What
are you willing to do in order to be better? Late nights, early mornings, and
giving it your all? Would you cheat?
While
I was in high school, one of my best friends mentioned his older brother had
been taking something to help him “cultivate mass and recover faster” while
training for lacrosse. His brother was a successful athlete and student at our
school. Of course, I was interested in being anything like him. After talking
more with my friend, I learned he had been taking Deer Antler Extract.
What?! It was supposedly a powder or liquid extracted from the antlers of the
animal in order to enhance cell growth. You had to order it through the black
market. The idea was suddenly much less appealing to 15-year-old me. But now
years have passed and my curiosity has spiked once again. Because we are
learning about the structure and function of the human body, this supplement
needs to be explored once again with a different lens.
Deer
antler extract is taken from the velvet substrate released from deer while
their antlers are growing the fuzzy coating during spring and late summer. It
allows the deer to grow their antlers about 1cm per day during the warmer
seasons. But in humans, it is thought to help tendon/cartilage regrowth after
injuries and also thought to improve muscular endurance and strength. Numerous
athletes are rumored to have used it. Ray Lewis, retired linebacker for the
Baltimore Ravens NFL team, had reportedly used it (Carroll, W., 2017). Lewis also won two Superbowls
and was awarded the MVP in one. Was the Deer Antler the secret? Is it even
allowed?
The
extract is not approved by the FDA. It also is now banned from the NFL (hmmm).
This does not mean, however, that it is not available for purchase online.
Numerous companies advertise and sell the product all around the world. But how
does it work? Does it?
Deer
antler extract works by increasing expression of IGF-I (insulin-like growth
factor). IGF-I is helpful in deer because it increases follicular
differentiation and tissue remodeling so that this rapid antler growth can take
place in a relatively short period of time (Yang, Z. et al., 2012). Increased IGF expression is helpful
in humans as more of this hormone will promote tissue growth and development.
It is mainly produced in the liver, with the highest rates of production coming
during pubertal growth spurt.
IGF
works in tandem with Growth Hormone (GH). Growth hormone-releasing hormone
(GHRH) is released from the hypothalamus and sent to the anterior pituitary
gland. Then, the anterior pituitary is stimulated to release GH into the blood.
The hormone communicates with the liver to produce IGF. This initiates the cell
growth noted before. Very high levels of IGF are perceived by the hypothalamus
and work thus in a negative feedback loop. The hypothalamus will produce Growth
Hormone-inhibiting hormone in these circumstances. This then tells the anterior
pituitary to stop releasing as much GH, decreasing growth effects. But when the
expression of IGF is increased due to the deer antler extract, the same GH
signal will have more profound results. It also most likely makes the
regulation by negative feedback more difficult to control.
IGF
is a potent activation of the protein kinase B signaling pathway. This
mechanism stimulates cell growth and proliferation, while inhibiting apoptosis (Peruzzi, F. et al., 1999).
IGF binds to its insulin-like growth factor receptor with reportedly more
efficient binding affinity than insulin to their receptors. This, along with
their higher levels of expression, is most likely why deer antler extract seems
to be beneficial in recovery of injured tissues. One study with human subjects
also determined that those who took the extract had increased strength and
endurance for the particular muscles tested versus placebo groups (Sleivert, G., et al., 2019).
This
extract is grounded in solid scientific evidence. That does not mean, however,
that it is safe. Increasing cell proliferation and inhibiting cell apoptosis
sounds familiar, too. I don’t want cancer but a skinny guy like myself could
probably add a few pounds. Is it worth the risk? Should I take some? Is it aligned with the biomedical ethical principle of justice to take this and give yourself an advantage over others?
Citations:
American
College of Sports Medicine (ACSM). Nutrition and Athletic Performance
Position
Statement. March 2009. Dietary Supplement
Health
Carroll,
W. (2017, October 3). Ray Lewis and Deer-Antler Spray: Just What Is This
Stuff?
Retrieved from
https://bleacherreport.com/articles/1508224-ray-lewis-and-deer-antler-spray-just-what-is-
this-stuff.
Peruzzi
F, Prisco M, Dews M, Salomoni P, Grassilli E, Romano G, Calabretta B, Baserga
R
Sleivert,
G., Burke, V., Palmer, C., Walmsley, A., Gerrard, D., Haines, S., &
Littlejohn, R.
(2003). The Effects of Deer
Antler Velvet Extract or Powder Supplementation on Aerobic
Power, Erythropoiesis, and
Muscular Strength and Endurance Characteristics,
International Journal of
Sport Nutrition and Exercise Metabolism, 13(3), 251-265.
Yang,
Z., Gu, L., Zhang, D., Li, Z., Li, J., Lee, M., … Sung, C. (2012). Red Deer
Antler Extract
Accelerates Hair Growth by Stimulating
Expression of Insulin-like Growth Factor I in
Full-thickness Wound Healing Rat Model. Asian-Australasian
journal of animal sciences, 25(5),
708–716. doi:10.5713/ajas.2011.11246
This is an interesting ethical dilemma. On the one hand, I believe in the beneficence of patients that could recover from injuries quicker. On the other hand, I think it is important to determine if it is just for athletes to take a supplement that has been shown to increase strength and in a recent study researchers found an increase in VO2 max when using Deer antler velvet (DAV) ( Earnest et al., 2015). Personally, as an athlete I had similar encounters with teammates/ competitors using sketchy or even illegal supplements to help with performances and I also so some pretty unfortunate side effects occur. Student athletes are generally put into very difficult positions and it is easy to lose sight of what is important with the pressures of grades, friends, family, work, and performing at their peak. This is why student athletes get caught up in performance enhancing supplements when they really have no idea what the possible side effects are. For this reason I believe that deer antler velvet should be illegal for recreational use and further research must be done to determine its medical application.
ReplyDeleteEarnest, C., Quindry, J., Panton, L., & Broeder, C. (2019). Effect of Deer Antler Velvet on Aerobic, Anaerobic and Strength Performance. Central European Journal Of Sport Sciences And Medicine, 9(1), 17-28.