Deslorelin

Deslorelin
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Description

Pharmacological Mechanism

Deslorelin acts as a GnRH superagonist with a biphasic effect:

  1. Acute phase: Binds to pituitary GnRH receptors, triggering a surge in luteinizing hormone (LH) and follicle-stimulating hormone (FSH) .

  2. Chronic phase: Sustained receptor activation leads to desensitization, suppressing gonadotropin and sex hormone production (testosterone, estrogen, progesterone) .

Key Applications:

Condition/SpeciesMechanism of ActionOutcome
Adrenocortical disease (ferrets)Suppresses adrenal sex hormonesReduces hyperplasia symptoms
Benign prostatic hyperplasia (dogs)Lowers testosteroneShrinks prostate gland
Ovulation induction (mares)Mimics endogenous GnRHSynchronizes follicular maturation

Veterinary Uses

  • Fertility Control:

    • Male dogs: 4.7 mg or 9.4 mg subcutaneous implants suppress testosterone for 6–12 months .

    • Prepubertal female dogs: Delays first estrus by ~377 days (vs. 217 days in controls) .

  • Adrenocortical Disease:

    • Ferrets: 4.7 mg implant reduces clinical signs of hyperadrenocorticism .

  • Equine Reproduction:

    • Induces ovulation within 48 hours in 70–80% of mares .

Adverse Effects

  • Common: Transient "flare-up" of hormonal activity post-implantation .

  • Rare: Prolonged interovulatory intervals in mares, pituitary neoplasia in chronic canine use .

Research Findings

Table 1: Selected Clinical Studies

Study (Year)SpeciesDose/FormulationKey ResultSource
Trigg et al. (2012)Male primates4.7–9.4 mg implantTestosterone suppression for 6+ months
Polisca et al. (2023)DogsChronic 4.7 mg implants2–9 years of safe use; neoplasia in 2/6 cases
Fontaine et al. (2022)Prepubertal dogs4.7 mg implantDelayed puberty without major side effects

Formulations and Stability

PropertyImplant (Suprelorin®)Injectable (Sucromate®)
BioavailabilitySustained release (3–12 months)Immediate release (16–21 hours)
FDA ApprovalFerrets, dogsHorses
Storage−20°C; stable for 24 monthsRoom temperature; single-use

Future Directions

  • Expanded Species Use: Trials in parrots, cheetahs, and non-human primates show promise .

  • Human Applications: Potential for hormone-sensitive cancers (e.g., breast, prostate) under investigation .

Product Specs

Introduction
Deslorelin, a gonadotropin-releasing hormone analog, is under investigation for cancer treatment due to its potential to suppress sex hormone production in the ovaries or testicles. In equine medicine, it is utilized for ovulation induction in mares. Deslorelin exerts its effects by binding to and activating gonadotropin-releasing hormone (GnRH) receptors in the pituitary gland. Continuous and prolonged administration of deslorelin leads to desensitization of pituitary GnRH receptors, thereby inhibiting the secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). This ultimately results in a substantial decrease in testosterone production in males and estradiol production in females.
Description
Deslorelin, a potent LHRH/GnRH agonist, is characterized by a molecular formula of C64H83N17O12, with a peptide sequence of pGlu-His-Trp-Ser-Tyr-D-Trp-Leu-Arg-Pro-NHC2H5. It has a molecular weight of 1284.4 Daltons.
Physical Appearance
Upon lyophilization, Deslorelin presents as a sterile, white, and finely textured powder.
Formulation
The Deslorelin peptide undergoes lyophilization without the addition of any other substances.
Solubility
To reconstitute lyophilized Deslorelin, it is recommended to dissolve it in sterile 18MΩ-cm H2O at a concentration not less than 100µg/ml. This solution can be further diluted with other aqueous solutions if required.
Stability
Lyophilized Deslorelin demonstrates stability at room temperature for a period of 3 weeks. However, for optimal long-term storage, it is recommended to store the desiccated product at a temperature below -18°C. Upon reconstitution, Deslorelin should be stored at 4°C for a period of 2 to 7 days. For storage beyond 7 days, it is advisable to store it at -18°C. To enhance long-term stability, consider adding a carrier protein, such as 0.1% HSA or BSA. It is important to avoid repeated cycles of freezing and thawing.
Purity
The purity of Deslorelin is determined to be greater than 99.0% using Reverse Phase High-Performance Liquid Chromatography (RP-HPLC).

Q&A

What is the mechanism of action of Deslorelin in hormonal suppression?

