INSULIN GROWTH FACTOR 1 IN NORMAL AND GROWTH- RETARDED FETUSES
Authors:
OGUNSOLA Oluseyi
Publication Type: Journal article
Journal:
ISSN Number:
0
Downloads
19
Views
Abstract
Objective: To establish a reference range of insulin growth factor1 (IGF-I) in normal fetuses and to assess whether intrauterine growth retardation is associated with increased or decreased IGF- I levels.
Method: Retrospective analysis of blood samples collected from n= 45 fetuses who underwent blood sampling at 18 - 38 weeks gestation was performed: 25 fetuses, who were considered controls, were appropriately grown for gestational age and were found unaffected by the condition for which they were tested, the remaining (n=20) underwent fetal blood sampling to assess fetal karyotype following ultrasonic diagnosis of intra-uterine growth. Insulin growth factor1 (IGF-I) levels was measured using ELISA technique (Diagnostic system Laboratories, Webster, Texas, USA). Intra- coefficient of variation of the test ranged from 4.1 to 6.1%. Data was analysed using Student’s t test.
Result: In the control group, serum level of IGF -1 increased linearly with gestational age, while in growth-retarded fetuses, IGF- 1 levels were not significantly different.
Conclusion: Our study confirmed previous findings that IGF-1 level paralleled increase in fetal growth with advancing gestational age. The absence of an increase in IGF-1 level in growth-retarded fetuses may indicate a terminal process in fetal adaptation to placental failure.