Alarelin acetate (CAS 79561-22-1) is a synthetic polypeptide with the sequence:
5-oxo-Pro-His-Trp-Ser-Tyr-D-Ala-Leu-Arg-Pro-NHEt (C₆₀H₈₆N₁₆O₁₆) . Key features include:
The acetate form enhances solubility and stability, while the free base (C₅₆H₇₈N₁₆O₁₂) has a molecular weight of 1167.3 Da .
As a GnRH superagonist, Alarelin binds to GnRH receptors (GnRHR) with high affinity, triggering two phases:
Initial Stimulation: Acute release of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) .
Desensitization: Prolonged exposure downregulates GnRHR expression, suppressing pituitary activity .
Parameter | Alarelin | Natural LH-RH |
---|---|---|
Potency | Dozens-fold higher | Baseline |
Half-Life | Extended (sustained release systems) | Short |
Receptor Binding | High-affinity (Kd = 0.2 nM) | Moderate |
In pre-pubertal ewes, Alarelin immunization (200–400 µg doses) suppressed GnRHR expression while upregulating FSHR and LHR proteins, accelerating ovarian follicle development . Serum FSH levels remained elevated for 70 days post-treatment, driving primordial and secondary follicle growth .
Alarelin inhibits gastric smooth muscle cell (GSMC) proliferation in rats via dose-dependent mechanisms:
Alarelin Concentration | Cell Viability (MTT Assay) | PCNA Fluorescence |
---|---|---|
Control | 0.728 ± 0.100 | 13.48 ± 1.31 |
10⁻⁵ M | 0.243 ± 0.042 | 7.37 ± 1.06 |
10⁻⁷ M | 0.368 ± 0.029 | 9.35 ± 1.38 |
10⁻⁹ M | 0.533 ± 0.073 | 11.37 ± 1.99 |
Data show maximal inhibition at 10⁻⁵ M, reducing viability to 33% of controls .
PLGA microparticles loaded with Alarelin (35 µg/kg) induced spermiation in sterlet fish with prolonged efficacy compared to carp pituitary extract:
Parameter | PLGA Microparticles | Carp Pituitary |
---|---|---|
Sperm Release Duration | 72 h | 24 h |
Testosterone Peak (24h) | 48 h sustained 11-KT | Rapid decline |
Milt Volume (48h) | Comparable | Higher |
Ovulation Induction: Used in animal breeding to synchronize estrus cycles .
Endometrial Carcinoma: Reduces tumor growth in mouse xenograft models at 20–80 µg/kg doses .
Gastric Secretion Control: Inhibits acid production via direct parietal cell action and vagal inhibition .
Alarelin is synthesized via solid-phase peptide synthesis and formulated as sterile lyophilized powder. PLGA microparticle encapsulation enhances bioavailability, achieving 43.32% encapsulation efficiency and controlled release kinetics . Reconstitution requires sterile water (≥100 µg/mL) .
The purity of Alarelin is determined to be greater than 99.0% based on analysis conducted using RP-HPLC.
5-oxo-pro-His-Trp-Ser-Tyr-D-Ala-Leu-Arg-Pro-Nhet x CH3COOH.
Alarelin is a synthetic analog of gonadotropin-releasing hormone (GnRH) that interacts with GnRH receptors in various tissues. At the cellular level, Alarelin binds to GnRH receptors expressed on cell membranes, triggering intracellular signaling cascades that affect cellular function. Research has demonstrated that GnRH receptors are expressed in diverse tissues beyond the reproductive system, including gastric smooth muscle cells where they are located in the cytoplasm . The binding of Alarelin to these receptors can modulate various cellular functions including proliferation, hormone secretion, and gene expression patterns depending on the tissue type and physiological context.
Researchers employ various experimental models to investigate Alarelin's effects, including both in vitro cell culture systems and in vivo animal models. In vitro studies often utilize cultured cells such as gastric smooth muscle cells (GSMC) from rats to examine cellular responses to Alarelin under controlled conditions . In vivo animal models frequently include fish species such as tilapia (Oreochromis niloticus), which serve as valuable models for studying reproductive biology and endocrine responses . These experimental models allow researchers to investigate Alarelin's effects on specific cellular processes, gene expression patterns, and physiological responses under various experimental conditions.
Several complementary techniques are commonly employed to assess Alarelin's effects on cell proliferation:
MTT assay: This colorimetric assay measures cell metabolic activity as an indicator of cell viability and proliferation. Cells are exposed to different concentrations of Alarelin (typically ranging from 10^-9 to 10^-5 mol/L) for specified periods (often 24 hours), followed by addition of MTT solution and measurement of optical density at 490 nm .
3H-TdR incorporation: This technique directly measures DNA synthesis by quantifying the incorporation of radioactive thymidine into newly synthesized DNA. After Alarelin treatment, cells are exposed to 3H-TdR, and radioactivity measurements provide a direct indicator of proliferative activity .
