IGF-1 Level Modulation is the clinical practice of intentionally influencing the circulating concentrations of Insulin-like Growth Factor 1, a key mediator of growth hormone action and cellular proliferation. Precise control is necessary because both deficiency and excess of IGF-1 are associated with distinct pathological states. We seek the optimal therapeutic window for this anabolic peptide.
Origin
IGF-1’s role was elucidated through studies detailing the mechanism by which pituitary growth hormone exerts its peripheral anabolic effects, primarily mediated through the liver. Modulation strategies developed from understanding the GH IGF-1 axis feedback regulation. The term emphasizes dynamic control over a critical anabolic signaling molecule.
Mechanism
Modulation is typically achieved indirectly by altering the frequency and amplitude of upstream Growth Hormone GH release, as GH stimulates hepatic IGF-1 synthesis. Alternatively, interventions may focus on improving systemic insulin sensitivity, as insulin acts synergistically with GH to promote IGF-1 production. Successful modulation supports tissue repair and maintenance without inducing uncontrolled cellular growth.
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