A precision therapeutic strategy involving the intentional combination of two or more distinct signaling peptides, specifically chosen for their complementary or synergistic mechanisms of action on a highly defined biological target or pathway. This method is employed to maximize a desired physiological outcome, such as localized tissue repair, enhanced growth hormone secretion, or specific metabolic modulation, with minimal off-target effects. The term emphasizes a deliberate, pathway-specific combination for clinical optimization.
Origin
This concept is an advanced evolution of peptide therapy, borrowing the “stacking” methodology from performance science and applying it with the molecular specificity of modern pharmacology. “Targeted” signifies the use of high-resolution diagnostics to identify a specific biological deficit and the subsequent selection of peptides whose receptors and downstream effects converge on correcting that precise issue.
Mechanism
The core mechanism involves the chosen peptides binding to different receptors that ultimately converge their signaling onto a single, critical pathway. For example, a stack might combine a Growth Hormone Releasing Hormone (GHRH) mimetic to increase pulsatile GH release with a GH Secretagogue (GHS) to amplify the pituitary response, resulting in a significantly greater and more sustained IGF-1 pulse. This synergistic activation provides a powerful, yet controlled, stimulus to the target tissue.
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