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The Science
behind hGH (Human Growth Hormone)

 

The discussions in this section are written to an intermediate level of information. 

The Basics is a one page overview of the processes investigated in greater depth here. Have a read of this section first to prepare for this section if you find the information a little hard to follow.

 The Deep hGH Science pages are more aimed at a technical level of information suitable for many readers (with the lay interpretation columns) but oriented towards clinical science & learning.

The anatomy and physiology of hGH production and utilisation in the body is a complex process constructing a huge amino acid which is extremely fragile and yet, vital to every system and function within the body at some level. Covered on this page are:

History of hGH
Pituitary Anatomy
Pituitary Physiology
hGH Structure
Somatotropin Actions
hGH in the Body

A note about the organisation of information on this page:

Each column pair of articles mirrors the other; the left side contains more technical information and the right is written in more lay terms. 

 

Somewhat Technical Discussion

Lay Discussion

History of hGH in medicine:

Growth hormone preparations of reasonable purity had been made in the 1920s and were shown to be effective in rats and dogs, but the need for primate growth hormone in primates was not recognised until the late 1940s.  In contrast, the first successful use of growth hormone in a human pituitary dwarf did not come until 1958. [1]

Human Growth Hormone was originally extracted from the pituitary glands of cadavers, a practice which continued until a biosynthetic analogue became available.  Complications from this include a number of suspected cases of CJD (Creutzfeldt-Jakob disease) with the human brain extracts carrying CJD prions.

The introduction of biosynthetic human growth hormone in the mid-1980s opened the way for clinical trials to be instituted on a large scale. These have largely been directed to determine whether growth hormone could be used for a wider number of indications rather than restricted usage to growth hormone deficiency. [2]

Since the mid 90's, much research and effort has been expressed in applying hGH to ageing and age related problems and complications. 

Whilst biosynthetic hGH production is still a very expensive and complicated process, the relative costs have decreased as more researchers apply endocrinology to diseases and conditions far removed from apparent endocrine dysfunction with some startling results.
 


[1] Tattersall, R - Horm-Res. 1996; 46(4-5): 236-47
[2]
Peter C. Hindmarsh, MD, Karger, Endocrine Development Vol. 1

Human Growth Hormone was identified [arguably] in the 1920's and until the 1980's, was extracted from donor corpse's pituitary glands in a very expensive and moderately risky process.

During this time, it is suspected that CJD, a condition linked with Mad Cow Disease, may have been passed on to hGH recipients.

In the '80's, a very expensive but far more reliable synthetic version of hGH was discovered, opening the door for a far wider experiment and research vista.

As a result of this research, especially from the mid 1990's, many conditions and diseases which have not been thought of as hGH related have shown remarkable response and remission/cure including many age related conditions.

 

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Anatomy of the pituitary gland:

[3]  The pituitary gland is sometimes called the "master" gland of the endocrine system, because it controls the functions of the other endocrine glands.

The pituitary gland is no larger than a pea, and is located at the base of the brain. The gland is attached to the hypothalumus (a part of the brain that significantly affects & regulates pituitary gland) by nerve fibers. The pituitary gland itself consists of three sections:

  • the anterior lobe

  • the intermediate lobe

  • the posterior lobe

hGH or somatotropin is produced by a group of cells in the anterior pituitary gland called somatrophs. [4]

In many American based texts, the structure and function of the intermediate lobe is relegated to be included in the anterior lobe.  It is probably worth mentioning that the intermediate pituitary lobe is only present during very early development in humans and is essentially integrated into the anterior pituitary in early childhood at the latest.

Differentiation of three lobes has been argued because of endocrine (hypothalamic ducts) and vascular structure.

______________

[3] The University of Maryland
[4] http://web1.caryacademy.org

About the size of a garden pea and positioned right in the middle of the brain's base. 

The Pituitary is divided into three parts,   front, middle and rear.

