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Human Growth Hormone and Human Aging
Abstract
UNTIL recently, there has been little scientific inquiry into the physiological significance of, and possible therapy for, GH deficiency in adulthood. This was because the lack of efficacy in humans of animal-derived (e.g.1 bovine or porcine) GH and the limited supply of human cadaveric GH restricted use of exogenous GH to treatment of GHdeficient children. The availability of recombinant human GH (rhGH) has led to a renewal of scientific and clinical interest in investigating wider indications for GH administration. It is now recognized that GH deficiency may exert adverse metabolic effects in adults with panhypopituitarism, and that these effects can be reversed or attenuated by treatment with rhGH (1, 2). Recently, it has also become apparent that, with advancing age, an increasing proportion of men and women with no clinical evidence of pituitary pathology show decreases in GH secretion and serum levels of insulin-like growth factor-I (IGF-I) (3, 4). Because GH deficiency (1, 2) and normal aging (5) are both associated with decreases in protein synthesis and percent of lean body and bone mass, and with increases in percent of body fat, it is possible that reduced GH secretion and IGF-I levels might account, at least in part, for one or more of the above effects of aging, and that some older people might benefit from treatment with rhGH. In this regard, in several recent studies, administration of rhGH for periods varying from a few weeks to 6 months has resulted in improvements in nitrogen balance, an increase in lean body mass, and a decrease in percent body fat in older persons with low IGF-I levels (3, 4, 6, 7). We review herein the published work describing the alterations in GH and IGF-I production with increasing age, and the methods, benefits, and risks of GH treatment of older persons in the light of new knowledge regarding basic physiology of GH secretion and action. We also attempt to point out areas requiring further investigations.
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“Like GH, serum IGF-1 increases with age until puberty, and then gradually declines into old age (Figure 1C).61, 65”
From Hormonal and Metabolic Changes of Aging and the Influence of Lifestyle Modifications (2021) · cites this paper as [61]
In the citing paper
“The magnitude of GH pulses peak during puberty and subsequently decline at a gradual rate of approximately 1-2% per year until death in men and women.59-61”
From Hormonal and Metabolic Changes of Aging and the Influence of Lifestyle Modifications (2021) · cites this paper as [61]
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Insulin-like growth factor I increases glomerular filtration rate and renal plasma flow in man
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Growth Hormone Secretion Enhanced by Androgen
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Age‐Related Alterations of the Growth Hormone/Insulin‐Like‐Growth‐Factor I Axis
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LEUKAEMIA IN PATIENTS TREATED WITH GROWTH HORMONE
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Skeletal Muscle Performance in Adults with Growth Hormone Deficiency
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Responses of Growth Hormone (GH) and Somatomedin-C to GH-Releasing Hormone in Healthy Aging Men*
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Human Growth Hormone Replacement Therapy: Pharmacological and Clinical Aspects
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Are Patients with Acromegaly at Increased Risk forNeoplasia¿*
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The Role of Growth Hormone in Modulation of the Immune Responsea
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Age-Related Changes in Serum Insulin-Like Growth Factor-Binding Proteins in Women*
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A Second, Lower Affinity Growth Hormone-Binding Protein in Human Plasma*
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Diminished Pituitary Responsiveness to Growth Hormone-Releasing Factor in Aging Male Rats*
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Metadata
- Authors
- CORPAS, E., HARMAN, S. M., & BLACKMAN, M. R.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- HARMAN, S. MITCHELL
- ORCID
- HARMAN, S. MITCHELL
- Venue
- Endocrine Reviews
- Publisher
- The Endocrine Society
- Published
- 1993-02
- Volume
- 14
- Issue
- 1
- Pages
- 20-39
- ISSN
- 0163-769X (ISSN-L)
- 1945-7189
- OpenAlex
- W1964005327
- Cited by
- 911
- References
- 260
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 4 · 2023: 8 · 2022: 7 · 2021: 12 · 2020: 19 · 2019: 16 · 2018: 14 · 2017: 16 · 2016: 11 · 2015: 19 · 2014: 18 · 2013: 18 · 2012: 24
- FWCI
- 26.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Endocrine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Keywords
- human growth hormone, aging, recombinant human growth hormone, growth hormone deficiency, insulin-like growth factor I, older adults, lean body mass, fat mass, nitrogen balance, growth hormone secretion, panhypopituitarism, growth hormone therapy
- MeSH terms
- Adult, Aging, Animals, Humans, Immune System, Insulin-Like Growth Factor I, Receptors, Somatotropin, Risk Factors, Growth Hormone, Growth Hormone-Releasing Hormone, Receptor, IGF Type 1
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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