“… 13 , 14 GH induces cell proliferation, 15 , 16 promotes epithelial-mesenchymal transition, 15 , 16 , 17 , 18 , 19 and suppresses DDR, leading to accumulated DNA damage, thus enabling a pre-neoplastic microenvironment. 16 , 17 , 20 , 21 , 22 GH and IGF1 have been implicated in breast, prostate, and colon neoplastic development. 21 , 23 , 24 Thus, acromegaly patients with excess GH secretion from a pituitary adenoma exhibit increased soft tissue tumors, colon polyps, and possibly adenocarcinomas 25 , 26 , 27 ; by contrast, inherited GH signaling deficiency impedes development of malignancy in humans with Laron syndrome and also in GH-signaling-deficient mice.…”