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Insulin-like Growth Factor 1

IGF-1 · Somatomedin C · Mecasermin · Increlex

Growth FactorsApproved

Insulin-like Growth Factor 1 (IGF-1) is a peptide hormone primarily produced in the liver and plays a crucial role in growth and development. Researchers primarily study IGF-1 for its involvement in various physiological processes, including glucose metabolism, muscle hypertrophy, and cardiac adaptation to stress. Key findings indicate that IGF-1 signaling is linked to the regulation of glucose uptake in colorectal cancer cells and is essential for skeletal muscle protein synthesis and regeneration. Additionally, studies suggest that IGF-1 levels can be influenced by gut microbiota, which may modulate host growth and health. Current research continues to explore the multifaceted roles of IGF-1 in health and disease, highlighting its clinical relevance in conditions such as metabolic syndrome and muscle atrophy.

Overview

Übersicht

Insulin-like Growth Factor 1 (IGF-1), also known as Somatomedin C or Mecasermin in its synthetic form, is an endogenous peptide hormone primarily produced in the liver under the stimulation of growth hormone (GH). It belongs to the class of growth factors and plays a crucial role in growth and development. IGF-1 is structurally similar to insulin and is involved in various physiological processes. Researchers have observed that IGF-1 is pivotal in regulating growth and development, particularly in skeletal muscle hypertrophy and atrophy, as well as in glucose metabolism. It has been studied extensively in the context of cancer, particularly colorectal cancer, where it is implicated in glucose metabolism and the Warburg effect. Additionally, IGF-1 is involved in cardiac growth and adaptation to stress, as well as in interactions with gut microbiota that influence host development. IGF-1 exerts its effects through binding to the IGF-1 receptor (IGF-1R), activating intracellular signaling pathways such as PI3K/Akt/mTOR and MAPK/ERK, which are crucial for its anabolic and anti-catabolic effects. The modulation of these pathways influences protein synthesis, glucose uptake, and cell survival. The pharmacokinetic properties of IGF-1 include a circulating half-life of approximately 12-15 hours when bound to IGF-binding proteins, which extend its half-life and bioavailability. IGF-1 is used clinically in specific growth failure conditions and is regulated as a prescription medication. It is also monitored in sports for potential misuse as a performance-enhancing agent, with strict anti-doping regulations in place.

Mechanism

Wirkmechanismus

IGF-1 acts primarily through the IGF-1 receptor (IGF-1R), activating the PI3K/Akt/mTOR and MAPK/ERK pathways. This activation leads to increased protein synthesis, cell growth, and survival, while inhibiting apoptosis and catabolic processes.

Mechanism

Signalweg

Insulin-like Growth Factor 1 (IGF-1) primarily exerts its effects through the IGF-1 receptor (IGF-1R), activating downstream signaling pathways such as the PI3K/Akt/mTOR and Raf/MAPK pathways. This signaling promotes anabolic processes like protein synthesis in skeletal muscle and enhances glucose uptake by activating glucose transporters (e.g., GLUT1), while also inhibiting catabolic processes by suppressing FoxO transcription factors and the ubiquitin-proteasome system. Although the precise mechanisms linking IGF-1 to metabolic syndrome and cancer phenotypes, such as the Warburg effect, remain incompletely understood, its role in modulating cellular growth, metabolism, and regeneration is well established.

Half-Life & Pharmacokinetics

ENEndogenous

Circulating half-life ~12-15 hours when bound to IGF-binding proteins

POOral

Poor bioavailability due to first-pass metabolism

IGF-binding proteins significantly extend the half-life of circulating IGF-1.

Storage

Temperature

Refrigerate at 2-8C

Light

Protect from light

Form

Aqueous solution: use within specified time after opening

Notes

Avoid freezing; follow specific storage instructions for synthetic formulations.

Solubility

Löslichkeit

IGF-1 is soluble in water, which is relevant for its formulation as an injectable solution.

Legal Status

🇩🇪DE

Verschreibungspflichtig (prescription only); not listed under BtMG.

🇺🇸US

FDA-approved for specific conditions; prescription required; not scheduled by DEA.

🇦🇺AU

TGA Schedule 4 (prescription only medicine).

🇬🇧UK

Prescription only medicine (POM) under MHRA regulations.

