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Steno Diabetes Centre Odense, Odense University Hospital, Odense, Denmark
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likely related to its ability to increase insulin-like growth factor-1 (IGF1) action. PAPP-A activates IGF1 through proteolytic cleavage of IGF-binding proteins (IGFBP) -2, -4 and -5, which provides IGFBP fragments with low ligand affinity. By this
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.31) 13 −2.57 (1.54) Bone age/chronological age 163 0.83 (0.19) 8 0.87 (0.10) IGF1 SDS (22) 162 −1.13 (1.62) 7 −1.22 (1.98) GH dose at baseline (mg/kg/day) 404 0.044 (0.014) 21 0.040 (0.019) GH-naïve at