
Targeting peripheral growth‑hormone signaling could become a novel strategy to mitigate cognitive decline and neurodegeneration, offering a translational avenue beyond direct brain interventions.
The growth hormone (GH) and insulin‑like growth factor‑1 (IGF‑1) axis has long been linked to lifespan regulation, yet its role in the aging brain remains nuanced. While circulating GH and IGF‑1 decline with age, experimental suppression of this pathway can extend longevity in rodents. Prior studies demonstrated that whole‑body GH deficiency improves memory, but the specific contribution of peripheral tissues, especially metabolically active adipose, was unclear. This new research isolates the adipose compartment, revealing that its endocrine signals can profoundly influence neural health.
In the adipose‑specific GHR knockout (Ad‑GHRKO) mice, reduced GH signaling led to a cascade of neuroprotective changes. The hippocampal dentate gyrus exhibited heightened synaptic formation and lower expression of pro‑inflammatory cytokines IL‑6 and TNF‑α, while anti‑inflammatory IL‑10 rose. Concurrently, markers of cellular senescence such as SA‑β‑gal diminished across the cortex and amygdala, and tau phosphorylation—a hallmark of Alzheimer’s pathology—was markedly reduced. Electrophysiological recordings confirmed that aged knockout neurons fired at frequencies comparable to youthful controls, indicating restored excitability.
These findings open a translational window for peripheral interventions aimed at brain aging. Modulating adipose‑derived signals could complement existing neuro‑centric therapies, potentially delaying cognitive decline without invasive brain delivery. However, the study’s reliance on a single‑sex, genetically altered mouse model limits direct extrapolation to humans. Future work must explore pharmacologic GH‑receptor antagonists or adipose‑targeted gene therapies in diverse populations and assess long‑term safety. If replicated, this peripheral approach could reshape strategies for age‑related neurodegenerative diseases, aligning metabolic health with cognitive resilience.
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