Mechanisms of Action

How Peptides Work

Peptides produce their clinical effects by binding specific receptors and modulating intracellular signaling. Each mechanism below groups the compounds that share a common pathway — from GLP-1 receptor agonism (the class behind semaglutide and tirzepatide) to growth hormone releasing hormone receptor stimulation and beyond.

GHRH Receptor Agonism

Stimulation of the pituitary GHRH receptor to trigger pulsatile, physiological growth hormone release.

3 compoundsCJC-1295, Sermorelin, Tesamorelin

Ghrelin Receptor Agonism

Activation of the growth hormone secretagogue receptor (GHSR-1a) — the ghrelin receptor — to drive GH release through a second pathway.

2 compoundsIpamorelin, MK-677

Melanocortin Receptor Agonism

Activation of central melanocortin receptors (MC3R/MC4R) modulating sexual function, appetite, and skin pigmentation.

2 compoundsPT-141, Melanotan II

Actin Sequestration & Cell Migration

Modulation of cytoskeletal actin dynamics to enhance cell migration, angiogenesis, and tissue regeneration.

1 compoundTB-500

Angiogenesis & VEGF Modulation

Promotion of new blood vessel formation and upregulation of VEGF signaling at injury sites.

1 compoundBPC-157

Copper-Dependent Gene Modulation

Copper-binding tripeptide that modulates expression of wound healing, collagen, and antioxidant genes.

1 compoundGHK-Cu

Dendritic Cell & T-Cell Activation

Activation of dendritic cells and T-lymphocytes to restore adaptive immune competence.

1 compoundThymosin Alpha-1

Dual GIP / GLP-1 Agonism

Simultaneous activation of both the GIP and GLP-1 receptors — the "twincretin" class — for amplified metabolic effects.

1 compoundTirzepatide

GLP-1 Receptor Agonism

Activation of the glucagon-like peptide-1 receptor to slow gastric emptying, enhance insulin secretion, and reduce appetite.

1 compoundSemaglutide

Lipolytic GH Fragment Activity

Growth hormone C-terminal fragment that selectively promotes lipolysis without the anabolic effects of full-length GH.

1 compoundAOD-9604

Melanocortin & BDNF Signaling

ACTH fragment analogs that modulate melanocortin pathways and upregulate brain-derived neurotrophic factor.

1 compoundSemax

Mitochondrial-Derived AMPK Activation

Mitochondrial-derived peptide that activates AMPK, improving glucose homeostasis and metabolic flexibility.

1 compoundMOTS-c

NAD⁺ / Sirtuin & PARP Cofactor

Supplementation of the NAD⁺ pool to support sirtuin, PARP, and mitochondrial metabolism.

1 compoundNAD+

Telomerase Activation

Upregulation of telomerase to maintain telomere length and support cellular longevity.

1 compoundEpithalon

Triple GIP / GLP-1 / Glucagon Agonism

Simultaneous activation of GIP, GLP-1, and glucagon receptors for metabolic reprogramming and maximal weight loss.

1 compoundRetatrutide

Tuftsin Analog Immune-Neuro Modulation

Tuftsin-derived peptide that modulates immune function, anxiety, and cognition.

1 compoundSelank

Mechanism Comparisons

Head-to-head comparisons of peptide mechanisms — receptor biology, therapeutic areas, and evidence depth across pathway classes.

GLP-1 Receptor Agonism vs Dual GIP / GLP-1 Agonism

Compare pathway, evidence, and compounds

GLP-1 Receptor Agonism vs Triple GIP / GLP-1 / Glucagon Agonism

Compare pathway, evidence, and compounds

Dual GIP / GLP-1 Agonism vs Triple GIP / GLP-1 / Glucagon Agonism

Compare pathway, evidence, and compounds

GHRH Receptor Agonism vs Ghrelin Receptor Agonism

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GHRH Receptor Agonism vs Lipolytic GH Fragment Activity

Compare pathway, evidence, and compounds

Ghrelin Receptor Agonism vs Lipolytic GH Fragment Activity

Compare pathway, evidence, and compounds

Angiogenesis & VEGF Modulation vs Actin Sequestration & Cell Migration

Compare pathway, evidence, and compounds

Angiogenesis & VEGF Modulation vs Copper-Dependent Gene Modulation

Compare pathway, evidence, and compounds

Actin Sequestration & Cell Migration vs Copper-Dependent Gene Modulation

Compare pathway, evidence, and compounds

Melanocortin Receptor Agonism vs Melanocortin & BDNF Signaling

Compare pathway, evidence, and compounds

Telomerase Activation vs NAD⁺ / Sirtuin & PARP Cofactor

Compare pathway, evidence, and compounds

NAD⁺ / Sirtuin & PARP Cofactor vs Mitochondrial-Derived AMPK Activation

Compare pathway, evidence, and compounds

Telomerase Activation vs Mitochondrial-Derived AMPK Activation

Compare pathway, evidence, and compounds

Tuftsin Analog Immune-Neuro Modulation vs Dendritic Cell & T-Cell Activation

Compare pathway, evidence, and compounds

GLP-1 Receptor Agonism vs Lipolytic GH Fragment Activity

Compare pathway, evidence, and compounds

GLP-1 Receptor Agonism vs Mitochondrial-Derived AMPK Activation

Compare pathway, evidence, and compounds

Why Mechanism Matters

A peptide's mechanism of action determines not only what it does, but what it won't do. GLP-1 agonists reduce appetite and improve glycemic control because they activate a receptor expressed in the pancreas and hypothalamus. GHRH analogs avoid the supraphysiologic effects of exogenous growth hormone because they preserve hypothalamic negative feedback.

Understanding mechanism is also the fastest way to predict side effects, interactions, and stacking logic. Peptides that share a mechanism usually share a side-effect profile — all GLP-1 agonists cause some degree of GI upset; all melanocortin agonists can cause facial flushing. Compounds with complementary mechanisms (like GHRH + ghrelin agonists) often produce additive effects in research.