The specific molecular and cellular pathways through which a therapeutic peptide exerts its desired physiological effect, often involving highly selective binding to G-protein coupled receptors or nuclear receptors. These mechanisms are characterized by their high specificity, which allows for targeted modulation of endocrine feedback loops, metabolic signaling, or tissue repair processes with minimal off-target effects. Understanding the mechanism is fundamental to clinical application.
Origin
This concept is rooted in the discovery of endogenous regulatory peptides and the subsequent pharmaceutical development of synthetic peptide analogs. The therapeutic potential emerged from recognizing that many essential physiological processes are controlled by these small protein messengers. The term describes the biological action of this emerging class of pharmacological agents.
Mechanism
Therapeutic peptides typically mimic or antagonize the action of native hormones or growth factors. For instance, some peptides act as secretagogues, stimulating the release of endogenous hormones like Growth Hormone, while others function as receptor agonists, directly activating pathways that regulate glucose metabolism or inflammation. The action is initiated by the peptide’s precise conformational fit with its target receptor on the cell surface.
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