Legal status information is provided for general reference only and may not reflect the most current regulatory changes. Always verify with official government sources before making any decisions.

Open Questions

Offene Forschungsfragen

Current evidence is limited regarding the specific mechanisms by which IGF-1 signaling interacts with metabolic syndrome and colorectal cancer, particularly in the context of the Warburg effect and its regulation of glucose metabolism. Further research is needed to elucidate the role of IGF-1 in muscle atrophy and hypertrophy, especially the contributions of autophagy and miRNA regulation in various chronic disease states. Additionally, the relationship between gut microbiota and IGF-1 synthesis requires further investigation, particularly through larger longitudinal studies that explore the impact of specific microbiota on IGF-1 levels across diverse populations.

170 Research Publications

8,789

Total Citations

29

Human/RCT

3.3

Avg. Influence

2024

Latest

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#01

Mechanisms of IGF-1-Mediated Regulation of Skeletal Muscle Hypertrophy and Atrophy.

Yoshida Tadashi & Delafontaine Patrice · Cells · 2020

ReviewInfluence25.0
654
Researchers observed that insulin-like growth factor 1 (IGF-1) enhances skeletal muscle protein synthesis while inhibiting atrophy through multiple signaling pathways, highlighting its role in muscle regeneration.

Key findings

  1. 01IGF-1 increases muscle protein synthesis through specific cellular pathways.
  2. 02IGF-1 can inhibit factors that contribute to muscle breakdown.
  3. 03Chronic diseases can lower IGF-1 levels, leading to muscle atrophy.
#02

Timing requirements for insulin/IGF-1 signaling in C. elegans.

AnimalInfluence21.0
511
#03

The role of Insulin-Like Growth Factor 1 (IGF-1) in brain development, maturation and neuroplasticity.

ReviewInfluence12.0
351
Researchers observed that insulin-like growth factor-1 (IGF-1) plays a crucial role in cellular neuroplasticity and brain development, influencing learning and memory processes.
#04

Plasma insulin-like growth factor-1 (IGF-1) concentrations in human breast cancer.

AnimalInfluence3.0
300
The study demonstrated that plasma IGF-1 concentrations were significantly higher in primary breast cancer patients compared to controls, suggesting IGF-1's potential role in breast cancer development.
#05

Insulin/IGF-1 Drives PERIOD Synthesis to Entrain Circadian Rhythms with Feeding Time.

AnimalInfluence8.0
264
Researchers observed that insulin and IGF-1 signaling can reset circadian clocks by inducing PERIOD protein synthesis, which is disrupted by mistimed feeding.
#06

Insulin-Like Growth Factor 1 (IGF-1) Signaling in Glucose Metabolism in Colorectal Cancer.

Kasprzak Aldona · International journal of molecular sciences · 2021

ReviewInfluence6.0
228
The study demonstrated that insulin-like growth factor 1 (IGF-1) signaling is implicated in glucose metabolism in colorectal cancer, linking high glycemic diets to increased cancer risk through multiple signaling pathways.

Key findings

  1. 01Colorectal cancer risk is higher in patients with metabolic syndrome.
  2. 02High glycemic index diets may increase colon cancer risk through IGF-1 signaling.
  3. 03Current therapies are exploring ways to correct impaired glucose metabolism in colorectal cancer.
#07

The key role of growth hormone-insulin-IGF-1 signaling in aging and cancer.

ReviewInfluence3.0
214
#08

Aging, atherosclerosis, and IGF-1.

ReviewInfluence6.0
211
Researchers observed that insulin-like growth factor 1 (IGF-1) reduces atherosclerosis burden and improves plaque stability, suggesting its protective role against vascular aging.
#09

Low insulin-like growth factor-1 level predicts survival in humans with exceptional longevity.

Case ReportInfluence5.0
195
Researchers observed that low IGF-1 levels predict longer survival in exceptionally long-lived females and individuals with a history of cancer.
#10

Insulin-like growth factor-1 (IGF-1) and growth hormone (GH) in immunity and inflammation.

ReviewInfluence8.0
192
Researchers discussed IGF-1's significant role in regulating immunity and inflammation, suggesting its potential in treating inflammatory disorders.