PCNA (Proliferating Cell Nuclear Antigen) analysis: Immunofluorescence techniques can be used to measure PCNA expression, which serves as a marker for actively proliferating cells .
Flow cytometric DNA analysis: This method permits analysis of cell cycle distribution, allowing researchers to determine if Alarelin treatment affects the proportion of cells in different phases of the cell cycle (G1, S, G2/M) .
Alarelin has significant effects on reproductive hormone levels, particularly follicle-stimulating hormone (FSH) and luteinizing hormone (LH). In female tilapia, administration of Alarelin antigen triggers the production of anti-GnRH antibodies, which peaks at different timepoints depending on the dosage (30 days for 10 μg, 40-50 days for 15 μg, and 40 days for 20 μg) . This immune response subsequently affects reproductive hormone levels, with serum FSH-β concentrations increasing in a dose-dependent manner from day 30 to day 40 after Alarelin injection . Similarly, LH concentrations show significant increases, with peak levels occurring on day 40 in fish treated with 15 μg of Alarelin . These hormonal changes demonstrate Alarelin's capacity to modulate the reproductive endocrine axis, an effect that forms the basis for many of its research applications.
Alarelin exhibits pronounced dose-dependent effects across various experimental systems, though the optimal concentration varies by model and endpoint. In cultured gastric smooth muscle cells (GSMC), Alarelin inhibits cell proliferation in a dose-dependent manner, with concentrations ranging from 10^-9 to 10^-5 mol/L. This dose-dependent response is evident in multiple proliferation measures, including 3H-TdR incorporation, which showed progressive decreases from 1,448.17 ± 327.72 counts at 10^-9 mol/L to 385.83 ± 184.66 counts at 10^-5 mol/L compared to control values of 1,936.50 ± 440.99 .
In fish models, intermediate doses often show superior effects compared to higher or lower concentrations. For instance, in female tilapia, a 15 μg dose of Alarelin (GII group) induced higher anti-GnRH antibody titers (1:1200) compared to either 10 μg (GI, 1:300) or 20 μg (GIII) treatments . This non-linear response suggests potential negative feedback mechanisms or receptor desensitization at higher concentrations. When designing experiments with Alarelin, researchers should conduct preliminary dose-finding studies specific to their experimental system and target endpoints rather than assuming linear dose-response relationships.
Alarelin significantly impacts cell cycle progression through several molecular mechanisms. Flow cytometric DNA analysis reveals that Alarelin treatment increases the proportion of cells in G1 phase while decreasing the S phase fraction . This G1 arrest pattern suggests that Alarelin interferes with the G1/S transition checkpoint, potentially through modulation of cyclins and cyclin-dependent kinases that regulate this transition.
At the molecular level, Alarelin's binding to GnRH receptors activates multiple signaling pathways that converge on cell cycle regulatory machinery. The decreased expression of PCNA observed in Alarelin-treated cells further supports its antiproliferative effects, as PCNA is essential for DNA replication during S phase . Interestingly, while the G1 phase accumulation does not show a clear dose-dependent pattern, the S phase reduction does exhibit dose-dependence, suggesting that multiple mechanisms may be involved in Alarelin's regulation of different cell cycle phases.
Optimizing Alarelin immunization protocols requires careful consideration of dosage, administration schedule, and adjuvant selection. Based on tilapia studies, effective immunization protocols involve subcutaneous injection of Alarelin antigen prepared by conjugating Alarelin with carrier proteins and appropriate adjuvants . The experimental evidence suggests an optimal dose of 15 μg (GII group), which produced the highest and most sustained anti-GnRH antibody titers compared to 10 μg or 20 μg doses .
The immunization timeline is equally critical, with antibody responses first detected around day 10, reaching peak levels between days 30-50 depending on dosage, and maintaining significant elevation through day 60 . Researchers should incorporate multiple sampling timepoints in their protocols, as the kinetics of antibody development and hormone changes follow different temporal patterns.
For protocol development, researchers should:
Prepare Alarelin antigen with suitable carrier proteins (e.g., BSA)
Include appropriate adjuvants (e.g., Freund's incomplete adjuvant)
Establish a dosing schedule with 15 μg as a starting reference point
Sample at regular intervals (e.g., every 10 days) for at least 60 days
Monitor both antibody titers and downstream hormone levels (FSH, LH) to comprehensively assess the immunization's effectiveness
Alarelin treatment produces distinct and sometimes opposing effects on the expression of key reproductive genes. In female tilapia pituitary glands, Alarelin administration significantly decreases FSH-β expression (by 81% in GI, 97% in GII, and 72% in GIII) compared to controls, while simultaneously increasing LH-β mRNA levels (2.18-fold in GI, 1.36-fold in GII, and 2.71-fold in GIII) . GnRHR expression shows a complex pattern, with significant increases in the GI group (2.16-fold) but decreases in the GII and GIII groups (to 39% and 76% of control levels, respectively) .
