Endocrinol Japon

1992, 39 (1), 121-127

NOTE

Western Ligand Blot Assay for Human Growth HormoneDependent Insulin-Like Growth Factor Binding Protein (IGFBP-3): The Serum Levels in Patients with Classical Growth Hormone Deficiency YUKIHIROHASEGAWA, TOMONOBUHASEGAWA, TETSUOYOKOYAMA, SHINOBUKOTOH, YUTAKA TSUCHIYA ANDFUMIHIKOKURIMOTO* DivisionofEndocrinologyand Metabolism,TokyoMetropolitan KiyoseChildren'sHospital,Tokyo204, and *MitsubishiYuka Bio-ClinicalLaboratoriesInc., Tokyo174, Japan

Abstract. vitro,

are

binding

The insulin-like known

to

protein

have

and

at

growth least

six

factors

I and II (IGFs), important

binding

is considered

proteins

(IGFBP-1•`6).

growth

In

to be GH-IGF-I-dependent.

human

We have

factors

both in vivo and in

serum,

IGFBP-3

established

is a major

a Western

Ligand

Blot (WLB) assay for IGFBP-3. The method is a densitometric analysis of IGFBP-3 bands on a film WLB. The IGFBP-3 levels of patients with classical growth hormone deficiency (GHD, 5 isolated and multiple hormone deficiencies with appropriate therapy) were studied. Before puberty there is overlap between control (n=31) and the patients with GHD (n=10). However, IGFBP-3 levels of two five pubertal patients with GHD were within the normal range (n=16). We think that measurement serum

IGFBP-3

Key words:

is a useful

Western

diagnostic

ligand

blot,

marker

for

Insulin-like

GHD,

growth

especially

factor

binding

hormone deficiency.

THE

INSULIN-LIKE

growth

factors

I and

II

bound

include

quenced,

degree IGFs many

insulin,

of structural

similarity

and

share

a high

with proinsulin

[1].

have direct effects on the proliferation of tissues and cell types, both in vivo and in vitro

[2]. The IGF-I is considered

the main mediator

of

growth hormone action on somatic growth, and its measurement in plasma and serum plays a di-

agnostic (GHD) In

role and

plasma,

[3] in growth

hormone

deficiency

IGFs

have

BPs,

been

shown

to

be

proteins

IGFBP-1•`6

Pediatric Kiyose

to:

Endocrinology Children's

204, Japan.

Dr.

Yukihiro

size

of 40-44

and Metabolism,

Hospital,

1-3-1

Tokyo

Umezono,

Division

Metropolitan Kiyose,

Tokyo

of

7,

8].

and

Among

(hIGFBP-3)

se-

these

is the

most

kD

and

well

characterized

in im-

munoprecipitation and deglycosylation studies [9, 11]. The IGFBP-3 doublet, which is recognized immunologically [9, 11], is thought to reflect a down

degree to a single

a

reservoir

availability HASEGAWA,

6,

six bind-

cloned

predominant BP in human serum [9, 10]. Upon western ligand blot (WLB), it is a double having a

be

August 7, 1991 December 20, 1991

Correspondence

Growth

[4]. Recently,

[5,

IGFBP-3

of glycosylation, band

lated [11]. Human Received: Accepted:

(IGFBP-3),

(BP) have been

human

different

in acromegaly. the

protein-3

to binding

(IGFs) belong to a family of peptide hormones that and

puberty.

(EndocrinolJapon 39: 121-127, 1992)

ing proteins

relaxin

before

of 10 no of of

IGFBP-3 of

IGFs

of the free

tial tissue [9]. Human GH-IGF-I-dependent

or increased

because

of 29 kD, when

in patients

IGFs

complex and

in plasma

IGFBP-3 because

to

it goes

deglycosy-

is thought regulate and

is reported

to the

intersti-

to be

its level is decreased

with GHD [10, 12, 13, 14]

122

HASEGAWA

and dwarfism with GH insensitivity [15], or acromegaly [12], although we preliminarily reported some overlap between the values for control adults and patients with GHD [10]. In this study, we have established a WLB assay for hIGFBP-3, by using densitometric analysis of hIGFBP-3 bands after WLB, and measured the hIGFBP-3 levels in patients with classical GHD.

et al.

onto

nitrocellulose

proteins

were

IGF-I

for 2h.

incubated

overnight

exposed

at

to

described

film

Densitometric

meter for

Materials

Subjects was

formed

obtained

consent.

in the

Subjects included

adult male volunteers seven healthy children pubertal

and

female,

old,

of

age;

grade

of

and

1.5•`15 obesity;

and

and

5 pubertal;

years,

7

8

5 isolated

hormonal

of classical

and

GHD

III-V, female,

GHD

and

deficiencies). is as follows;

The all

the

peak GH levels are less than 5ng/ml in two or three different GH provocation tests. Other hormonal deficiencies were treated, if any, with appropriate

therapies

glucocorticoid

control

and

such sex

sera for adult

as thyroid

hormone,

hormones,

periods

etc.

(n=6,

was

previously

were scanDensito-

with GHD

for

were

healthy

expressed

of the value of adult pooled D%).

values

controls

and

as a percentage

control

serum

(BP-3-

Statistics All

data

Statistical unpaired

were

expressed

comparisons and paired P

Western ligand blot assay for human growth hormone-dependent insulin-like growth factor binding protein (IGFBP-3): the serum levels in patients with classical growth hormone deficiency.

The insulin-like growth factors I and II (IGFs), important growth factors both in vivo and in vitro, are known to have at least six binding proteins (...
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