Clinical Trials (23)

Preclinical
Phase I
Phase II
Phase III
Approved

23

Total Trials

2,762

Total Enrolled

IGFD Registry: A Patient Registry for Monitoring Long-term Safety and Efficacy of Increlex

NCT00747604TERMINATED
Sponsor

Ipsen

Enrollment

1,378

Started

2006

Primary outcome

To obtain long-term safety and efficacy data for Increlex® replacement therapy in children with growth failure

Primary Insulin-like Growth Factor-1 Deficiency

IGF-1 and Bone Loss in Women With Anorexia Nervosa

NCT01406444COMPLETED
Sponsor

Massachusetts General Hospital

Enrollment

148

Started

2011

Primary outcome

Postero-anterior Spine Bone Mineral Density by DXA

Anorexia NervosaOsteopeniaOsteoporosis

Efficacy of Insulin Like Growth Factor-1(IGF-1) on Bone Regeneration in Intrabony Defects : A Clinico-radiograph Study

Sponsor

Dr R Viswa Chandra

Enrollment

24

Started

2023

Primary outcome

Bone Regeneration

Intrabony Periodontal Defect

Impact of Filtration on Autologous Serum Eye Drops

NCT07407101COMPLETED
Sponsor

University Hospital, Limoges

Enrollment

10

Started

2026

Primary outcome

Differences in concentrations of active molecules

Dry Eye Syndrome (DES)

IGF-I Induced Muscle Glucose Uptake and Interstitial IGF-I Concentrations

NCT01588093COMPLETED
Sponsor

Peter Bang

Enrollment

8

Started

2011

Primary outcome

Difference in MD (microdialysate) IGF-1 over time (expressed as AUC or peak microdialysate IGF-I) between saline and IGF-I injection.

Type 1 Diabetes Mellitus

Canadian Pegvisomant Compassionate Study In Acromegalic Patients

NCT00151437Phase 4COMPLETED
Sponsor

Pfizer

Enrollment

30

Started

2004

Primary outcome

Patient's IGF-1 levels normalize signs and symptoms of acromegaly normalize

Acromegaly

Treatment of Children and Adolescents With Growth Failure Associated With Primary IGF-1 Deficiency

NCT00330668Phase 3TERMINATED
Sponsor

Ipsen

Enrollment

114

Started

2005

Primary outcome

Height Velocity During BID Dosing Period

Growth Disorders

Effects of Anorexia Nervosa on Peak Bone Mass

NCT01301183Phase 3COMPLETED
Sponsor

Massachusetts General Hospital

Enrollment

75

Started

2011

Primary outcome

Change in Bone Density Over a 12-month Period

Anorexia Nervosa

Metabolic Effects of GH and IGF-I in Growth Hormone Deficient(GHD) and Diabetes and Impaired Glucose Tolerance(IGT)

NCT01020955Phase 3COMPLETED
Sponsor

Karolinska University Hospital

Enrollment

14

Started

2009

Primary outcome

Insulin sensitivity

Diabetes

Assessment of Mechanisms of Improved Wound Healing

NCT00673309Phase 2/3COMPLETED
Sponsor

The University of Texas Medical Branch, Galveston

Enrollment

644

Started

2000

Primary outcome

Decrease Hypermetabolism as Measured by Stable Isotope Infusion Study

Burns

Recombinant Human Insulin-Like Growth Factor (rhIGF-1) Treatment of Short Stature Associated With IGF-1 Deficiency

NCT00125190Phase 2/3COMPLETED
Sponsor

Ipsen

Enrollment

45

Started

2005

Primary outcome

Height Velocity From Pretreatment (Week 0) to Week 34

Insulin-Like Growth Factor-1 DeficiencyGrowth Disorders

Long-term Safety and Efficacy Outcome Study Comparing Children Previously Enrolled in Study ROPP-2008-01 for the Prevention of Retinopathy of Prematurity (ROP)

NCT02386839Phase 2COMPLETED
Sponsor

Shire

Enrollment

76

Started

2015

Primary outcome

Number of Participants With Visual Acuity as Assessed by an Age-appropriate Method at 6 Months Corrected Age (CA)

Retinopathy of Prematurity (ROP)

Treatment of Rett Syndrome With Recombinant Human IGF-1

NCT01777542Phase 2COMPLETED
Sponsor

Boston Children's Hospital

Enrollment

30

Started

2013

Primary outcome

Rett Syndrome Behavior Questionnaire (RSBQ) - Fear/Anxiety Subscale

Rett Syndrome

Clinical Trial in 22q13 Deletion Syndrome(Phelan-McDermid Syndrome)

