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Insulin-like Growth Factor Binding Protein-1: Recent Findings and New Directions
Abstract
In 1988, insulin-like growth factor-binding protein-1 (IGFBP-1) became the first characterized member of a group of structurally related soluble proteins which specifically bind and modulate the actions of the IGFs. Since then, a wealth of information has accumulated regarding the physiology of this dynamic serum protein. In this review, we update our 1993 summary (Lee PDK et al. Proc Soc Exp Biol Med 204:4-29) of the status of IGFBP-1 research. The IGFBP-1 protein sequence contains 12 N-terminal and 6 C-terminal cysteine residues which are conserved in other mammalian IGFBP-1 sequences and amongst other IGFBPs; both of the cysteine-rich regions are required for optimal IGF binding. The nonconserved IGFBP-1 midregion may act as both a hinge which defines ligand binding characteristics and as a specific target for protease activity. Integrin-binding and phosphorylation sites within the IGFBP-1 sequence have functional significance in vitro, but their physiologic relevance in vivo have not been defined. The human IGFBP-1 and IGFBP-3 genes are contiguous and located in close proximity to the homeobox A (HOXA) gene cluster on chromosome 7. The other IGFBP genes, located on chromosomes 2, 12, and 17, are also associated with HOX clusters, suggesting evolutionary linkage of the IGFBP and HOX gene families. Similarities between the hlGFBP-1 and phosphoenolpyruvate kinase (PEPCK) promoters, including regions conferring insulin, glucocorticoid, and cyclic adenosine-monophosphate responses, are consistent with our previous hypothesis that IGFBP-1 is involved in regulation of glucose metabolism. The tissue-specific patterns of IGFBP-1 gene expression in liver, kidney, decidua, and ovary may be due to stimulation of IGFBP-1 transcription by hepatic nuclear factor 1 (HNF1) proteins. Clinical and basic studies of IGFBP-1 physiology have been aided by several recently developed assay methods. Numerous investigations have confirmed that insulin, via inhibition of IGFBP-1 transcription, is the primary determinant of IGFBP-1 expression both in vitro and in viva IGF-I and IGF-II also have specific inhibitory effects on IGFBP-1 expression. Glucocorticoids and cAMP stimulate IGFBP-1 transcription, but these effects are observed only in conditions of low or absent insulin effect. Other stimulants of IGFBP-1 expression include thyroid hormones and epidermal growth factor. Phorbol ester stimulation of IGFBP-1 expression can supersede the effects of insulin in vitro; however, the mechanism and in vivo correlates of this effect have not been determined. Cytokines and, perhaps, growth hormones may affect IGFBP-1 expression, perhaps by altering the regulatory actions of insulin; this effect may have important clinical relevance. IGFBP-1 expression is upregulated in liver and (nonhuman) kidney during postinjury regeneration. The IGF-inhibitory actions of IGFBP-1 has been confirmed by numerous in vitro studies and several in vivo animal investigations, including administration of recombinant IGFBP-1 and IGFBP-1 transgenic models. IGFBP-1 has been shown to inhibit somatic linear growth, weight gain, tissue growth, and glucose metabolism. Moreover, IGFBP-1 appears to be a primary determinant of free IGF-I levels in serum. Excess levels of IGFBP-1 may contribute to growth failure in intrauterine growth restriction and in pediatric chronic renal failure, while low IGFBP-1 levels are associated with obesity and with cardiovascular risk factors in insulin resistance syndromes. Serum IGFBP-1 measurements may be useful biochemical marker in these pathologic conditions. IGFBP-1 is expressed in decidualized stromal cells of the uterine endometrium and in ovarian granulosa cells. IGFBP-1, together with IGFs, insulin, ovarian steroids, cytokines, and other factors, is involved in a complex system which regulates menstrual cycles, ovulation, decidualization, blastocyst implantation, and fetal growth. Models for the role of IGFBP-1 in female reproductive physiology are presented, and evidence for pathophysiologic roles in pre-eclampsia, polycystic ovarian syndrome, and uterine malignancy are reviewed. Very recent data indicates that IGFBP-1 undergoes regulated expression in human osteoblasts. Limited information also suggests that IGFBP-1 may be present in peripheral neurons, and that serum IGFBP-1 may increase during exercise and in critical ilIness. In summary, two major roles for IGFBP-1 in normal physiology can be constructed from current data: (i) As an “endocrine” factor, IGFBP-1 regulates the bio-availability of serum IGF-I, thereby modulating IGF-mediated tissue metabolism. The dominant regulation of IGFBP-1 expression by meal-related changes in hepatic insulin concentrations provides a dynamic link to substrate availability. (ii) As an autocrine/paracrine factor, IGFBP-1 appears to play a crucial role in the female reproductive system and, in particular, the sequence of events leading from ovulation to implantation to successful fetal outcom
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“Igfbp1 has been proposed as an acute regulator of IGF-1 bioactivity 35 and its elevation in association with HB treatment is unclear.”
