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Because the liver is the primary site of IGF-1 synthesis and a major organ of peptide metabolism, hepatic function directly shapes both the downstream effect of GH stimulation and the clearance of the drug itself

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Nucleic acids research

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In summary, genetic loss of PTPN11 caused deeper metabolic and signaling rewiring than pharmacologic inhibition did, likely due to clonal selection and/or the complete loss of phosphatase-independent molecular adapter functions of SHP2, and may not reflect the phenotype induced by allosteric inhibition

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