Therapeutic augmentation of the growth hormone axis to improve outcomes following peripheral nerve injury.
Tuffaha. Sami H SH; Singh. Prateush P; Budihardjo. Joshua D JD; Means. Kenneth R KR; Higgins. James P JP; Shores. Jaimie T JT; Salvatori. Roberto R; Höke. Ahmet A; Lee. W P Andrew WP; Brandacher. Gerald G
Key Findings
- Growth‑hormone‑based drugs can speed up axon regrowth and limit muscle atrophy after nerve damage
- They may also improve bone, tendon and wound healing in the injured area
- Several FDA‑approved drugs that increase GH activity (including tesamorelin) are already on the market, making clinical testing easier
Practical Outcomes
- For people interested in biohacking nerve recovery, GH‑axis boosters could be a future option, but right now there’s no clear dosing protocol or strong human data. Consider them experimental and discuss with a medical professional before use.
Summary
This review says that drugs that boost growth hormone, like tesamorelin, might help nerves heal faster after an injury and keep muscles and other tissues from wasting away, but the ideas are mostly based on early studies, not proven treatments yet.
Abstract
Peripheral nerve injuries often result in debilitating motor and sensory deficits. There are currently no therapeutic agents that are clinically available to enhance the regenerative process. Following surgical repair, axons often must regenerate long distances to reach and reinnervate distal targets. Progressive atrophy of denervated muscle and Schwann cells (SCs) prior to reinnervation contributes to poor outcomes. Growth hormone (GH)-based therapies have the potential to accelerate axonal regeneration while at the same time limiting atrophy of muscle and the distal regenerative pathway prior to reinnervation. In this review, we discuss the potential mechanisms by which GH-based therapies act on the multiple tissue types involved in peripheral nerve regeneration to ultimately enhance outcomes, and review the pertinent mechanistic and translational studies that have been performed. We also address potential secondary benefits of GH-based therapies pertaining to improved bone, tendon and wound healing in the setting of peripheral nerve injury. GH-based therapies carry great promise for the treatment of peripheral nerve injuries, given the multi-modal mechanism of action not seen with other experimental therapies. A number of FDA-approved drugs that augment the GH axis are currently available, which may facilitate clinical translation.
Study Information
pubmed
2016
2016-05-24T00:00:00.000Z
10.1080/14728222.2016.1188079
30
101