Growth Hormone Releasing Hormone Reduces Circulating Markers of Immune Activation in Parallel with Effects on Hepatic Immune Pathways in Individuals with HIV-infection and Nonalcoholic Fatty Liver Disease.

Stanley, Takara L et al.·Clinical infectious diseases : an official publication of the Infectious Diseases Society of America·2021·Strong EvidenceRandomized Controlled Trial
RPEP-05788Randomized Controlled TrialStrong Evidence2021RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Randomized Controlled Trial
Evidence
Strong Evidence
Sample
N=61 patients
Participants
People with HIV and nonalcoholic fatty liver disease randomized to tesamorelin or placebo for 12 months

What This Study Found

Tesamorelin decreased 13 circulating immune markers (chemokines, cytokines, T-cell molecules) and downregulated hepatic immune activation pathways in a 12-month randomized trial of 61 HIV patients with NAFLD.

Key Numbers

61 patients; 12 months; 92 biomarkers; 13 decreased (CCL3, CCL4, CCL13, IL8, IL-10, CSF-1, CD8A, CRTAM, GZMA, ADGRG1, ARG1, Gal-9, HGF); 0 increased; liver transcriptomics confirmed

How They Did This

Double-blind, randomized trial. 61 people with HIV and NAFLD received tesamorelin or placebo for 12 months. 92 immune biomarkers measured by proteomics. Gene set enrichment analysis on serial liver biopsies.

Why This Research Matters

Chronic immune activation in HIV accelerates liver disease, heart disease, and aging. Finding that a GHRH analog can dampen this activation opens a new therapeutic approach beyond traditional antiretroviral therapy.

What This Study Doesn't Tell Us

Small trial (61 patients). HIV population may not generalize to other groups. Proteomics approach measures many markers, increasing chance of false positives. Only NAFLD patients studied, not HIV patients without liver disease.

Trust & Context

Original Title:
Growth Hormone Releasing Hormone Reduces Circulating Markers of Immune Activation in Parallel with Effects on Hepatic Immune Pathways in Individuals with HIV-infection and Nonalcoholic Fatty Liver Disease.
Published In:
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 73(4), 621-630 (2021)
Database ID:
RPEP-05788

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled TrialGold standard for testing treatments
This study
Cohort / Case-Control
Cross-Sectional / Observational
Case Report / Animal Study

Participants are randomly assigned to treatment or placebo groups to test cause and effect.

What do these levels mean? →

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Cite This Study

RPEP-05788·https://rethinkpeptides.com/research/RPEP-05788

APA

Stanley, Takara L; Fourman, Lindsay T; Wong, Lai Ping; Sadreyev, Ruslan; Billingsley, James M; Feldpausch, Meghan N; Zheng, Isabel; Pan, Chelsea S; Boutin, Autumn; Lee, Hang; Corey, Kathleen E; Torriani, Martin; Kleiner, David E; Chung, Raymond T; Hadigan, Colleen M; Grinspoon, Steven K. (2021). Growth Hormone Releasing Hormone Reduces Circulating Markers of Immune Activation in Parallel with Effects on Hepatic Immune Pathways in Individuals with HIV-infection and Nonalcoholic Fatty Liver Disease.. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 73(4), 621-630. https://doi.org/10.1093/cid/ciab019

MLA

Stanley, Takara L, et al. "Growth Hormone Releasing Hormone Reduces Circulating Markers of Immune Activation in Parallel with Effects on Hepatic Immune Pathways in Individuals with HIV-infection and Nonalcoholic Fatty Liver Disease.." Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. https://doi.org/10.1093/cid/ciab019

RethinkPeptides

RethinkPeptides Research Database. "Growth Hormone Releasing Hormone Reduces Circulating Markers..." RPEP-05788. Retrieved from https://rethinkpeptides.com/research/stanley-2021-growth-hormone-releasing-hormone

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkPeptides research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.