Frontiers Growth hormone insulin like growth factor I axis in health and disease states: an update on the role of intra portal insulin Synergy of GHKCu and hyaluronic acid on collagen IV upregulation via fibroblast and exvivo skin tests Jiang 2023 Journal of Cosmetic Dermatology Wiley Online Library How GHK Peptide Works Signaling GHK acts as a switch for skin repair: Interacts with adenosine receptors reduces inflammation Activates MAPK ERK, PI3K Akt, TGF pathways Stimulates fibroblasts & keratinocytes boosts collagen, elastin The Effect of the Human Peptide GHK on Gene Expression Relevant to Nervous System Function and Cognitive Decline