RT Generic T1 Pregnancy-Associated Plasma Protein (PAPP)-A2 in Physiology and Disease A1 Barrios, Vicente A1 Chowen, Julie A. A1 Martin-Rivada, Alvaro A1 Guerra-Cantera, Santiago A1 Pozo, Jesus A1 Yakar, Shoshana A1 Rosenfeld, Ron G. A1 Perez-Jurado, Luis A. A1 Suarez, Juan A1 Argente, Jesus K1 growth hormone axis K1 IGF1 K1 IGF2 K1 IGFBPs K1 PAPP-A K1 PAPP-A2 K1 STC1 K1 STC2 K1 Factor-binding protein-3 K1 Growth-factor-i K1 High-fat diet K1 A papp-a K1 Proteolytic activity K1 Negative regulator K1 Postnatal-growth K1 Glucose disposal K1 Bone loss K1 Insulin AB The growth hormone (GH)/insulin-like growth factor (IGF) axis plays fundamental roles during development, maturation, and aging. Members of this axis, composed of various ligands, receptors, and binding proteins, are regulated in a tissue- and time-specific manner that requires precise control that is not completely understood. Some of the most recent advances in understanding the implications of this axis in human growth are derived from the identifications of new mutations in the gene encoding the pregnancy-associated plasma protein PAPP-A2 protease that liberates IGFs from their carrier proteins in a selective manner to allow binding to the IGF receptor 1. The identification of three nonrelated families with mutations in the PAPP-A2 gene has shed light on how this protease affects human physiology. This review summarizes our understanding of the implications of PAPP-A2 in growth physiology, obtained from studies in genetically modified animal models and the PAPP-A2 deficient patients known to date. PB Mdpi YR 2021 FD 2021-12-01 LK https://hdl.handle.net/10668/28358 UL https://hdl.handle.net/10668/28358 LA en DS RISalud RD Apr 17, 2025