This refers to the clinical modulation of the Insulin-like Growth Factor 1 (IGF-1) signaling pathway, a central component of the Growth Hormone (GH) axis. IGF-1 is a polypeptide hormone, primarily produced by the liver in response to GH, which mediates many of GH’s anabolic and growth-promoting effects on muscle, bone, and cartilage. Influencing this pathway involves strategies to maintain appropriate IGF-1 levels, which are crucial for tissue repair, metabolic health, and body composition throughout the lifespan.
Origin
The GH/IGF-1 axis was thoroughly elucidated in the mid-20th century, establishing IGF-1 as the primary effector of growth hormone action. The concept of influence in a longevity context arose from the complex dual role of this pathway: while essential for tissue maintenance, excessive or dysregulated signaling has been linked to increased cellular proliferation and certain age-related diseases. Clinical practice focuses on optimizing the balance.
Mechanism
Interventions influence the pathway by regulating endogenous GH release through secretagogues or by direct administration of GH/IGF-1 mimetics under strict clinical supervision. Nutritional and exercise protocols also significantly impact this axis, with resistance training and protein intake enhancing IGF-1 sensitivity and local production. The goal is to leverage the anabolic and regenerative properties of IGF-1 while carefully managing its proliferative signals to support healthy aging and maintain lean body mass.
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