 

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Physiology of the Pituitary Gland

Each lobe of the pituitary gland produces certain hormones. [3]

anterior lobe:

  • growth hormone (somatotropin)

  • prolactin - to stimulate milk production after giving birth

  • ACTH (adrenocorticotropic hormone) - to stimulate the adrenal glands

  • TSH (thyroid-stimulating hormone) - to stimulate the thyroid gland

  • FSH (follicle-stimulating hormone) - to stimulate the ovaries and testes

  • LH (luteinizing hormone) - to stimulate the ovaries or testes
     

intermediate lobe:

  • melanocyte-stimulating hormone - to control skin pigmentation

posterior lobe:

  • ADH (antidiuretic hormone) - to increase absorption of water into the blood
    by the kidneys

  • oxytocin - to contract the uterus during childbirth and stimulate milk production

Somatotropin production is regulated by somatostatin (inhibitory) and GHRH, both produced in the hypothalamus and Ghrelin, secreted from the stomach.

Bowen [5] summarises the hGH influences thus:

Growth hormone-releasing hormone (GHRH) is a hypothalamic peptide that stimulates both the synthesis and secretion of growth hormone.

Somatostatin (SS) is a peptide produced by several tissues in the body, including the hypothalamus. Somatostatin inhibits growth hormone release in response to GHRH and to other stimulatory factors such as low blood glucose concentration.

Ghrelin is a peptide hormone secreted from the stomach. Ghrelin binds to receptors on somatotrophs and potently stimulates secretion of growth hormone. Other effects of ghrelin include stimulating gastric emptying and having a variety of positive effects on cardiovascular function (e.g. increased cardiac output). It is not totally clear whether the cardiovascular effects are a direct effect of ghrelin or represent an indirect effect of ghrelin's ability to stimulate growth hormone secretion. Blood concentrations of ghrelin are lowest shortly after consumption of a meal, then rise during the fast just prior to the next meal.

Growth hormone secretion is also part of a negative feedback loop involving IGF-I. High blood levels of IGF-I lead to decreased secretion of growth hormone not only by directly suppressing the somatotroph, but by stimulating release of somatostatin from the hypothalamus.

Growth hormone also feeds back to inhibit GHRH secretion and probably has a direct (autocrine) inhibitory effect on secretion from the somatotroph.

Integration of all the factors that affect growth hormone synthesis and secretion lead to a pulsatile pattern of release. Basal concentrations of growth hormone in blood are very low. In children and young adults, the most intense period of growth hormone release is shortly after the onset of deep sleep.

______________

[3] The University of Maryland
[5] R.Bowen - Colorado State University

The pituitary gland plays a controlling role in many key functions of the body, including controlling many other glands within the body that produce hormones.

Growth hormones as well as hormones controlling; sex, sex drive, reproduction, tanning, parts of the nervous system, lactation (making milk), thyroid function, fluid balancing and parts of the birth process.

There are three major chemicals in the body that stimulate or suppress hGH production. Two are produced in the brain and one in the stomach.

Peak conditions for hGH production is the time period on and following the onset of deep sleep and an empty stomach.

A sound night's sleep and avoiding going to bed with a full stomach, especially after indulging in carbohydrate rich foods will assist in maximum hGH production in healthy individuals.

As a part of the lay discussion, external suppression of the hGH inhibiting mechanisms is quite dangerous as the body regulates all hormones carefully and with purpose.  Encouraging the lifting of overall activity and vitality is a much more clinically sensible approach to hGH level increases.

 

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Human Growth Hormone - Structure:

[6] The major isoform of the human growth hormone is a covalent bound peptide [protein] of 191 amino acids and a molecular weight of about 22,000 daltons. Somatotropin is made up of four helices containing 21-30 amino acids each. The structure of somatotropin is "characterized by an anti-parallel up-up-down-down arrangement of the helices.

GH is structurally and apparently evolutionarily homologous to prolactin and chorionic  somatomammotropin.

Despite marked structural similarities between growth hormone from different species, only human and primate growth hormones have significant effects in humans.

 

______________

[6] Text from Wikipedia with thanks.

A significantly large structure, hGH (human growth hormone) is a fragile structure, easily compromised by enzyme or Ph fluctuations.

Only growth hormone from primates or humans causes any effect in the human system.

 

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Human Growth Hormone - Actions:

Growth hormone has two types of effects, both of which are highly beneficial to the vital, active human body as you'll see below.

One main type of action of the HGH is its direct effects on other kinds of cells. The growth hormone binds to its receptor on target cells, then creates some particular action. Fat cells, for example, are the target cells of HGH, so they have growth hormone receptors. Once bonded there, the growth hormone causes them to break down triglyceride and suppresses their ability to take up and accumulate circulating lipids -- in other words, fat storage is prevented!
 
