The long term objectives are to understand the regulation and function of wound insulin-like growth factor-I (IGF-1) and IGF binding protein (IGFBP) levels during tissue repair, and also to use this knowledge to modulate tissue repair in disease states. In this project, our knowledge of IGF-I will be expanded by in vivo and in vitro studies. Experiments will be initiated to understand the mechanisms of IGF-I actions in wounds and how IGF-I may be involved in pathological states of repair and trauma.
In Aim 1 human fibroblasts will be used to investigate whether IGF_1 phosphorylates nuclear poly(ADP-ribose) (PADPR) synthetase thereby inhibiting its activity and stimulating collagen gene expression. Whether the inhibitory effect of IGF-I on PADPR synthetase increases the cellular level of cyclic ADP-ribose will be examined in Aim 2. Cyclic ADP-ribose induces the release of intracellular calcium and could explain this same effect of IGF-I. Investigations into the role of IGF-I in glucocorticoid impaired wounds will be pursued to learn more about the interrelation of lactate, TGFb, vitamin A and inflammation in tissue repair. The second part of this grant deals with the actions and levels of IGF-I, IGFBPs, and IGFBP proteases in normal and pathologic wounds.
Aim 4 will examine whether the IGF-I gene is over-expressed or IGFBPs are decreased in wounds characterized by increased collagen synthesis, hypertrophic scars and keloids. IGF-I and IGFBP-3 will be assayed by immunohistochemical techniques.
Aim 5 will investigate in a rat model the role of IGF-I and IGFBPs in the formation of abdominal adhesions. The ultimate goal of Aims 4 and 5, if IGF-I were shown to have a pathological role, would be to block its action by an inhibitory IGFBP. The ability of IGFBP-3 to inhibit increased IGF-I activity and modulate tissue repair will be investigated in both Aims 4 and 5. In patients with trauma, head injury and burns the plasma IGF-I, IGFBPs, and IGFBP proteases will be determined in order to establish the relationship of abnormal levels to several parameters including the catabolic state, wound healing, infection, hospital stay and recovery.

Agency
National Institute of Health (NIH)
Institute
National Institute of General Medical Sciences (NIGMS)
Type
Specialized Center (P50)
Project #
5P50GM027345-16
Application #
5212056
Study Section
Project Start
Project End
Budget Start
Budget End
Support Year
16
Fiscal Year
1996
Total Cost
Indirect Cost
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