From Akt-dependent anabolic activity of natural and synthetic brassinosteroids in rat skeletal muscle cells (2011) · cites this paper as [35]
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The GH–IGF-I axis in children with idiopathic short stature
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“Possibly indirect induction by thyroid hormones and catecholamines have been reported (Lee et al. 1997).”
BackgroundMultifaceted Roles for IGFBP‐1 in Human Endometrium during Implantation and Pregnancy
Giudice, L. C. (1997) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1997.tb48533.x · Cited by 41
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“The instability of IGFBP-1 through the PEST sequence allows quick turnover (Lee et al., 1997).”
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“IGFBP-1 is mainly produced by the liver (5) and largely regulated by inhibitory effects of insulin (12).”
BackgroundBoquist, S., Ruotolo, G., Skoglund-Andersson, C., Tang, R., Björkegren, J., Bond, M. G., Fairé, U. D., Brismar, K., & Hamsten, A. (2007) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2007.02998.x · Cited by 40
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“The only report to date of plasma Igfbp dynamics in smolts (coho salmon; Oncorhychus kisutch) revealed an April peak in plasma Igfbp1 [77].”
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Self-citationPituitary-independent effect of octreotide on IGF1 generation
Pokrajac, A., Frystyk, J., Flyvbjerg, A., et al. (2009) · European Journal of Endocrinology · doi:10.1530/eje-08-0822 · Cited by 39
Increased serum corticosterone and glucose in offspring of chromium(III)-treated male mice.
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“IGF BP1 gene expression is known to be regulated by glucocorticoids (19).”
BackgroundSelf-citationEffects of Exercise Mode and Duration on 24-h IGF-I System Recovery Responses
Nindl, B. C., Alemany, J. A., Tuckow, A. P., Kellogg, M. D., Sharp, M. A., & Patton, J. F. (2009) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318197125c · Cited by 38
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“1 Parous, n (%) 15 (17) 8 (12) 6 (14) 9 (21) 3 (8) 5 (17) Smoking, n (%) Current 4 (5) 5 (7) 3 (7) 1 (2) 3 (8) 2 (7) Former 22 (26) 17 (25) 11 (26) 11 (26) 10 (26) 7 (23) Never 60 (70) 46 (68) 29 (68) 31 (72) 25 (66) 21 (70) Race White 68 (79) 53 (78) 34 (79) 34 (79) 31 (82) 22 (73) Black 11 (13) 7 (10) 6 (14) 5 (12)…”
Zheng, J., Peng, L., Xia, L., et al. (2021) · Chemosphere · doi:10.1016/j.chemosphere.2021.130879 · Cited by 37
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Protein turnover, lipolysis, and endogenous hormonal secretion in critically ill children
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“In fact the majority of circulating IGF-I is bound to IGFBP-3 but, because of its rapid changes in serum concentrations, IGFBP-1 is also assumed to modulate the free fraction of IGF-I (40).”
BackgroundWaters, D. L., Qualls, C., Dorin, R. I., Veldhuis, J. D., & Baumgartner, R. (2001) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.86.3.7361 · Cited by 43
“For example, together with IGF-I, insulin, ovarian sex steroids, cytokines, and other factors, IGFBP-1 is involved in a complex system that impacts menstrual cyclicity, ovulation, decidualization, blastocyte implantation, and fetal growth (37).”
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IGF‐I in a normal population: relation to psychosocial factors
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“IGFBP-1 promoter region contains the insulin response element (IRE) and insulin appears to be the primary determinant of IGFBP-1 expression via its inhibition of IGFBP-1 transcription [9].”
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“…and glucagon are members of larger families of insulin-like and glucagon-like peptides (reviewed in Navarro et al., 1999; Plisetskaya, 1998; Reinecke and Collet, 1998; Chang et al., 2002; Lee et al., 1997), for which the same complementary relationships should exist in their respective receptors.”
