GHRP-2 has been studied primarily as an agonist of the growth hormone secretagogue receptor type 1a (GHS-R1a/GHSR), a G protein-coupled receptor expressed in pituitary and hypothalamic systems involved in growth hormone regulation. This receptor is also the endogenous target of ghrelin. GHRP-2 therefore functions through a signaling system distinct from the classical growth hormone-releasing hormone (GHRH) receptor.
GHS-R1a Activation
Gαq/11-dependent signaling is mostly linked to GHS-R1a activation. This increases intracellular Ca2+ levels and produces intracellular second messengers, such as inositol trisphosphate (IP3), by stimulating phospholipase C (PLC). Because elevated intracellular calcium aids in the exocytotic release of stored growth hormone, calcium mobilization is especially important for pituitary somatotrophs. Blocking voltage-dependent Ca2+ channels has been shown in experimental GHRP-2 investigations to decrease GH secretion triggered by GHRP-2.
Growth Hormone Secretory Pathways
Pituitary cell studies have demonstrated that GHRP-2 can directly stimulate GH secretion from somatotrophs. Experimental research has also reported changes in GH mRNA and expression of genes associated with GH regulation, including GHS-R, GHRH-R and Pit-1.
Interaction with GHRH Signaling
The way GHRP-2 interacts with the GHRH pathway is a key aspect of GHRP-2 studies. Combined stimulation may result in elevated or synergistic GH responses, even though GHRP-2 and GHRH function through different receptor systems. Pituitary cell systems and human endocrine investigations have explored this link.
Overall, GHRP-2 is best characterised mechanistically as a GHS-R1a agonist that influences intracellular calcium-dependent signalling and growth-hormone secretion. Its effects occur within a wider neuroendocrine network involving GHRH, somatostatin and endogenous ghrelin signaling, and the relative contribution of these pathways can vary between experimental models.
This summary reflects findings reported in published preclinical and in vitro research. The original studies supporting this information are listed in the references.