GHRP-2 (pralmorelin) is a synthetic hexapeptide and ghrelin mimetic whose primary action is agonism at the growth-hormone-secretagogue receptor type 1a (GHSR-1a) on hypothalamic and pituitary neurons, evoking pulsatile GH release. Unlike highly selective GHSR-1a agonists such as ipamorelin, GHRP-2 also produces measurable rises in ACTH, cortisol, and prolactin at GH-releasing doses — a central endocrine differentiator (Arvat 1997; Doi 2004).
GHRP-2 was developed by C. Y. Bowers and colleagues at Tulane University in the early 1990s as a more potent successor to GHRP-6, with the substitutions His¹→D-Ala and Trp²→D-2-naphthyl-alanine conferring resistance to proteolytic degradation and yielding higher GH-releasing potency than the parent peptide (Bowers 1984; Drugs R D 2004). Following intravenous administration in humans, a single 100 µg bolus produces a sharp GH peak within 15–60 minutes and a plasma half-life on the order of 30–90 minutes (Doi 2004). Because GHRP-2 acts on both the pituitary and the hypothalamus, the GH response is less susceptible to somatostatin inhibition than the response to exogenous GHRH and is preserved across age groups, including elderly subjects in whom GHRH responsiveness declines (Doi 2004; Arvat 1997). Mechanistically GHRP-2 differs from the highly selective GHSR-1a agonist ipamorelin, which leaves ACTH, cortisol, and prolactin essentially unchanged at GH-releasing doses, and from hexarelin, which shares GHSR-1a binding and engages the cardiac CD36 pathway most extensively in published cardiovascular work; the CD36 mode of action is in principle accessible to GHRP-2 as well (Bodart 2002 reports comparable CD36 affinities across the GHRP family), but the GHRP-2-specific cardiovascular dataset is smaller. The non-selective HPA-axis activation — concurrent cortisol and prolactin release alongside GH — is the primary pharmacological differentiator of GHRP-2 versus ipamorelin and should be considered for any research application requiring isolated GH stimulation.