Growth hormone (GH) and insulinlike growth factor I (IGF-I) may be par
t of a neuroendocrine immune axis that stimulates cellular proliferati
on of primary lymphoid organs (bone marrow, thymus) as well as stimula
tes activation of peripheral lymphocytes and macrophages to enhance sp
ecific immune responses. GH can also stimulate production of thymic ho
rmones and cytokines, and in this way impact on immune function. It is
not clear whether GH and IGF-I act independently or whether the actio
n of GH is mediated by local production of IGF-I by lymphocytes. Both
GH and IGF-I and their receptors are present in lymphocytes. Thus, cel
ls of the immune system may be important targets of the GH-IGF-I axis.