The clinical relationship between circulating levels of Insulin-like Growth Factor 1 (IGF-1) and various physiological parameters, reflecting its role as a key mediator of growth hormone (GH) action. This correlation is a critical biomarker used to assess somatotropic axis function, monitor nutritional status, and evaluate tissue anabolic drive. A robust correlation is essential for optimal cellular repair, bone density maintenance, and lean body mass accrual.
Origin
The concept stems from the discovery that Growth Hormone (GH) does not act directly on all target tissues but primarily stimulates the liver and other tissues to produce IGF-1, which then mediates many of its anabolic effects. This indirect mechanism established the GH-IGF-1 axis as a central pillar of endocrinology. ‘Correlation’ emphasizes the diagnostic utility of measuring IGF-1 as a proxy for overall GH activity.
Mechanism
Growth Hormone is released from the pituitary and travels to the liver, where it triggers the synthesis and secretion of IGF-1. IGF-1 then circulates, often bound to binding proteins (IGFBPs), and binds to its specific tyrosine kinase receptor (IGF-1R) on target cells in muscle, bone, and cartilage. This binding initiates intracellular signaling cascades, such as the PI3K/Akt pathway, which promotes cell proliferation, differentiation, and protein synthesis, linking its levels directly to anabolic outcomes.
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