Mokhtar · Aesthetic surgery journal 2026 · systematic review · n=20 studies (18 preclinical, 2 RCTs)

The Regenerative Potential of GHK-Cu in Aesthetic Medicine.

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Level 2 - randomized trial

Systematic review synthesizing predominantly preclinical studies alongside only two randomized controlled trials

PubMed 42619529 · doi:10.1093/asj/sjag169 · record verified 2026-08-26

What was done

Authors conducted a systematic review following PRISMA guidelines across PubMed, Embase, and Cochrane CENTRAL through March 2026. The review evaluated glycyl-L-histidyl-L-lysine-copper (GHK-Cu) as a standalone intervention in aesthetic medicine across 20 included studies (18 preclinical studies and 2 randomized controlled trials).

What was found

The abstract reports no numerical values, effect sizes, or confidence intervals. Preclinical models demonstrated that GHK-Cu enhanced type I collagen and glycosaminoglycan synthesis, modulated metalloproteinase activity, stimulated angiogenesis and cell proliferation, and decreased TGF-β and IL-6. Clinically, two randomized controlled trials reported reduced wrinkle depth and volume compared to controls and improved patient satisfaction following laser resurfacing.

Why it matters

While GHK-Cu is popular in commercial and clinical aesthetic practices, this review highlights that the vast majority of supporting data is preclinical, emphasizing the lack of standardized clinical protocols.

Limits

Only two human randomized controlled trials were identified, and the abstract provides no human sample sizes, numerical outcomes, or safety and adverse event rates. Formulations, delivery methods, and dosing regimens were heterogeneous across studies.

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