BackgroundReproductive Abnormalities in Human IGF Binding Protein-1 Transgenic Female Mice
Froment, P., Seurin, D., Hembert, S., Levine, J. E., Pisselet, C., Monniaux, D., Binoux, M., & Monget, P. (2002) · Endocrinology · doi:10.1210/endo.143.5.8815 · Cited by 36
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Optimal dietary lipid and protein level for growth and survival of catfish Clarias magur larvae
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“By restricting Igfs from binding cognate receptors, Igfbp1s are negative regulators of somatic growth, development, reproduction, and glucose metabolism (Lee et al., 1997; Kajimura et al., 2005; Kamei et al., 2008; Garcia de la Serrana and Macqueen, 2018; Tanaka et al., 2018).”
The Roles of Insulin-Like Growth Factor Binding Protein Family in Development and Diseases
Song, F., Zhou, X.-X., Hu, Y., Li, G., & Wang, Y. (2020) · Advances in Therapy · doi:10.1007/s12325-020-01581-x · Cited by 35
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HFpEF and HFrEF Display Different Phenotypes as Assessed by IGF-1 and IGFBP-1
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Wheatcroft, S. B., Kearney, M. T., Shah, A. M., Grieve, D., Williams, I. L., MIELL, J. P., & Crossey, P. A. (2003) · Diabetes · doi:10.2337/diabetes.52.8.2075 · Cited by 34
“One of these binding proteins, IGFBP-1, has been proposed as a short-term regulator of IGF-I bioavailability and is thought likely to play an important role in metabolic homeostasis (5,12).”
BackgroundKaplan, R. C., McGinn, A. P., Pollak, M., Kuller, L. H., Strickler, H. D., Rohan, T. E., Cappola, A. R., Xue, X. N., & Psaty, B. M. (2008) · American Heart Journal · doi:10.1016/j.ahj.2007.12.031 · Cited by 33
“IGFBP-1 is less abundant than IGFBP-3 but appears particularly important in regulating IGF-I bioavailability, with strong inverse correlations between circulating IGFBP-1 and free IGF-I.13,14 IGFBP-1 has a very different system of regulation than IGFBP-3, with hepatic IGFBP-1 production strongly (inversely) regulated…”
BackgroundInfluentialBrandt, K., Grünler, J., Brismar, K., & Wang, J. (2015) · Growth Hormone & IGF Research · doi:10.1016/j.ghir.2014.11.001 · Cited by 32
“IGF-I is important for wound healing [13] and IGFBP-1 is increased by various cytokines in inflammation [32–34].”
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Bhatia, S., Faessen, G. H., Carland, G., Balise, R. R., Gargosky, S. E., Druzin, M. L., El-Sayed, Y. Y., Wilson, D. M., & Giudice, L. C. (2002) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.87.4.8418 · Cited by 33
“IGFBP-1 increased from early to midgestation, but was lower in wk 24–34, when all samples were collected after glucose challenge, probably a reflection of the negative regulation of insulin on total IGFBP-1 (10, 22).”
BackgroundSelf-citationWilson, M. E. (1998) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.83.11.5279 · Cited by 32
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Cingel-Ristić, V., Flyvbjerg, A., & Drop, S. L. S. (2004) · Growth Hormone & IGF Research · doi:10.1016/j.ghir.2004.06.003 · Cited by 31
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“or bioavailable fraction of IGF-I (14, 15).”
Insulin growth factor binding proteins as therapeutic targets in type 2 diabetes
Hjortebjerg, R., Flyvbjerg, A., & Frystyk, J. (2013) · Expert Opinion on Therapeutic Targets · doi:10.1517/14728222.2014.858698 · Cited by 30
“The notion is supported by several studies; the hepatic gene transcription and synthesis of IGFBP-1 is rapidly inhibited by the meal-stimulated increase in insulin and, conversely, stimulated by both glucagon and cortisol [87-91].”
ResultHeald, A. H., Kaushal, K., Anderson, S. G., Redpath, M., Durrington, P. N., Selby, P. L., & Gibson, M. (2005) · Gynecological Endocrinology · doi:10.1080/09513590400027406 · Cited by 30
“In contrast, the acute metabolic actions of the IGFs are thought to be modulated principally by lower-molecular-weight binding proteins, in particular IGFBP-1 [17].”
BackgroundGlucose regulation of the IGF response system in chondrocytes: induction of an IGF-I-resistant state
Kelley, K. M., Johnson, T. R., Ilan, J., et al. (1999) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1999.276.4.r1164 · Cited by 30
“IGFBP-1, in particular, is increased substantially in diabetic serum (20) and has been shown to inhibit IGF-I-mediated proliferation and [35S]PG synthesis when added to chick embryonic cartilage explants cultures (2).”