NCT01525901Phase 2COMPLETED
Sponsor

Icahn School of Medicine at Mount Sinai

Enrollment

19

Started

2012

Primary outcome

Change in Aberrant Behavior Checklist - Social Withdrawal (ABC-SW) Subscale - Study 1

22q13 Deletion SyndromePhelan-McDermid Syndrome

A Pilot Treatment Study of Insulin-Like Growth Factor-1 (IGF-1) in Autism Spectrum Disorder

NCT01970345Phase 2TERMINATED
Sponsor

Icahn School of Medicine at Mount Sinai

Enrollment

3

Started

2014

Primary outcome

Aberrant Behavior Checklist - Social Withdrawal Subscale

Autism Spectrum Disorder

Safety and Efficacy Study of IGF-1 in Duchenne Muscular Dystrophy

NCT01207908Phase 1/2COMPLETED
Sponsor

Children's Hospital Medical Center, Cincinnati

Enrollment

44

Started

2010

Primary outcome

Difference in 6-Minute Walk Distance Between Groups (Control Minus IGF-1) for Change at 6 Months Versus Baseline

Duchenne Muscular Dystrophy

Safety Profile of Insulin Like Growth Factor-1 (IGF-I) Administration in Adolescents

NCT00516386Phase 1/2COMPLETED
Sponsor

Massachusetts General Hospital

Enrollment

16

Started

2007

Primary outcome

Change in Levels of Insulin Like Growth Factor-1 (IGF-I) Following Recombinant Human (rh) IGF-1 Administration in Girls With Anorexia Nervosa

Anorexia Nervosa

Treatment for Growth Failure in Patients With X-Linked Severe Combined Immunodeficiency: Phase 2 Study of Insulin-Like Growth Factor-1

NCT00490100Phase 1/2TERMINATED
Sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Enrollment

6

Started

2007

Primary outcome

Safety of Study Drug

Growth FailureX-linked Severe Combined Immunodeficiency (XSCID)Growth Hormone Resistence

Differential Effects of rhGH vs. rhIGF-1 on Cardiovascular Risk Factors

NCT00684957Phase 1/2TERMINATED
Sponsor

Columbia University

Enrollment

5

Started

2008

Primary outcome

Cardiovascular Serum Risk Markers Including Lipids, IL-6, CRP and Homocysteine

Growth Hormone Deficiency

Antisense102: Pilot Immunotherapy for Newly Diagnosed Malignant Glioma

NCT02507583Phase 1COMPLETED
Sponsor

david andrews

Enrollment

33

Started

2015

Primary outcome

Collect adverse events as a measure of safety and tolerability of IG-1R/ AS ODN

Malignant GliomaNeoplasms

IGF-1 Therapy in Patients With Cystic Fibrosis

NCT00566241Phase 1TERMINATED
Sponsor

Stony Brook University

Enrollment

15

Started

2008

Primary outcome

Body weight and body composition

Cystic Fibrosis

Pilot Immunotherapy Trial for Recurrent Malignant Gliomas

NCT01550523Phase 1COMPLETED
Sponsor

Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University

Enrollment

13

Started

2012

Primary outcome

To establish the safety profile of a combination product with an optimized Good Manufacturing Practices AS ODN in the treatment of patients with recurrent malignant glioma with concomitant assessment of any therapeutic impact.

Malignant Glioma of Brain

Treatment of Rett Syndrome With rhIGF-1 (Mecasermin [rDNA]Injection)

NCT01253317Phase 1COMPLETED
Sponsor

Boston Children's Hospital

Enrollment

12

Started

2010

Primary outcome

Adverse Events

Rett Syndrome

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This page is for informational and research purposes only. All information is based on published scientific literature and does not constitute medical advice, diagnosis, or treatment recommendations. Many substances listed may not be approved for human use and may be subject to drug regulation laws (e.g., AMG in Germany, FDA in the US). PepStack does not encourage the use of any substance on humans. Always consult a qualified healthcare professional before making any health-related decisions. Use of this information is entirely at your own risk. PepStack assumes no liability for the accuracy, completeness, or timeliness of the content provided. Full disclaimer