HGH also acts to create other indirect effects in the body by causing secretion of IGF-1, an insulin-like growth factor hormone. IGF-1 is secreted from the liver and other tissues in response to growth hormone. This is the action that governs mostly growth-related effects of HGH.
 
What is meant by "growth"?
 
The obvious answer is, growth means something getting bigger. But don't be hemmed in by that definition. Growth requires many, many coordinated processes in the body, and that in turn means a complex dance of lots of different hormones, which typically are the messengers that tell different parts of the body what to do and when. Growth hormone indirectly stimulates the synthesis of cartilage cells, resulting in bone growth.
 
This same effect is also the power behind muscle growth. It stimulates both the differentiation and proliferation of muscle cells, stimulates amino acid uptake and synthesizes protein in muscle and other tissues. This is where HGH's ability to influence overall muscle and skin tone comes from.
 
How about metabolism?
 
Growth hormone has important effects on:

Protein metabolism: HGH causes increased amino acid uptake, increased protein synthesis and decreased oxidation of proteins.
 
Fat metabolism: HGH enhances the utilization of fat -- gives your body the ability to break down fat cells more efficiently.
 
Carbohydrate metabolism
: HGH is one of several hormones that maintain blood sugar within a normal range.

Without HGH …

Because of the abilities of HGH mentioned above, you can soon see that without it, muscle tone declines, fat stubbornly sits in the body and resists metabolism, and hair, skin and nails (all composed of proteins) deteriorate. In fact, scientists now believe that HGH has a role in most healthy functions of the body, including sexual function, proper operation of stomach and bowels, liver, and all glandular systems.

Whether HGH is directly interacting with certain cells, or playing its key part in the correct function of other bodily systems, it's essential throughout the body for youthful vigour and health!

 

hGH acts in two ways in the body, directly and indirectly.

Its direct action is on cells which have receptor sites for hGH.  It stimulates and regulates many of those cell's basic and advanced functions, especially those typically associated with the "no longer twenty years old" syndrome!

Its indirect actions are seen when different glands have hGH receptor sites, triggering and regulating the function of many, more distant, actions and reactions.  Decrease in these 'downstream' processes typically represent the markers of middle and later age.

Whilst hGH is certainly used in growth, this does not truly define what it does.  Maybe if we called it human tissue vitality hormone we might see a true picture.

The everyday replacing of cells, maintenance of cartilage, bone, muscle,.. pretty much everything we are made of,.. it is all under hGH's influence.

Every part of those things typically seen as advancing years, from thinning skin to bulging waist line are all coincident to - and consistent with - falling hGH levels.

 

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hGH in the Body:

Your body must always produce HGH or you would not be able to function at all. As you pass about 20 years old, your body produces less and less hGH each year.

By age 60 you will probably have lost 75% of the HGH that your body produced.

If you are a numbers person, here are some average HGH secretion levels:

  • At 20 years old we average 500 micrograms/day

  • At 40 years old we average 200 micrograms/day

  • At 80 years old we average 25 micrograms/day

The half life of hGH in serum appears to range over all research sources at between 9 to 50 minutes.  Almost all sources show the fragility of the hGH peptide in an acid environment (stomach) and the non-gastric permeation due to the molecule's size.

Subcutaneous introduction of hGH or stimulation of the anterior pituitary gland are the only two generally recognised methods to significantly raise serum hGH levels.

See METHODS for more

Your body must always produce HGH or you would not be able to function at all. As you pass about 20 years old, your body produces less and less hGH each year.

By age 60 you will probably have lost 75% of the HGH that your body produced.

If you are a numbers person, here are some average HGH secretion levels:

  • At 20 years old we average 500 micrograms/day

  • At 40 years old we average 200 micrograms/day

  • At 80 years old we average 25 micrograms/day

The hGH molecule is very fragile, lasting between 9 and 50 minutes in the body.  It is also too big to go through the stomach membranes and to fragile to survive the enzymes in saliva and acids of the stomach.

Most research agrees that only injecting hGH directly or stimulating the pituitary to produce hGH seems to have any logical likelihood of working.

See METHODS for more


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