levels of s-IGF-I decreased (positive ?IGF-I), except for those patients with the most severe NIHSS-q. After correction for sex and age, the 3rd ?IGF-I-q showed the strongest association to mRS 0-2 [Odds Ratio (OR) 5.11, 95% confidence interval (CI) 2.18-11.9], and after 2.years, the 5th ?IGF-I-q (OR 3.63, 95% CI 1.40-9.38) showed the strongest association to mRS 0-2. The associations remained significant after multivariate correction for diabetes, smoking, hypertension, and hyperlipidemia after 3.months, but were not significant (p = 0.057) after 2.years. The 3-month associations withstood additional correction for baseline stroke severity (p = 0.035), whereas the 2-year associations were further attenuated (p = 0.31).
CONCLUSIONS: Changes in the levels of s-IGF-I are associated primarily with temporally near 3-month outcomes, while associations with long-term 2-year outcomes are weakened and attenuated by other factors. The significance of the change in post-stroke s-IGF-I is compatible with a positive role for IGF-I in IS recovery. However, the exact mechanisms are unknown and probably reflects combinations of multiple peripheral and central actions.


PMID: 30081862 [PubMed - in process]



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