The interplay of GH, IGF-1, insulin, hybrid receptor and nutrients in the muscle. Schematic and simplified signalling pathway and the interplay of GH, IGF-1, insulin, hybrid receptor and nutrients in the muscle. AA (amino-acid) stimulates mTOR kinase activity mainly in 3 ways: (1) The leucine sensor Sestrin, (2) the lysosomal sensor SLC38A9, (3) The arginine sensor [cellular arginine sensor for mTORC1 (CASTOR1)]. GH activates via IRIS and SHC protein and mitogenic effects as well as IGF-1R/InsulinR and HybridR. GH also stimulates via JAK/STAT local muscular IGF-1 secretion. In addition, the metabolic effects of GH impact on muscle anabolism. The main metabolic action of GH is a lipolytic action on adipose tissue, releasing free fatty acids (FFA), which favours protein preservation, as well as liver and kidney-enhanced gluconeogenesis.