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Published on: January 4, 2018
Multiple system atrophy is associated with changes in peripheral insulin-like growth factor system.
Maria Teresa Pellecchia1, Rosario Pivonello, Katia Longo
1Department of Neurological Sciences, Federico II University, Naples, Italy.
Multiple System Atrophy (MSA) patients show altered insulin-like growth factor (IGF-I) and insulin levels. This suggests the IGF system may attempt to support degenerating neurons in MSA.
Area of Science:
- Endocrinology
- Neuroscience
- Metabolic disorders
Background:
- Insulin-like growth factors (IGFs) possess neurotrophic properties.
- The IGF system may be dysregulated in neurodegenerative conditions.
- Multiple System Atrophy (MSA) is a neurodegenerative disorder with unknown etiological factors.
Purpose of the Study:
- To investigate the insulin-like growth factor (IGF) system in patients with Multiple System Atrophy (MSA).
- To evaluate the correlation between the IGF system and clinical manifestations in MSA patients.
Main Methods:
- Serum levels of IGF-I, IGF-II, insulin, IGF-binding protein 1 (BP1), and IGF-binding protein 3 (BP3) were quantified.
- 25 probable MSA patients and 25 healthy controls were analyzed.
- Clinical status was assessed using the Unified Multiple System Atrophy Rating Scale (UMSARS) and Hoehn and Yahr scale.
Main Results:
- Significantly higher serum IGF-I levels were observed in MSA patients compared to controls (p = 0.001).
- Insulin levels were also significantly elevated in MSA patients versus controls (p = 0.048).
- No significant differences in IGF-II, IGF-BP1, or IGF-BP3 levels were found between groups.
Conclusions:
- The IGF system is demonstrably altered in Multiple System Atrophy (MSA).
- Elevated IGF-I and insulin may represent a compensatory response to neuronal degeneration in MSA.
- Further research is warranted to elucidate the precise role of the IGF system in MSA pathogenesis.
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