Skip to main content
Erschienen in: Journal of Endocrinological Investigation 12/2022

01.12.2022 | Review

Association between insulin-like growth factor-1 and cardiovascular events: a systematic review and doseresponse meta-analysis of cohort studies

verfasst von: T. Li, Y. Zhao, X. Yang, Y. Feng, Y. Li, Y. Wu, M. Zhang, X. Li, H. Hu, J. Zhang, L. Yuan, Y. Liu, X. Sun, P. Qin, C. Chen, D. Hu

Erschienen in: Journal of Endocrinological Investigation | Ausgabe 12/2022

Einloggen, um Zugang zu erhalten

Abstract

Background

Insulin-like growth factor-1 (IGF-1) has increasingly been reported as linked to cardiovascular (CV) events; however, reported results have been inconsistent, and no meta-analysis has been undertaken to quantitatively assess this association.

Methods

We searched PubMed, Embase, and Web of Science databases for cohort articles published up to December 1, 2020. Fixed or random-effects models were used to estimate the summary relative risks (RRs) and 95% confidence intervals (CIs) of CV events in relation to IGF-1. Restricted cubic splines were used to model the dose–response association.

Results

We identified 11 articles (thirteen cohort studies) covering a total of 22,995 participants and 3040 CV events in this meta-analysis. The risk of overall CV events reduced by 16% from the highest to the lowest IGF-1 levels (RR 0.83, 95% CI 0.72–0.95), while the occurrence of CV events reduced by 28% (RR 0.72, 95% CI 0.56–0.92), but not for CV deaths, however (RR 1.00, 95% CI 0.65–1.55). We also found linear associations between IGF-1 levels and CV events. With each per 45 μg/mL IGF-1 increase, the pooled RRs were 0.91 (95% CI 0.86–0.96), 0.91 (95% CI 0.85–0.97) and 0.91 (95% CI 0.84–0.98) for overall CV events, for the occurrence of CV events, and for CV deaths, respectively.

