IGF bioavailability

Why the IGF-1 figure on a blood test is not the signal a growth plate receives, and the protease and inhibitor pair that decides how much of it gets loose.

IGF bioavailability: IGF-1 travels locked to a carrier and the acid-labile subunit. PAPP-A2 cuts the carrier and frees it, STC2 blocks PAPP-A2, and only the freed IGF-1 reaches a receptor on a cartilage cell. ALSBP-3IGFPAPP-A2STC2IGFfreechondrocyteLocked upCut looseAt the platewhat a test measuresSTC2 blocks the cutwhat the cell gets

Circulating IGF-1 is nearly all bound (see IGF-1 and IGF-1R). Release from the carriers is a separate variable from how much the liver makes, and it has its own machinery.

In this article

  • How IGF-1 is let loose
  • What the human genetics shows
  • Compounds

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Educational content, not medical advice. Nothing here is a recommendation to take or stop taking anything — talk to a doctor about your own situation.