Feedback Loop: Growth Hormone (GH) Growth Hormone: • Liver -> GHR activates JAK-STAT pathway -> Incr IGF1 • Bone - IGFIR activates osteoblasts and chondrocytes -> Incr ossification • Muscle -> GHR activates JAK-STAT pathway -> Incr gene expression/protein synthesis of IGF1R -> Activation of AKT pathway -> Incr cell growth & survival • Adipose Tissue -> GHR activates lipolysis Signs/Symptoms: • GH deficiency: - Short stature - Decr strength - Incr fat mass, abn lipid • GH excess: - Giantism or acromegaly, widening of hands/feet - Soft tissue expansion (e.g. carpal tunnel, OSA, Incr skin thickness) - metabolic abn #GrowthHormone #GH #FeedbackLoop #endocrinology #pathophysiology #pituitary