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Letters to Nature
Nature 323, 169 - 171 (11 September 1986); doi:10.1038/323169a0

Growth restoration of insulin-deficient diabetic rats by recombinant human insulin-like growth factor I

Erika Scheiwiller*, Hans-Peter Guler*, Jim Merryweather, Carl Scandella, Walter Maerki, Jürgen Zapf* & E. Rudolf Froesch*

*Metabolic Unit, University Hospital, CH-8091 Zurich, Switzerland
Chiron Corporation, Emeryville, California 94608, USA
Ciba-Geigy, 4002 Basel, Switzerland

Insulin-like growth factor I (IGF-I) and insulin stem from a common precursor, are structural homologues, act through similar receptors and elicit insulin-like and growth-promoting effects in vitro and in vivo 1,2. Serum IGF-I levels are controlled by growth hormone1, insulin3−6 and nutrition6−10. Insulin-deficient growth-arrested diabetic animals have reduced serum IGF-I levels which are restored towards normal by insulin but not by growth-hormone treatment3−6. Here we show that normal growth of diabetic rats is restored by infusion of recombinant human (rh)IGF-I without normalization of the blood sugar level and that insulin acts via an increase of IGF-I synthesis on growth of diabetic rats. We describe a new mechanism of endocrine control of growth in which IGF-I is the major stimulator at the cellular level. Growth hormone and insulin act mainly by modulating the hepatic synthesis of IGF-I.

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