Controlled GH Release is a clinical objective focused on modulating the secretion of Growth Hormone (GH) from the anterior pituitary gland in a manner that closely mimics the body’s natural, pulsatile rhythm, especially the robust nocturnal surge. This approach avoids the constant, supraphysiological levels associated with exogenous administration, aiming for therapeutic benefits while preserving the pituitary gland’s natural secretory capacity. It is a strategy for sustained, physiological optimization.
Origin
The term originates from the pharmacological and physiological understanding of GH dynamics, recognizing that GH is released in distinct, short bursts rather than a continuous stream. The ‘controlled’ aspect reflects the development of secretagogues and delivery systems designed to capitalize on this natural pulsatility for superior clinical outcomes.
Mechanism
The mechanism relies on the strategic use of Growth Hormone Releasing Hormones (GHRH) or Growth Hormone Secretagogues (GHS) which bind to specific receptors in the pituitary. This binding triggers the release of stored GH in a pattern that maximizes its downstream effects, such as the production of IGF-1 in the liver, while minimizing potential receptor down-regulation and maintaining the integrity of the somatotropic axis.
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