There is little information on free insulin-like growth factor I (IGF-I) an
d its regulatory proteins during fasting and refeeding. Therefore, we exami
ned rats during fasting (0, 1, 2, and 3 days) and refeeding (3, 6, and 12 h
and 1, 2, 3, and 7 days) (n = 6-9). Serum was analyzed for insulin, C-pept
ide, growth hormone (CH), free and total IGF-I, IGF-binding protein (IGFBP)
-1 and -3, and the acid-labile subunit (ALS). Additionally, liver mRNA for
IGF-I, IGFBP-1, and ALS was determined. Fasting reduced serum levels of GH,
free and total IGF-I, IGFBP-3, and ALS, whereas IGFBP-1 was increased (P <
0.0001). Refeeding normalized IGFBP-1 at 3 h and GH at 12 h. Free IGF-I ch
anged in parallel with total IGF-I, ALS, and IGFBP-3, being normalized at 4
8 h of refeeding. IGFBP-1 (peptide and mRNA) correlated inversely with insu
lin and C-peptide (P < 0.001). The correlation between peptide and mRNA was
relatively strong for IGFBP-1 (r(2) = 0.36; P < 0.0001), moderate for IGF-
I (r(2) = 0.18; P < 0.0005), and insignificant for ALS. In conclusion, insu
lin appears to regulate IGFBP-1 in fasted and refed rats. However, the norm
al inverse relationship between free IGF-I and IGFBP-1 was absent, and free
IGF-I changed in parallel with total IGF-I and thus ALS and IGFBP-3. Final
ly, the regulation of the hepatic synthesis of IG F-I, IGFBP-1, and ALS see
ms to differ substantially.