While prior studies have largely focused on the role of IGF-I, IGFBP-3, and the ratio of IGF-I:IGFBP-3 in MD, the relationship of other IGFBPs (IGFBP-1, 2, 4, 5, 6, and 7 and their ratio to IGF-I) with MD has not been elucidated. This evidence concerns the gene IGFBP1 and Menkes disease.