The ongoing scientific and clinical investigation into the pharmacological actions, efficacy, and safety profile of Tesamorelin, a synthetic peptide analog of Growth Hormone-Releasing Hormone (GHRH). Research primarily focuses on its established use in reducing visceral adipose tissue (VAT) in HIV-infected patients with lipodystrophy, as well as exploring its potential for neurocognitive benefits and broader applications in metabolic health and aging. This body of work provides the evidence base for its clinical use.
Origin
Tesamorelin was developed in the early 2000s as a stable, modified version of the naturally occurring GHRH, specifically engineered for therapeutic use. The research is rooted in the extensive study of the hypothalamic-pituitary-somatotropic axis and the desire to find a way to stimulate growth hormone release without the logistical challenges of administering recombinant growth hormone itself. Its clinical development led to its approval for treating lipodystrophy.
Mechanism
The research mechanism centers on Tesamorelin’s potent and specific binding to the GHRH receptor on the somatotroph cells of the anterior pituitary gland. This binding mimics the action of endogenous GHRH, leading to a sustained, pulsatile increase in the secretion of growth hormone (GH). The subsequent rise in IGF-1 mediates the metabolic effects, including the breakdown of fat stores, which is a key focus of the ongoing clinical research.
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