BackgroundStephens, R. H., McElduff, P., Heald, A. H., New, J. P., Worthington, J., Ollier, W., & Gibson, M. (2005) · Diabetes · doi:10.2337/diabetes.54.12.3547 · Cited by 29
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AUUUA Sequences Compromise Human Insulin-like Growth Factor Binding Protein-1 mRNA Stability
Gay, E., & Babajko, S. (2000) · Biochemical and Biophysical Research Communications · doi:10.1006/bbrc.1999.2000 · Cited by 29
Kistner, A., Jacobson, S., Celsi, G., Vanpée, M., & Brismar, K. (2004) · Journal of Internal Medicine · doi:10.1046/j.0954-6820.2003.01257.x · Cited by 30
Murialdo, G., Barreca, A., Nobili, F. M., Rollero, A., Timossi, G., Gianelli, M. V., Copello, F., Rodriguez, G., & POLLERI, A. (2000) · Journal of Endocrinological Investigation · doi:10.1007/bf03343703 · Cited by 28
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Insulin-Like Growth Factor-I Stimulates Histone H3 and H4 Acetylation in the Brainin Vivo
Sun, L. Y., & D’Ercole, A. J. (2006) · Endocrinology · doi:10.1210/en.2006-0586 · Cited by 28
“Because of its capacity to avidly bind IGFs, IGFBP-1, when present in molar excess, is capable of inhibiting IGF-I action (19,20).”
BackgroundOsgerby, J., Gadd, T., & Wathes, D. C. (1999) · Journal of Endocrinology · doi:10.1677/joe.0.1620279 · Cited by 28
“This may be attributed to the tripeptide sequence at the COOH terminal domain of IGFBP-1, permitting integrin receptor binding at the surface of target cells (Lee et al. 1993, 1997).”
BackgroundBauer, M., Breier, B. H., Bloomfield, F. H., et al. (2003) · Journal of Endocrinology · doi:10.1677/joe.0.1770083 · Cited by 27
“We found an increase in plasma IGFBP-1 and IGFBP-2 in IUGR+GH fetuses and both IGFBPs have been implicated in the regulation of tissue distribution and the amount of biologically active IGF-I (Baxter 1993, Lee et al. 1997).”
BackgroundHypoxia Increases IGFBP-1 Phosphorylation Mediated by mTOR Inhibition
Damerill, I., Biggar, K. K., Shehab, M. A., Li, S. S. ‐., Jansson, T., & Gupta, M. B. (2015) · Molecular Endocrinology · doi:10.1210/me.2015-1194 · Cited by 27
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“It is believed that its core function in decidual cells is the regulation of IGF-I and IGF-II availability on the maternal-fetal interface [45].”
BackgroundElevated insulin, proinsulin and insulin-like growth factor-binding protein-1 in liver disease
Hwang, D., Huang, S.-P., Lan, W.-S., et al. (2003) · Growth Hormone & IGF Research · doi:10.1016/s1096-6374(03)00042-x · Cited by 26
Self-citationHypoglycemia and pulmonary edema: a forgotten association.
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“Insulin-like growth factor (IGF)-binding proteins (IGFBPs) are serum proteins that bind IGFI and regulate its turnover, transport and tissue availability [1].”
BackgroundMotoyama, K., Nakai, Y., Miyashita, T., Fukui, Y., Morita, M., Sanmiya, K., Sakakibara, H., Matsumoto, I., Abe, K., Yakabe, T., et al. (2008) · Physiological Genomics · doi:10.1152/physiolgenomics.90358.2008 · Cited by 25
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“Among all of the IGFBPs, IGFBP-1 is unique: its expression is dramatically altered by changes in the metabolic state (24, 23).”
Arosio, M. (2001) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.86.3.1091 · Cited by 25
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Time course changes in IGFBP-1 after treadmill exercise and postexercise food intake in rats
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“When we consider that the IGFBP-1 promoter contains a glucocorticoid response element (17) and that the glucocorticoids are intimately involved in glucose counterregulation, this is an attractive possibility.”
