NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

Insulin-like growth factors (IGF-I, free IGF-I and IGF-II) and insulin-like growth factor binding proteins (IGFBP-2, IGFBP-3, IGFBP-6, and ALS) in blood circulation.

Author(s): Yu H, Mistry J, Nicar MJ, Khosravi MJ, Diamandis A, van Doorn J, Juul A

Publication: J Clin Lab Anal, 1999, Vol. 13, Page 166-72

PubMed ID: 10414596 PubMed Review Paper? No

Suggested by: ISBER


Purpose of Paper

The purpose of this paper was to determine the effects of patient age and gender, anticoagulant, use of serum rather than plasma and freeze-thaw cycling on insulin-like growth factors (IGF) and IGF binding proteins (IGFBP) in blood.

Conclusion of Paper

IGF-I, IGF-II, IGFBP-3, IGFBP-6 and the acid-labile subunit of IGFBP (ALS) increased while IGFBP-2 decreased with age between birth and puberty in serum and/or plasma. After puberty, IGF-I, IGFBP-3, and ALS declined slowly with age while IGF-II, IGFBP-2, and IGFBP-6 remained relatively constant. Levels of IGF-I, IGFBP-3 and ALS were higher while IGFBP-2 and IGFBP-6 were generally lower in females than males in serum and/or plasma. IGF-I and II were 10% higher in serum than plasma, but the type of anticoagulant used had no effect on IGF-I or II levels in plasma. Serum had significantly higher IGFBP-3, IGFBP-6 and ALS levels and lower IGFBP-2 levels than EDTA-plasma. Serum had significantly higher IGFBP-2, IGFBP-6 and ALS levels than heparinated plasma, but there were no differences in IGFBP-3 levels between serum and heparinated plasma. IGFBP-3 and ALS levels were significantly higher and IGFBP-2 levels were significantly lower in heparinated plasma than in EDTA-plasma. IGF-I, IGF-II and IGFBP-3 levels, in plasma, were not significantly different after 5 freeze-thaw cycles.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of patient age and gender, anticoagulant, use of serum rather than plasma and freeze-thaw cycling on IGF and IGFBP in blood. Specimens used to measure IGF-I and ALS were kept frozen until use, but specimens used to measure IGF-II, IGFBP-2, IGFBP-3, and IGFBP-6 had been previously thawed.

    Summary of Findings:

    IGF-I, IGF-II, IGFBP-3, IGFBP-6 and ALS levels increased while IGFBP-2 decreased with age between birth and puberty in serum and/or plasma. After puberty, IGF-I, IGFBP-3, and ALS declined slowly with age while IGF-II, IGFBP-2, and IGFBP-6 remained relatively constant. Levels of IGF-I and IGFBP-3 were 8% higher in females than males. Levels of ALS were generally higher, while IGFBP-2 and IGFBP-6 were generally lower in females than males in serum. There was no effect of gender on IGF-II levels. IGF-I and II were 10% higher in serum than in plasma (p<0.001), but the type of anticoagulant used had no effect on IGF-I or II levels in plasma. Serum had significantly higher IGFBP-3, IGFBP-6 and ALS levels and lower IGFBP-2 levels than EDTA-plasma. Serum had significantly higher IGFBP-2, IGFBP-6 and ALS levels than heparinated plasma, but there were no differences in IGFBP-3 levels between serum and heparinated plasma. IGFBP-3 and ALS levels were significantly higher (p<0.001 and p=0.009, respectively) while IGFBP-2 levels were significantly lower (p<0.001) in heparinated plasma than in EDTA-plasma. IGF-I, IGF-II and IGFBP-3 levels, in plasma, were not significantly different after 5 freeze-thaw cycles.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Normal
    • Other diagnoses
    Platform:
    AnalyteTechnology Platform
    Protein Immunoassay
    Protein Immunoradiometric assay
    Protein ELISA
    Protein Radioimmunoassay
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Aliquots and Components Blood and blood products Plasma
    Serum
    Storage Freeze/thaw cycling 1 cycle
    2 cycles
    3 cycles
    4 cycles
    5 cycles
    Preaquisition Patient age 5-65 years
    Preaquisition Patient gender Female
    Male
    Preaquisition Diagnosis/ patient condition Minor throat infection
    Minor ear infection
    Biospecimen Acquisition Anticoagulant Citrate
    EDTA
    Heparin
    None

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