The Ipamorelin Ghrelin Pathway describes the pharmacological activation of the body’s natural growth hormone secretagogue receptor (GHSR), a process naturally governed by the peptide hormone ghrelin. Ipamorelin, a selective agonist, mimics ghrelin’s action to stimulate the pituitary gland to release growth hormone (GH) in a pulsatile, physiological manner. This targeted activation avoids the non-GH-related side effects often associated with older secretagogues. The pathway is clinically utilized to enhance endogenous GH secretion for therapeutic benefit.
Origin
This concept originates from peptide endocrinology, following the discovery of ghrelin, the “hunger hormone,” and its unexpected role as a potent, natural GH secretagogue. Ipamorelin was developed as a synthetic, highly selective compound to leverage this pathway for clinical applications without the appetite-stimulating effects of ghrelin itself. This represents a precision approach to modulating the somatotropic axis.
Mechanism
Ipamorelin binds specifically to the GHSR on somatotroph cells in the anterior pituitary gland, signaling the release of stored growth hormone. Unlike some other secretagogues, Ipamorelin does not significantly elevate prolactin or cortisol levels, maintaining a more natural endocrine profile. The resulting increase in circulating GH then triggers the liver to produce Insulin-like Growth Factor 1 (IGF-1), which mediates many of the anabolic and regenerative effects.
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