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生长激素在与年龄相关的疾病、认知和长寿中的神秘作用。

The enigmatic role of growth hormone in age-related diseases, cognition, and longevity.

机构信息

College of Medicine, Florida State University, Tallahassee, FL, 32304, USA.

Burnett School of Biomedical Sciences, College of Medicine, University of Central Florida, 6900 Lake Nona Blvd., Orlando, FL, 32827, USA.

出版信息

Geroscience. 2019 Dec;41(6):759-774. doi: 10.1007/s11357-019-00096-w. Epub 2019 Sep 4.

Abstract

Growth hormone (GH) is secreted by the anterior pituitary gland and regulates various metabolic processes throughout the body. GH and IGF-1 levels are markedly reduced in older humans, leading some to hypothesize GH supplementation could be a viable "anti-aging" therapy. However, there is still much debate over the benefits and risks of GH administration. While an early study of GH administration reported reduced adiposity and lipid levels and increased bone mineral density, subsequent studies failed to show significant benefits. Conversely, other studies found positive effects of GH deficiency including extended life span, improved cognitive function, resistance to diseases such as cancer and diabetes, and improved insulin sensitivity despite a higher fat percentage. Thus, the roles of GH in aging and cognition remain unclear, and there is currently not enough evidence to support use of GH as an anti-aging or cognitive impairment therapy. Additional robust and longer-duration studies of efficacy and safety of GH administration are needed to determine if modulating GH levels could be a successful strategy for treating aging and age-related diseases.

摘要

生长激素(GH)由脑垂体前叶分泌,调节全身各种代谢过程。GH 和 IGF-1 水平在老年人中显著降低,这使得一些人假设 GH 补充可能是一种可行的“抗衰老”疗法。然而,关于 GH 给药的益处和风险仍存在许多争议。尽管早期的 GH 给药研究报告称,脂肪减少和血脂水平降低,骨密度增加,但随后的研究未能显示出显著的益处。相反,其他研究发现 GH 缺乏的积极影响,包括延长寿命、改善认知功能、抵抗癌症和糖尿病等疾病,以及提高胰岛素敏感性,尽管脂肪百分比较高。因此,GH 在衰老和认知中的作用仍不清楚,目前没有足够的证据支持将 GH 用作抗衰老或认知障碍治疗。需要进行更多强有力的、持续时间更长的 GH 给药疗效和安全性研究,以确定调节 GH 水平是否可能成为治疗衰老和与年龄相关疾病的成功策略。

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