Deslorelin is a synthetic nonapeptide GnRH agonist that temporarily suppresses sex hormone secretion, including testosterone, estrogen, and progesterone. Its mode of action involves initial stimulation of the hypothalamic-pituitary-gonadal axis (causing a "flare up" effect), followed by downregulation of GnRH receptors, resulting in sustained suppression of gonadotropins and sex hormones . This biphasic response is critical for researchers to understand when designing studies, as the initial stimulatory phase can last several days before suppression occurs, potentially confounding early measurements.

How reliable is Deslorelin in suppressing testosterone in male subjects across different species?

Deslorelin consistently suppresses testosterone across various species, though with important interspecies variations:

SpeciesDosageTime to SuppressionDuration of SuppressionReference
Rhesus macaquesNot specified26-60 daysVariable, ≥10 months in some subjects
Tom cats4.7 mg implantMean 23.3 ± 14.17 daysMean 26.5 ± 7.42 months (range 16-30)
Lion-tailed macaques9-12 mgNot specifiedSuccessful suppression reported
Olive baboons4.7 mgNot specifiedSuccessful suppression reported

Researchers should note that while suppression is reliable, individual variation in onset and duration requires appropriate monitoring protocols for each subject .

What physiological markers should researchers measure to monitor Deslorelin's effects?

To comprehensively track Deslorelin's effects, researchers should implement a multi-parameter monitoring approach:

  • Hormonal parameters: Direct measurement of target hormones (testosterone, DHT) and related endocrine markers (LH, 17β-estradiol, progesterone) .

  • Morphological parameters: Testicular volume correlates directly with tubular size and gonadal function . Mean testicular volume is significantly reduced during the suppression phase.

  • Histological parameters: When tissue sampling is possible, measure:

    • Length of long axes of Leydig cell nuclei

    • Diameter of seminiferous tubules

    • Height of epithelium of seminiferous tubules

  • Behavioral indicators: Monitor cessation and return of sexually dimorphic behaviors as a practical, non-invasive marker .

Protocols should include regular sampling during the initial stimulatory phase, throughout suppression, and during recovery to capture the complete profile of effects.

What is the expected timeline for Deslorelin's effects in experimental protocols?

Researchers planning Deslorelin studies should anticipate this general timeline, while acknowledging species and individual variations:

  • Initial stimulatory phase ("flare up"):

    • Occurs immediately after administration

    • Lasts approximately 3-7 days

    • Characterized by transient increase in hormone levels and potentially enhanced sexual behaviors

  • Transition to suppression:

    • Begins after the stimulatory phase

    • Full suppression achieved between 13-60 days depending on species and individual

  • Sustained suppression phase:

    • Duration highly variable (months to years)

    • In rhesus macaques: at least 10 months in some subjects

    • In tom cats: mean 26.5 ± 7.42 months

  • Recovery phase:

    • Gradual return of hormone levels to baseline

    • Followed by restoration of testicular size and function

    • Return of sexually dimorphic behaviors

Experimental designs should incorporate these phases with appropriate measurement intervals.

How do different administration methods affect Deslorelin efficacy in research settings?

Research protocols employ two primary administration methods with distinct pharmacokinetic profiles:

  • Subcutaneous implants:

    • Provide sustained, long-term hormone suppression

    • Used in studies requiring extended suppression periods

    • Example: 4.7 mg implants in cats provided suppression for approximately 26.5 months

    • Advantage: Reduces handling stress from repeated administrations

  • Intramuscular injection:

    • Offers more rapid onset of action

    • Example: 750 μg/0.5 ml in mares showed hormonal effects within 8 hours

    • May require repeated administrations for sustained effects

    • Useful for precise timing of hormonal changes

Researchers should select the administration method based on their specific experimental requirements regarding onset timing, duration of effect, and need for repeated interventions.

How does individual biological variation affect experimental design when using Deslorelin?

Individual biological variation significantly impacts Deslorelin studies, requiring adaptations in experimental design:

In rhesus macaques, latency to effectiveness ranged from 26 to 60 days, with inconsistent patterns of suppression in some individuals. For example, two subjects (M1 and M2) showed periods where "testosterone levels escaped suppression" before returning to basal levels .

Similarly, in tom cats, cessation of sexually dimorphic behavior varied from 13-58 days post-implantation, with suppression duration ranging from 16-30 months .

