Recombinant human growth hormone: a medical miracle or cause for concern?

Subramanian Ganesh Chidambar *, Mat Yusoff Yuslina, Esa Ezalia, Zakaria Zubaidah and Ponnampalam Stephen N

Haematology Unit, Cancer Research Centre, Institute for Medical Research, Jalan Pahang, 50588 Kuala Lumpur, Malaysia.
 
Review Article
GSC Biological and Pharmaceutical Sciences, 2018, 05(01), 026–033
Article DOI: 10.30574/gscbps.2018.5.1.0090
Publication history: 
Received on 23 August 2018; revised on 11 September 2018; accepted on 14 September 2018
 
Abstract: 
The availability of recombinant human growth hormone (GH) has expanded the use beyond growth hormone deficiency (GHD) to conditions that include, use in anti-aging formula and in sports to enhance athletic performance. The long-term safety and efficacy of GH use for these conditions has not been demonstrated. The objective of this review is to explore evidence from clinical and epidemiological studies to determine the safety of GH and current updates on any adverse effects including cancer risk.  The primary concern with GH use for healthy adults without proven GHD is the lack of long-term studies evaluating its safety and efficacy. An association with cancer has been shown in limited studies that highlight the need for caution on long term use in healthy adults without GHD. GHD efficacy has not been established in anti-aging or enhancing athletic performance but adverse effects have been documented in these uses.
Keywords: 
Growth hormone; Growth hormone deficiency; Adverse effects; Anti-aging; Cancer
 
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