BackgroundInfluentialLow IGF1 and high IGFBP1 predict diabetes onset in prediabetic patients
Meyer, N. M. T., Kabisch, S., Dambeck, U., Honsek, C., Kemper, M., Gerbracht, C., Arafat, A. M., Birkenfeld, A. L., Schwarz, P. E. H., Machann, J., et al. (2022) · European Journal of Endocrinology · doi:10.1530/eje-22-0034 · Cited by 24
Insulin, insulin analogues and diabetic retinopathy
Chantelau, E. A., Kimmerle, R., & Meyer-Schwickerath, R. (2008) · Archives of Physiology and Biochemistry · doi:10.1080/13813450801900553 · Cited by 23
“, 1999), and increases IGFBP-1, a protein which reduces IGF-1 bioavailability to the IGF-1 receptor (Lee et al., 1997).”
BackgroundAronsson, A., Al-Ani, N., Brismar, K., et al. (2009) · Aging Clinical and Experimental Research · doi:10.1007/bf03325216 · Cited by 24
Glucose Metabolism Disorders and the Risk of Cancer
Piątkiewicz, P., & Czech, A. (2011) · Archivum Immunologiae et Therapiae Experimentalis · doi:10.1007/s00005-011-0119-0 · Cited by 26
“result in inhibition of IGFBP-1 synthesis and thus cause the increase in concentrations of free IGF-I (Lee et al. 1997).”
BackgroundShehab, M. A., Khosravi, J. M., Han, V. K. M., et al. (2010) · Journal of Proteome Research · doi:10.1021/pr900987n · Cited by 24
Breves, J. P., Phipps-Costin, S. K., Fujimoto, C. K., et al. (2016) · General and Comparative Endocrinology · doi:10.1016/j.ygcen.2016.05.015 · Cited by 24
The insulin‐like growth factor system and diabetes—an overview
Heald, A. H., Stephens, R. H., & Gibson, M. (2006) · Diabetic Medicine · doi:10.1111/j.1464-5491.2006.01833f.x · Cited by 24
Lavoie, J.-M., Fillion, Y., Couturier, K., & Corriveau, P. (2002) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00125.2002 · Cited by 24
Frystyk, J. (2002) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.87.1.260 · Cited by 24
Ong, K. K., Elmlinger, M. W., Jones, R. W., Emmett, P. M., Holly, J. M. P., Ranke, M. B., & Dunger, D. B. (2007) · Metabolism · doi:10.1016/j.metabol.2007.06.004 · Cited by 23
“Furthermore, rapid postnatal weight gain and higher insulin levels were associated with lower IGFBP-1 levels; and this could further increase IGF-I biovailability [28].”
BackgroundStimulation of IGF-Binding Protein-1 Secretion by AMP-Activated Protein Kinase
LEWITT, M. S. (2001) · Biochemical and Biophysical Research Communications · doi:10.1006/bbrc.2001.4702 · Cited by 23
LASSARRE, C., Duron, F., & Binoux, M. (2001) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.86.5.7467 · Cited by 25
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“In particular, differences in peripheral and hepatic insulin resistance may be important, when looking at circulating IGFBP-1, which is directly regulated by hepatic insulin action (Lee et al., 1997).”
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Background
Metadata
- Authors
- Lee, P. D. K., Giudice, L. C., Conover, C. A., & Powell, D. R.
- Affiliations
- Mayo Clinic (US)
- Venue
- Experimental Biology and Medicine
- Publisher
- Frontiers Media SA
- Published
- 1997-12-01
- Volume
- 216
- Issue
- 3
- Pages
- 319-357
- ISSN
- 0071-3384 (ISSN-L)
- 1535-3702
- 1535-3699
- OpenAlex
- W2036466897
- Cited by
- 523
- References
- 0
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 8 · 2023: 4 · 2022: 6 · 2021: 10 · 2020: 8 · 2019: 11 · 2018: 10 · 2017: 19 · 2016: 16 · 2015: 16 · 2014: 11 · 2013: 17 · 2012: 14
- FWCI
- 16.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Experimental Biology and Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fibroblast Growth Factor Research
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Keywords
- IGFBP-1, insulin-like growth factor, IGF binding, cysteine-rich region, protease cleavage, integrin binding, phosphorylation sites, IGFBP-3, chromosome 7, glucose metabolism, glucocorticoids, cyclic AMP, tissue-specific gene expression
- MeSH terms
- Amino Acid Sequence, Animals, Bone and Bones, Cartilage, Connective Tissue, Female, Gene Expression Regulation, Genitalia, Female, Genitalia, Male, Humans, Kidney, Liver, Male, Molecular Sequence Data, Organ Specificity, Substrate Specificity, Insulin-Like Growth Factor Binding Protein 1, Evolution, Molecular
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