Intravenous tissue plasminogen activator in patients with stroke increases the bioavailability of insulin-like growth factor-1

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    Abstract

    Background and Purpose-Insulin-like growth factor (IGF)-1 has potent neuroprotective properties. We investigated the effects of intravenous administration of tissue plasminogen activator (tPA) on serum levels of IGF-1 and IGF-binding protein (IGFBP)-3 in patients with acute ischemic stroke.

    Methods-Serum levels of total IGF-1, free IGF-1, and IGFBP-3 were measured by radioimmunoassay in 10 patients with ischemic stroke treated with intravenous tPA (0.9 mg/kg body weight) and 10 untreated controls.

    Results-During tPA treatment, total IGF-1 and IGFBP-3 serum levels did not change, but there was an approximate to 70% increase in free IGF-1 serum levels from 0.98 +/- 0.25 at baseline to 1.69 +/- 0.18 nmol/L at the end of the I-hour infusion (P=0.01). Conclusions-Intravenous therapy with tPA enhances the bioavailability of IGF-1.

    Conclusions-Intravenous therapy with tPA enhances the bioavailability of IGF-1.

    Original languageEnglish
    Pages (from-to)2368-2371
    Number of pages4
    JournalStroke
    Volume37
    Issue number9
    DOIs
    Publication statusPublished - Sept-2006

    Keywords

    • acute stroke
    • insulin-like growth factor 1
    • neuroprotection
    • thrombolysis
    • tissue plasminogen activator
    • FOCAL CEREBRAL-ISCHEMIA
    • TPA-DEFICIENT MICE
    • NEURONAL DAMAGE
    • BRAIN-INJURY
    • WILD-TYPE
    • RATS
    • PROTEIN-3
    • MODELS

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