Triptorelin (GnRH) Peptide
Triptorelin is a gonadotropin-releasing hormone analog that has been studied within the context of prostate cancer cell development,due to its speculated impact on androgen deprivation.Similar to Luteinizing Hormone-Releasing Hormone,Triptorelin has been suggested to work as an inhibitor,via a synthesis of testosterone and estrogen within long-term research studies
Triptorelin is a synthetic agonist analog of gonadotropin-releasing hormone (GnRH), repressing the expression of luteinizing hormone (LH) and follicle-stimulating hormone (FSH). First approved in 1986, the indications include prostate cancer, uterine fibroids, central precocious puberty, endometriosis, female infertility, and breast cancer. Triptorelin is a short peptide consisting of nine amino acids.
Triptorelin is a synthetic analog of GnRH, a hormone naturally produced by the hypothalamus in the brain. GnRH plays a crucial role in regulating the production of sex hormones, specifically LH and FSH.
When triptorelin is applied as intramuscular injection, it initially stimulates the pituitary gland in the brain, much like natural GnRH. This stimulation prompts the pituitary gland to release LH and FSH, which are the messengers that signal the testes in males and the ovaries in females to produce sex hormones, such as testosterone and oestradiol.
However, as triptorelin injection treatment continues, a process known as “downregulation” occurs. This means that the pituitary gland becomes less responsive to the constant GnRH-like signals generated by triptorelin.
As a result of this desensitization, the production of LH and FSH by the pituitary gland decreases over time. Since LH and FSH are essential for stimulating the production of sex hormones, their reduction leads to a significant decrease in testosterone levels in males and oestradiol levels in females.
Ultimately, the diminished production of sex hormones leads to a state of hypogonadism, where the levels of testosterone or oestradiol in the body drops significantly below the normal range. This controlled reduction of sex hormones is the desired therapeutic outcome in various conditions. For example, in prostate cancer, lowering testosterone levels can slow the growth of cancer cells, while in conditions like endometriosis and uterine fibroids, it can reduce symptoms associated with excess oestradiol.
Triptorelin is available in two different salt forms, which are tritptorelin acetate and triptorelin pamoate. Triptorelin acetate is sold under different brand names, i.e. Decapeptyl®, Pamorelin® or Gonapeptyl® by the companies Ipsen and Ferring. Triptorelin pamoate or embonate, which has a longer acting release form and has been developed by Debiopharm, is commercialized under the brand names Decapeptyl®, Trelstar® and Triptodur® by Ipsen, Verity Pharm and Arbor Pharmaceuticals.
Both salt versions are administrated by intramuscular injection via a pre-filled syringe at different regimens:
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