These differential effects likely reflect the complex regulatory networks governing reproductive hormone synthesis. The reciprocal relationship between FSH-β and LH-β expression suggests that Alarelin may alter the balance between these gonadotropins, potentially redirecting transcriptional resources from FSH to LH production. The non-linear dose response in GnRHR expression indicates potential receptor autoregulation mechanisms, where moderate Alarelin doses may upregulate receptor expression while higher doses trigger compensatory downregulation.
The molecular mechanisms underlying these gene expression changes may involve alterations in transcription factor activity, chromatin modifications, or mRNA stability. Researchers investigating these differential effects should consider employing chromatin immunoprecipitation, transcription factor binding assays, or mRNA half-life measurements to elucidate the precise mechanisms involved.
Accurate measurement of GnRH receptor expression is crucial for Alarelin research. Multiple complementary techniques should be employed for comprehensive assessment:
Immunohistochemistry (IHC): IHC with ABC (Avidin-Biotin Complex) methods effectively visualizes GnRH receptor protein expression and localization within tissues. In gastric smooth muscle cells, this technique has revealed cytoplasmic localization of GnRH receptors . Researchers should use appropriate positive and negative controls to ensure specificity of antibody binding.
In situ hybridization: This technique allows detection of GnRH receptor mRNA directly within tissue sections, providing information about the cellular distribution of receptor transcription. Studies have successfully employed this method to detect GnRH receptor mRNA hybridization signals in the cytoplasm of gastric smooth muscle cells .
Quantitative PCR (qPCR): For quantitative assessment of GnRH receptor mRNA levels, qPCR offers high sensitivity and reproducibility. When using this technique, careful normalization with appropriate reference genes is essential, especially when comparing different experimental conditions.
Western blotting: This technique provides quantitative information about GnRH receptor protein levels and can detect post-translational modifications that may affect receptor function.
When interpreting GnRH receptor expression data, researchers should consider that receptor localization (membrane vs. cytoplasmic) may indicate different functional states, and that protein and mRNA levels may not always correlate due to post-transcriptional regulatory mechanisms.
Designing robust experiments to investigate Alarelin's effects on ovarian development requires careful consideration of multiple factors:
Experimental timeline: Based on published studies, researchers should design experiments spanning at least 60 days to capture the full temporal dynamics of Alarelin's effects on ovarian development. This extended timeline is necessary because hormonal changes, antibody development, and tissue remodeling occur over different timeframes .
Dosage selection: Include multiple dosage groups, with 10 μg, 15 μg, and 20 μg as starting points based on previous research showing differential effects across these doses . Consider including intermediate doses for finer resolution of dose-response relationships.
Comprehensive endpoints: Incorporate multiple assessment methods:
Histological analysis of ovarian tissues to evaluate follicular development and maturation
Measurement of ovarian metrics including follicle counts, size distribution, and atresia rates
Hormone profiling (FSH, LH, estradiol, progesterone) at regular intervals
Gene expression analysis of key reproductive genes in both pituitary and ovarian tissues
Antibody titer measurements to correlate immune response with physiological changes
Control groups: Include both vehicle-injected controls and untreated controls to account for potential effects of the injection procedure itself.
Statistical considerations: Power analysis should be conducted prior to experiment initiation to determine appropriate sample sizes for detecting biologically relevant effects with statistical significance.
When confronting contradictory findings regarding Alarelin's effects across experimental models, researchers should employ a systematic approach to reconcile these discrepancies:
Context-specific responses: Acknowledge that Alarelin's effects may fundamentally differ between species, tissues, and physiological states. For instance, Alarelin inhibits proliferation in rat gastric smooth muscle cells but enhances ovarian development in female tilapia . These differences likely reflect tissue-specific receptor expression patterns and downstream signaling pathways rather than experimental errors.
Dose-response relationships: Examine whether apparent contradictions might result from examining different points on non-linear dose-response curves. The optimal dose of Alarelin appears to be system-specific, with intermediate doses (15 μg) showing superior effects on antibody production compared to lower or higher doses in tilapia .
Temporal dynamics: Consider whether discrepancies reflect different sampling timepoints along a dynamic response. Effects on hormone levels and gene expression change substantially over time, with peak FSH and LH responses occurring around day 40 in tilapia models .
Methodological variations: Standardize key methodological factors including:
Alarelin preparation and storage conditions
Administration routes and vehicles
Measurement techniques and timing
Data normalization approaches
Integrative analysis: When possible, employ meta-analytical approaches to quantitatively synthesize findings across studies, accounting for methodological variations and identifying consistent patterns amid apparent contradictions.
