IGF-I Bioactivity refers to the measure of the Insulin-like Growth Factor-I (IGF-I) fraction that is unbound to its primary binding proteins (IGFBPs) and is therefore biologically available to interact with its cellular receptors and elicit a physiological response. This free, active fraction is the true determinant of IGF-I’s anabolic and growth-promoting effects on muscle, bone, and connective tissues. Assessing bioactivity provides a more accurate clinical picture of tissue-level hormonal impact than simply measuring total IGF-I. Optimal bioactivity is essential for tissue repair and maintenance of youthful body composition.
Origin
The term stems directly from endocrinology and protein chemistry, combining the acronym IGF-I with ‘bioactivity,’ emphasizing the functional capacity of the molecule. The need to differentiate between total and free hormone levels arose from the discovery of the Insulin-like Growth Factor Binding Proteins (IGFBPs), which modulate the hormone’s half-life and access to tissues. This distinction is critical for interpreting clinical lab results.
Mechanism
IGF-I bioactivity operates by the unbound hormone diffusing across the capillary endothelium to bind to the IGF-I receptor on target cells. This binding initiates a powerful intracellular signaling cascade, primarily through the PI3K/Akt pathway, which promotes cell proliferation, differentiation, and survival. The binding proteins act as a circulating reservoir, releasing IGF-I as needed, but only the free fraction is immediately capable of triggering this mechanism.
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