IGF-DES: The Truncated High-Potency IGF-1 Variant

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IGF-DES (IGF-1 DES, des(1-3)IGF-1) is a truncated 67-amino-acid variant of insulin-like growth factor 1 lacking the N-terminal tripeptide (Gly-Pro-Glu). This structural modification eliminates virtually all binding to insulin-like growth factor-binding proteins (IGFBPs), resulting in approximately 10-fold greater potency at the IGF-1 receptor compared to native IGF-1. Unlike standard IGF-1, which is 99% sequestered by IGFBPs in circulation, IGF-DES remains 100% bioactive and unbound, explaining its enhanced receptor activation despite maintaining identical intrinsic affinity for the IGF-1 receptor. IGF-DES occurs naturally in the liver during periods of high growth hormone stimulation and functions primarily as a local autocrine/paracrine growth factor with an extremely short half-life of 20-30 minutes.

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