Insulin-like growth factor I (
IGF-I) is a potent anabolic
peptide that mediates most of its pleiotropic effects through association with the IGF type I receptor. Biological availability and plasma half-life of
IGF-I are modulated by soluble
binding proteins (IGFBPs), which sequester free
IGF-I into high affinity complexes. Elevated levels of specific IGFBPs have been observed in several pathological conditions, resulting in inhibition of
IGF-I activity. Administration of
IGF-I variants that are unable to bind to the up-regulated
IGFBP species could potentially counteract this effect. We engineered two
IGFBP-selective variants that demonstrated 700- and 80,000-fold apparent reductions in affinity for
IGFBP-1 while preserving low nanomolar affinity for
IGFBP-3, the major carrier of
IGF-I in plasma. Both variants displayed wild-type-like potency in cellular receptor
kinase assays, stimulated human cartilage matrix synthesis, and retained their ability to associate with the
acid-labile subunit in complex with
IGFBP-3. Furthermore, pharmacokinetic parameters and tissue distribution of the
IGF-I variants in rats differed from those of wild-type
IGF-I as a function of their
IGFBP affinities. These
IGF-I variants may potentially be useful for treating disease conditions associated with up-regulated
IGFBP-1 levels, such as chronic or acute renal and
hepatic failure or uncontrolled diabetes. More generally, these results suggest that the complex biology of
IGF-I may be clarified through in vivo studies of
IGFBP-selective variants.