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10.3748/wjg.v10.i18.2740

http://scihub22266oqcxt.onion/10.3748/wjg.v10.i18.2740
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C4572205!4572205!15309731
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suck abstract from ncbi


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pmid15309731      World+J+Gastroenterol 2004 ; 10 (18): 2740-3
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  • Clinical significance of serum IGF-I, IGF-II and IGFBP-3 in liver cirrhosis #MMPMID15309731
  • Wu YL; Ye J; Zhang S; Zhong J; Xi RP
  • World J Gastroenterol 2004[Sep]; 10 (18): 2740-3 PMID15309731show ga
  • AIM: To investigate the relationship between insulin-like growth factor-I, -II (IGF-I and IGF-II), IGF-binding protein 3 (IGFBP-3) and Child-Pugh score in patients with liver cirrhosis, and to search for potential clinical markers of liver function.METHODS: Forty-four patients with advanced liver cirrhosis of viral origin were divided into 3 groups according to severity of cirrhosis (Child-Pugh score) and 38 healthy subjects served as controls. Serum levels of IGF-I, IGF-II and IGFBP-3 were measured by immunoradiometric assay.RESULTS: Serum IGF-I, IGF-II and IGFBP-3 levels were significantly lower in patients with cirrhosis than in controls, and serum concentrations of IGF-I, IGF-II and IGFBP-3 were associated with the severity of liver dysfunction, and dropped sharply during the progression of liver failure. Among these 3 parameters, serum IGF-II was the most sensitive and effective indicator for liver dysfunction. Concentrations of IGF-I < 30 ng/mL, IGF-II < 200 ng/mL and IGFBP-3 < 6 ng/mL implied a negative prognosis for patients with liver cirrhosis.CONCLUSION: Serum IGF-I, IGF-II and IGFBP-3 may provide a new dimension in the assessment of liver dysfunction. Combined detection of serum IGF-I, IGF-II and IGFBP-3 with Child-Pugh score is more effective in predicting prognosis than Child-Pugh score alone.
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