Clinical approaches that utilize specific small protein molecules, known as peptides, to modulate endogenous signaling pathways for therapeutic or performance-enhancing effects. These strategies are employed to precisely influence hormonal secretion, metabolic processes, tissue repair, or neurocognitive function. The molecular precision of these compounds allows for highly targeted biological action with minimal systemic side effects.
Origin
This field evolved from the discovery and synthesis of naturally occurring peptide hormones, such as insulin and growth hormone-releasing hormone (GHRH). The term ‘strategies’ reflects the sophisticated, deliberate application of these compounds to correct physiological imbalances or enhance specific biological outcomes. This represents a modern advancement in precision endocrinology.
Mechanism
Peptides function by binding to highly specific cell-surface receptors, acting as ligands to initiate a downstream cascade of intracellular events, thereby exerting genetic transcription control. For example, growth hormone-releasing peptides (GHRPs) bind to the ghrelin receptor to stimulate the pulsatile somatotropic hormone response from the pituitary gland. This targeted action can bypass typical feedback loops to achieve a desired endocrine or metabolic effect, such as improved body composition.
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