Table 2.
Preclinical trials for IGF-I and muscle therapy
Therapeutic Target | Animal Model | IGF-I Isoform | Delivery Method | Outcome |
---|---|---|---|---|
Sarcopenia | ||||
27 mo mice | IGF-IA | AAV | Maintenance of muscle mass and function33 | |
20–24 mo mice | IGF-IA | Transgenic | Maintenance of muscle mass and regenerative capacity35 | |
Disuse Atrophy | ||||
Hindlimb Suspension | IGF-IA | Transgenic | No protection against atrophy96 | |
Hindlimb Suspension & reloading | IGF-IA vs. mature IGF-I | AAV | Enhanced recovery more with mature IGF-I, functional protection by mature IGF-I44 | |
Cast immobilization & reloading | IGF-IA | AAV | Enhanced recovery, no atrophy protection94,95 | |
Muscle Wasting | ||||
Angiotensin II Mice | IGF-IA | Transgenic | Block of apoptosis and muscle specific ubiquitin ligases97 | |
Glucocorticoid Mice | E-peptides | AAV | No protection40 | |
Acute Injury | ||||
Mice Cardiotoxin Injection | IGF-IA vs. rhIGF-I | Plasmid vs osmotic pump | Accelerated repair by plasmid IGF-IA86 | |
PEG-IGF-I vs. rhIGF-I | IM/SQ injection | Improved functional recovery of IM PEG-IGF-I vs. rhIGF-I or SQ PEG-IGF-I98 | ||
IGF-IA | Transgenic | Enhanced repair; limited fibrosis99 | ||
Mice Laceration | IGF-IA | Plasmid | Improved regeneration100 | |
rhIGF-I | IM Injection | Improved healing101 | ||
Rat Ischemia Reperfusion | PEG-IGF-I | fibrin gel injection | Improved functional recovery102 | |
Neuromuscular Disease | ||||
ALS (G93A mouse) | rhIGF-I | Intrathecal | improved survival103 | |
IGF-IA | Transgenic | Improved survival104 | ||
PEG-IGF-I | SQ injection | Mild symptoms improved; severe symptoms no protection105 | ||
DMD (mdx mouse) | IGF-IA | Transgenic | Improved function; reduced fibrosis; Increased muscle mass; reduction of myofiber necrosis106,107 | |
PEG-IGF | SQ injection | Reduced contraction -induced injury108,109 | ||
rhIGF-I | SQ injection | Improved fatigue resistance and contractile function110,111 | ||
LR-IGF-I | SQ injection | Improved function112 |