Several promising research directions for Alarelin in reproductive biology merit further investigation:
Comparative genomics of GnRH receptor-mediated signaling: Expanding research across diverse species could reveal evolutionarily conserved and divergent mechanisms of GnRH signaling. The observed effects in fish models could be compared with mammalian systems to identify fundamental signaling principles versus species-specific adaptations.
Integration with advanced reproductive technologies: Exploring Alarelin's potential for improving outcomes in assisted reproductive technologies through precisely timed administration could enhance breeding programs for research and conservation efforts.
Environmental endocrinology: Investigating how environmental factors (temperature, photoperiod, water quality) interact with Alarelin's effects on reproductive physiology could provide insights into climate change impacts on reproduction in aquatic species.
Tissue-specific GnRH receptor isoforms: Characterizing potential receptor variants across different tissues could explain the diverse and sometimes contradictory effects of Alarelin on different cell types and tissues.
Epigenetic regulation: Examining whether Alarelin administration induces lasting epigenetic modifications that affect gene expression patterns in reproductive tissues could reveal transgenerational effects relevant to evolutionary biology.
Incorporating cutting-edge analytical techniques could substantially advance our understanding of Alarelin's molecular mechanisms:
Single-cell RNA sequencing: This technique could reveal cell-type-specific responses to Alarelin within heterogeneous tissues, potentially identifying responsive and non-responsive cell populations with distinct transcriptional profiles.
Phosphoproteomics: Comprehensive analysis of phosphorylation events following Alarelin administration could map the signaling networks activated by GnRH receptor stimulation across different tissues and timepoints.
CRISPR-Cas9 gene editing: Targeted modification of GnRH receptors and downstream signaling components could establish causal relationships between specific molecular pathways and Alarelin's physiological effects.
In vivo imaging techniques: Development of labeled Alarelin analogs compatible with in vivo imaging could track distribution, receptor binding, and clearance in real-time, providing dynamic information about Alarelin's bioavailability and target engagement.
Cryo-electron microscopy: Structural studies of GnRH receptor-Alarelin complexes could reveal the molecular basis for agonist activity and potentially identify structural determinants of tissue-specific responses.
These advanced techniques would complement traditional methods and potentially resolve current contradictions in the literature by providing higher-resolution data on Alarelin's molecular interactions and downstream effects.
Despite some variability across experimental systems, several consistent findings have emerged regarding Alarelin's mechanisms and applications:
Antiproliferative effects in specific cell types: Alarelin consistently demonstrates capacity to inhibit cell proliferation in a dose-dependent manner, as evidenced by decreased 3H-TdR incorporation and altered cell cycle distribution in gastric smooth muscle cells .
Modulation of reproductive hormone profiles: Across experimental models, Alarelin administration reliably alters reproductive hormone levels, particularly FSH and LH, though the direction and magnitude of these changes may vary by species, dose, and timing .
Differential regulation of key reproductive genes: Alarelin consistently affects the expression of GnRHR, FSH-β, and LH-β genes, though with complex dose-response relationships that suggest sophisticated regulatory mechanisms .
Immunological activity when used as an antigen: When properly conjugated and administered with adjuvants, Alarelin can induce anti-GnRH antibody production with predictable kinetics, peaking between 30-50 days after initial administration .
These consensus findings provide a foundation for researchers designing new studies with Alarelin, while acknowledging that tissue-specific and species-specific factors substantially modify these general principles.
Alarelin mimics the natural GnRH hormone, which is crucial for the regulation of the reproductive system. GnRH is released from the hypothalamus and acts on the pituitary gland to stimulate the release of two key hormones: Luteinizing hormone (LH) and Follicle-stimulating hormone (FSH). These hormones are critical for the regulation of reproductive functions, including the maturation of ovarian follicles in females and spermatogenesis in males .
Alarelin functions by binding to GnRH receptors on the pituitary gland, initially causing an increase in the release of LH and FSH. However, with prolonged administration, it leads to a downregulation of GnRH receptors, thereby reducing the secretion of these gonadotropins. This hormonal suppression can be beneficial in conditions where reducing gonadotropin levels is desired, such as in the treatment of hormone-sensitive cancers or in managing endometriosis by decreasing estrogen production .
Alarelin is primarily being explored for its use in managing conditions like:
In veterinary medicine, Alarelin is used to induce ovulation in rabbits at the time of artificial insemination. It is administered intravaginally at doses of up to 50 µg/doe .
Alarelin is typically administered via subcutaneous or intramuscular injection. The specific dosage and regimen depend on the condition being treated and the patient’s response to the therapy. For instance, in the treatment of endometriosis, a common protocol might involve a daily injection for several months, followed by a maintenance dose .
Like any medication, Alarelin is associated with a range of side effects. These can include:
It is crucial for the administration of Alarelin to be supervised by a healthcare professional to ensure proper dosing and to monitor for any adverse effects .