Growth hormone secretagogues or GH secretagogues (GHSs) are a class of drugs which act as secretagogues (i.e., induce the secretion) of growth hormone (GH). They include agonists of the ghrelin/growth hormone secretagogue receptor (GHSR), such as ghrelin (lenomorelin), pralmorelin (GHRP-2), GHRP-6, examorelin (hexarelin), ipamorelin, and ibutamoren (MK-677), and agonists of the growth hormone-releasing hormone receptor (GHRHR), such as growth hormone-releasing hormone (GHRH, somatorelin), CJC-1295, sermorelin, and tesamorelin. Many of them also induce the secretion of insulin-like growth factor 1 (IGF-1), as well as of other hypothalamic-pituitary hormones such as prolactin and cortisol. The main clinical application of these agents is the treatment of growth hormone deficiency.
GHRH receptor agonists
Peptide GHRH (Somatocrinin, GRF, GHRF) CJC-1295 (DAC:GRF) Modified GRF (1-29) (CJC without DAC) Dumorelin Rismorelin Sermorelin (Geref, Gerel; GHRH (1-29)) Somatorelin Tesamorelin (Egrifta)
Ghrelin (GHS) receptor agonists
Peptide Ghrelin (Lenomorelin, GHRL) GHRP-1 GHRP-2 (Pralmorelin; GHRP Kaken 100; GHRP-2; KP-102, GPA-748, WAY-GPA-748) GHRP-3 GHRP-4 GHRP-5 GHRP-6 (SKF-110679) Alexamorelin Examorelin (hexarelin; EP-23905, MF-6003) Ipamorelin (NNC 26-0161) Relamorelin (RM-131, BIM-28131, BIM-28163) Tabimorelin (NN-703)
Non-peptide Adenosine Anamorelin (ONO-7643, RC-1291, ST-1291) Capromorelin (CP-424391) Ibutamoren (MK-677, MK-0677, L-163191, LUM-201) Macimorelin (AEZS-130, JMV 1843) SM-130686 Note that while ulimorelin is a ghrelin receptor agonist, it is not a GHS as it is peripherally selective and has little or no effect on GH secretion. Likewise, adenosine is capable of eliciting a hunger response as a ghrelin agonist but has little to no effect on GH secretion.
See also Hypothalamic–pituitary–somatic axis
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