Somatotropic Axis Decline refers to the progressive, age-related reduction in the functional activity of the hypothalamic-pituitary-somatotropic axis, which is the primary endocrine system responsible for regulating growth and metabolism. This decline is characterized by a decrease in the pulsatile secretion of Growth Hormone (GH) from the pituitary gland and a corresponding reduction in the production of Insulin-like Growth Factor-1 (IGF-1) from the liver. This reduction contributes significantly to age-related changes in body composition, including loss of lean muscle mass and increased visceral fat.
Origin
The term is rooted in classical endocrinology, specifically the study of the growth hormone regulatory system. The recognition of a significant, non-pathological decline in this axis with advancing age led to the clinical descriptor “Somatopause.” The term “Decline” accurately reflects the measurable reduction in hormonal output and systemic signaling that occurs over the lifespan.
Mechanism
The decline is primarily initiated by changes in the hypothalamus, specifically a decrease in the release of Growth Hormone-Releasing Hormone (GHRH) and an increase in the inhibitory hormone somatostatin. This altered signaling leads to reduced pituitary GH secretion. Consequently, the liver produces less IGF-1, which is the key mediator of GH’s anabolic and metabolic effects on peripheral tissues. This systemic reduction impairs cellular repair, protein synthesis, and lipolysis.
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