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01 October 2011

IGF-I and IGFBP-3 before and after inpatient alcohol detoxification in alcohol-dependent subjects

Ioannis IliasABCDEF, Thomas PaparrigopoulosABCDEF, Elias TzavellasABCDEF, Dimitris KaraiskosABCDE, Panagiotis KontoleonAB, Ioannis LiappasABCDEFG

DOI: 10.12659/MSM.881979

Med Sci Monit 2011; 17(10): CR547-551

Abstract

Background: It is unclear whether alcohol detoxification has an effect on factors that are involved in growth, metabolic functions and cell proliferation. Alcohol abuse is associated with low IGF-I levels that tend to rise after alcohol withdrawal. There is a paucity of studies on the course of IGFBP-3 (the main binding protein for IGF-I) after alcohol detoxification.
Material/Methods: We prospectively assessed IGF-I and IGFBP-3 changes at the time of admission and after 4 to 6 weeks of detoxification in an inpatient alcohol detoxification facility in 118 alcohol-dependent subjects given a regular hospital diet. No participants dropped out of the study.
Results: Changes in IGF-I after alcohol detoxification showed a marked dimorphism in altered hepatic biochemistry upon admission, with a rise in those with normal liver enzymes upon admission (p=0.016, Kruskall-Wallis) and a drop in those with elevated liver enzymes upon admission (p=0.05); the latter was noted in subjects that had consumed alcohol close to the time of admission. Overall, however, IGF-I and IGFBP-3 were within normal limits for most subjects both upon admission and after alcohol detoxification; no significant differences were detected among the examined parameters in men vs. women, and there were no significant correlations of IGF-I, IGFBP-3 or the IGF-I/IGFBP-3 molar ratio with BMI or age.
Conclusions: Regardless of hepatic enzymes’ elevation, alcohol detoxification had overall slight effects on IGF-I and IGFBP-3.

Keywords: Receptors, Cell Surface - blood, Liver - enzymology, Insulin-Like Growth Factor I - metabolism, Immunoradiometric Assay, Alcoholism - therapy, Adult, Statistics, Nonparametric, Substance Withdrawal Syndrome - blood

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750