Growth Hormone Markers are measurable biochemical substances in the blood that reflect the secretion, action, or overall status of the Growth Hormone (GH) axis. Since GH itself is released in pulsatile bursts, direct measurement is often clinically impractical; therefore, stable downstream indicators are used as reliable markers. The primary and most clinically utilized marker is Insulin-like Growth Factor 1 (IGF-1), which is produced primarily by the liver in response to GH stimulation. Monitoring these markers is essential for diagnosing GH deficiency or excess and for titrating replacement therapy in an endocrinology setting.
Origin
This term is a clinical descriptor combining the name of the pituitary hormone with markers, a term used in medicine to denote measurable indicators of a biological state. The recognition of IGF-1 as the principal mediator of GH’s anabolic effects established its role as the definitive marker. The clinical use of these markers evolved from the need for a stable, integrated measure of GH activity over time.
Mechanism
Growth Hormone, released from the anterior pituitary, travels to the liver and other tissues, stimulating the production of IGF-1, which then mediates most of GH’s growth-promoting and metabolic effects. IGF-1 acts on target cells by binding to its own receptor, initiating signaling cascades that promote cell proliferation and protein synthesis. Other markers, such as IGF-Binding Protein 3 (IGFBP-3), help regulate the bioavailability of IGF-1. The clinical utility lies in the fact that circulating IGF-1 levels provide a stable reflection of the average daily GH secretion.
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