Ipamorelin makes the pituitary gland release a pulse of growth hormone. It does this by mimicking ghrelin, the hormone the stomach releases when empty. What made it interesting to researchers is its selectivity — earlier compounds in the same class also pushed up cortisol and prolactin, while ipamorelin largely did not in the published animal work. It has been tested in humans mainly as a treatment for slowed gut motility after surgery, not for growth hormone effects.
Ipamorelin is the pentapeptide Aib-His-D-2-Nal-D-Phe-Lys-NH2, a synthetic agonist at the growth hormone secretagogue receptor 1a (GHS-R1a). Receptor activation is Gq-coupled: phospholipase C activation generates IP3 and DAG, releasing intracellular calcium in pituitary somatotrophs and triggering GH exocytosis. It also suppresses somatostatin tone at the hypothalamic level, amplifying endogenous GH pulse amplitude while preserving pulsatility — the pharmacologic argument for secretagogues over exogenous recombinant GH. Unlike GHRP-6 and GHRP-2, ipamorelin showed no significant ACTH or prolactin release at GH-releasing doses in the original characterization studies, attributed to its lack of activity at the receptors mediating those responses.