Conclusions

Our findings based on cohort studies support the contention that any increase in IGF-1 is helpful in reducing the overall risk of CV events. As an important biomarker for assessing the likelihood of CV events, IGF-1 appears to offer a promising prognostic approach for aiding prevention.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
4.
Zurück zum Zitat Rinderknecht E, Humbel RE (1978) The amino acid sequence of human insulin-like growth factor I and its structural homology with proinsulin. J Biol Chem 253(8):2769–2776CrossRefPubMed Rinderknecht E, Humbel RE (1978) The amino acid sequence of human insulin-like growth factor I and its structural homology with proinsulin. J Biol Chem 253(8):2769–2776CrossRefPubMed
12.
Zurück zum Zitat van Bunderen CC, van Nieuwpoort IC, van Schoor NM, Deeg DJ, Lips P, Drent ML (2010) The association of serum insulin-like growth factor-I with mortality, cardiovascular disease, and cancer in the elderly: a population-based study. J Clin Endocrinol Metab 95(10):4616–4624. https://doi.org/10.1210/jc.2010-0940CrossRefPubMed van Bunderen CC, van Nieuwpoort IC, van Schoor NM, Deeg DJ, Lips P, Drent ML (2010) The association of serum insulin-like growth factor-I with mortality, cardiovascular disease, and cancer in the elderly: a population-based study. J Clin Endocrinol Metab 95(10):4616–4624. https://​doi.​org/​10.​1210/​jc.​2010-0940CrossRefPubMed
13.
Zurück zum Zitat Ricketts SL, Rensing KL, Holly JM et al (2011) Prospective study of insulin-like growth factor-I, insulin-like growth factor-binding protein 3, genetic variants in the IGF1 and IGFBP3 genes and risk of coronary artery disease. Int J Mol Epidemiol Genet 2(3):261–285PubMedPubMedCentral Ricketts SL, Rensing KL, Holly JM et al (2011) Prospective study of insulin-like growth factor-I, insulin-like growth factor-binding protein 3, genetic variants in the IGF1 and IGFBP3 genes and risk of coronary artery disease. Int J Mol Epidemiol Genet 2(3):261–285PubMedPubMedCentral
16.
19.
Zurück zum Zitat Ruidavets JB, Luc G, Machez E et al (2011) Effects of insulin-like growth factor 1 in preventing acute coronary syndromes: the PRIME study. Atherosclerosis 218(2):464–469CrossRefPubMed Ruidavets JB, Luc G, Machez E et al (2011) Effects of insulin-like growth factor 1 in preventing acute coronary syndromes: the PRIME study. Atherosclerosis 218(2):464–469CrossRefPubMed
23.
Zurück zum Zitat Laughlin GA, Barrett-Connor E, Criqui MH, Kritz-Silverstein D (2004) The prospective association of serum insulin-like growth factor I (IGF-I) and IGF-binding protein-1 levels with all cause and cardiovascular disease mortality in older adults: the Rancho Bernardo study. J Clin Endocrinol Metab 89(1):114–120. https://doi.org/10.1210/jc.2003-030967CrossRefPubMed Laughlin GA, Barrett-Connor E, Criqui MH, Kritz-Silverstein D (2004) The prospective association of serum insulin-like growth factor I (IGF-I) and IGF-binding protein-1 levels with all cause and cardiovascular disease mortality in older adults: the Rancho Bernardo study. J Clin Endocrinol Metab 89(1):114–120. https://​doi.​org/​10.​1210/​jc.​2003-030967CrossRefPubMed
28.
Zurück zum Zitat Saber H, Himali JJ, Beiser A, et al. High serum insulin-like growth factor 1 is associated with lower risk of ischemic stroke: The framingham heart study. Stroke Conference: American Heart Association/American Stroke Association. 2015;46(1). Saber H, Himali JJ, Beiser A, et al. High serum insulin-like growth factor 1 is associated with lower risk of ischemic stroke: The framingham heart study. Stroke Conference: American Heart Association/American Stroke Association. 2015;46(1).
29.
35.
Zurück zum Zitat Allison PD. Fixed Effects Regression Models. SAGE. 2006 Allison PD. Fixed Effects Regression Models. SAGE. 2006
36.
Zurück zum Zitat Begg CB, Mazumdar M (1994) Operating characteristics of a rank correlation test for publication bias. Biometrics 50(4):1088–1101CrossRefPubMed Begg CB, Mazumdar M (1994) Operating characteristics of a rank correlation test for publication bias. Biometrics 50(4):1088–1101CrossRefPubMed
37.
45.
Zurück zum Zitat Landin-Wilhelmsen K, Wilhelmsen L, Lappas G et al (1994) Serum insulin-like growth factor I in a random population sample of men and women: relation to age, sex, smoking habits, coffee consumption and physical activity, blood pressure and concentrations of plasma lipids, fibrinogen, parathyroid hormone and osteocalcin. Clin Endocrinol 41(3):351–357. https://doi.org/10.1111/j.1365-2265.1994.tb02556.xCrossRef Landin-Wilhelmsen K, Wilhelmsen L, Lappas G et al (1994) Serum insulin-like growth factor I in a random population sample of men and women: relation to age, sex, smoking habits, coffee consumption and physical activity, blood pressure and concentrations of plasma lipids, fibrinogen, parathyroid hormone and osteocalcin. Clin Endocrinol 41(3):351–357. https://​doi.​org/​10.​1111/​j.​1365-2265.​1994.​tb02556.​xCrossRef
59.
Zurück zum Zitat Wright AD, Hill DM, Lowy C, Fraser TR (1970) Mortality in acromegaly. Q J Med 39(153):1–16PubMed Wright AD, Hill DM, Lowy C, Fraser TR (1970) Mortality in acromegaly. Q J Med 39(153):1–16PubMed
62.
Zurück zum Zitat Anwar A (2002) Tumor necrosis factor-α regulates insulin-like growth factor-1 and insulin-like growth factor binding protein-3 expression in vascular smooth muscle. Circulation 105(10):1220–1225CrossRefPubMed Anwar A (2002) Tumor necrosis factor-α regulates insulin-like growth factor-1 and insulin-like growth factor binding protein-3 expression in vascular smooth muscle. Circulation 105(10):1220–1225CrossRefPubMed
Metadaten
Titel
Association between insulin-like growth factor-1 and cardiovascular events: a systematic review and dose–response meta-analysis of cohort studies
verfasst von
T. Li
Y. Zhao
X. Yang
Y. Feng
Y. Li
Y. Wu
M. Zhang
X. Li
H. Hu
J. Zhang
L. Yuan
Y. Liu
X. Sun
P. Qin
C. Chen
D. Hu
Publikationsdatum
01.12.2022
Verlag
Springer International Publishing
Erschienen in
Journal of Endocrinological Investigation / Ausgabe 12/2022
Elektronische ISSN: 1720-8386
DOI
https://doi.org/10.1007/s40618-022-01819-1

Weitere Artikel der Ausgabe 12/2022

Journal of Endocrinological Investigation 12/2022 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Alphablocker schützt vor Miktionsproblemen nach der Biopsie

16.05.2024 alpha-1-Rezeptorantagonisten Nachrichten

Nach einer Prostatabiopsie treten häufig Probleme beim Wasserlassen auf. Ob sich das durch den periinterventionellen Einsatz von Alphablockern verhindern lässt, haben australische Mediziner im Zuge einer Metaanalyse untersucht.

Eingreifen von Umstehenden rettet vor Erstickungstod!

15.05.2024 Fremdkörperaspiration Nachrichten

Wer sich an einem Essensrest verschluckt und um Luft ringt, benötigt vor allem rasche Hilfe. Dass Umstehende nur in jedem zweiten Erstickungsnotfall bereit waren, diese zu leisten, ist das ernüchternde Ergebnis einer Beobachtungsstudie aus Japan. Doch es gibt auch eine gute Nachricht.

Neue S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

15.05.2024 Harnwegsinfektionen Nachrichten

Welche Antibiotika darf man bei unkomplizierter Zystitis verwenden und wovon sollte man die Finger lassen? Welche pflanzlichen Präparate können helfen? Was taugt der zugelassene Impfstoff? Antworten vom Koordinator der frisch überarbeiteten S3-Leitlinie, Prof. Florian Wagenlehner.

Schadet Ärger den Gefäßen?

14.05.2024 Arteriosklerose Nachrichten

In einer Studie aus New York wirkte sich Ärger kurzfristig deutlich negativ auf die Endothelfunktion gesunder Probanden aus. Möglicherweise hat dies Einfluss auf die kardiovaskuläre Gesundheit.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.