What is it about?

Highlights • Low IGF-I levels have not been consistently associated with human longevity. • Humans with more stable circulating IGF-I levels over time show better survival. • A low protein intake and low IGF-I in the very old may reduce life expectancy. • Reduced paracrine IGF-I-mediated effects may play an important role in longevity.

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Why is it important?

This review shows that it is necessary not only to investigate systemic (endocrine) but also the paracrine effects of IGF-I to obtain an overall view about the role of IGF-I in the endocrinology of aging

Perspectives

In order to fully understand the effects of IGF-I on longevity in humans, nutritional intake, the trajectory of circulating IGF-I levels across life time and paracrine effects of IGF-I should be taken into account. The measurement of IGF-I receptor stimulating activity by the IGF-IR KIRA assay is a new promising tool than can provide new insights for the role of IGF-I during aging.

JAMJL Janssen
Erasmus Universiteit Rotterdam

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This page is a summary of: IGF-I and the endocrinology of aging, Current Opinion in Endocrine and Metabolic Research, March 2019, Elsevier,
DOI: 10.1016/j.coemr.2018.11.001.
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