About IGF-1. GH stimulates the production of IGF-1 when GH hits the liver, where IGF-1 is produced. GH is inhibited by hyperglycemia. It follows therefore that when there's hyperglycemia, there's less GH, there's less IGF-1.
The effect seen where IGF-1 drops, it's the free IGF-1 that drops, not total IGF-1. Most of the IGF-1 is bound to some binding protein called IGFBP-x (where x is the number of this protein). This effect also comes with a concomitant increase in at least one of those binding proteins, as Rob cited in his original post here:
Quote:
In humans, 5 days of fasting causes an over 50% decrease in IGF-1 and a 5-fold or higher increase in one of the principal IGF-1-inhibiting proteins, IGFBP1 (Thissen et al., 1994a).
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The correct phrasing here is: 50% decrease in free IGF-1, with a concomitant 5-fold or higher increase in one of the binding proteins (not "one of the principal IGF-1-
inhibiting proteins"), IGFBP1. It is true that the binding protein renders the hormone inert or inactive (i.e. safe to keep it in the bloodstream, until received by any cell which can unbind it, so basically all cells), but it is not true that it inhibits it, in spite of what Wiki says about that. The term inhibition specifically applies to production and/or to its effect once received by cells through their receptors. For example, hyperglycemia inhibits GH production, or insulin inhibits ketogenesis, etc.
There's this idea that IGF-1 is somehow responsible for cancer growth. Not true. The primary culprits are glucose and insulin. Feinman did an experiment with cancer and KD. It has an effect on cancer growth. Maybe IGF-1 dropped, but I doubt it. Like I said, hyperglycemia inhibits GH, therefore inhibits IGF-1 downstream, therefore KD restores normal GH production, i.e. higher GH production than with hyperglycemia, therefore higher IGF-1 production. However, it's likely that KD is pretty much like fasting, so we'll get pretty much the same effect on the IGFBP-x as well. So the idea here is that in spite of an increase in IGF-1 production, we get a drop in free IGF-1 because there's more binding proteins to bind to that IGF-1.
Mind you, that's just how I understand it. I could be way off the mark on this one.