To account for this variation, researchers should:

  • Include adequate sample sizes with power calculations that consider this variability

  • Implement individualized monitoring rather than assuming uniform responses

  • Consider crossover designs where appropriate to control for individual variation

  • Document and analyze patterns of variation rather than treating them as experimental noise

  • Incorporate mixed-effects statistical models that can account for individual response trajectories

These methodological adaptations will strengthen the validity and reliability of research findings despite biological variability.

What factors influence the initial stimulatory phase and how can researchers control for this effect?

The initial stimulatory or "flare up" phase of Deslorelin presents both challenges and opportunities for researchers:

In rhesus macaques, all subjects showed a transient androgen surge at day 3 post-implantation . Similarly, in tom cats, six of nine subjects exhibited increased sexual behavior for approximately one week after implantation .

Factors potentially influencing this phase include:

  • Individual receptor sensitivity and density

  • Baseline hormone levels

  • Species-specific hypothalamic-pituitary-gonadal axis responsiveness

  • Dosage and administration method

Researchers can control for this effect through:

  • Study design strategies:

    • Including a control period that extends beyond the stimulatory phase

    • Taking frequent measurements during this phase to characterize its magnitude and duration

    • Considering this phase when timing experimental interventions

  • Analytical approaches:

    • Treating stimulatory phase data separately in analyses

    • Using each subject as its own control to account for individual variations

    • Applying time-series analyses that can model phasic responses

The stimulatory phase has particular implications for fertility studies, as animals may exhibit enhanced fertility during this period .

How does Deslorelin affect social dynamics in group-housed research animals?

Deslorelin administration can significantly alter social dynamics in group-housed animals, requiring careful consideration in experimental settings:

A clear example comes from a rhesus macaque (M2) that was paired with another male. Initially, M2 asserted dominance, but by 3 months post-implantation, a complete dominance reversal occurred, with M2 sustaining minor injuries from his previously subordinate partner . Similar dominance reversals have been observed in olive baboons treated with Deslorelin .

For researchers working with group-housed animals, these findings suggest:

  • Methodological considerations:

    • Implement systematic behavioral monitoring alongside hormonal measurements

    • Document social interactions before, during, and after treatment

    • Consider individual housing during the transition period if welfare concerns arise

  • Experimental design implications:

    • Social dynamics may become a confounding variable if not controlled

    • Consider treating all animals in a social group or strategically select subjects

    • Account for potential stress from social reorganization

  • Welfare and ethical considerations:

    • Monitor for injuries resulting from dominance shifts

    • Establish intervention criteria for cases of excessive aggression

    • Consider the impact of temporary social isolation if required

These social effects may be particularly relevant in primatology, veterinary, and behavioral research contexts.

What histological changes occur in reproductive tissues during Deslorelin treatment and how can they be quantified?

Histological examination provides critical insights into Deslorelin's tissue-level effects, with significant findings from tom cat studies:

For cats castrated during hormone suppression (3-6 months post-implantation):

  • No immediate changes were observed in Leydig cell nuclei measurements, seminiferous tubule diameter, or epithelial height

  • By 12 and 32 months, these parameters decreased below control group values

For cats castrated after reactivation:

  • Leydig cell nuclei measurements and seminiferous tubule diameters approached control values 4-6 months after reactivation

These findings indicate that histological changes lag behind hormonal changes, with full tissue-level suppression taking 3-6 months to manifest.

Researchers should quantify these changes using:

  • Standardized histomorphometric techniques:

    • Measurement of Leydig cell nuclear dimensions (10 nuclei from 10 different areas)

    • Seminiferous tubule diameter (10 tubules from 10 different areas)

    • Epithelial height of seminiferous tubules

  • Temporal sampling strategy:

    • Baseline (pre-treatment) samples when possible

    • Samples during different phases of suppression

    • Recovery phase samples

  • Appropriate fixation and processing:

    • Bouin's solution fixation for 18 hours

    • Longitudinal sectioning

    • Hematoxylin and eosin staining

These methodological details are essential for researchers designing studies involving reproductive histology.

How do seasonal hormonal fluctuations interact with Deslorelin's effects in research models?

Seasonal hormonal fluctuations represent a potential confounding variable in Deslorelin research, particularly with seasonally breeding species:

The rhesus macaque study explicitly noted the need for "future studies [to] investigate the effects of deslorelin implanted in different seasons to confirm that hormonal suppression occurs independent of seasonal hormonal fluctuations" .

For researchers working with seasonally breeding species, methodological approaches should include:

  • Temporal control strategies:

    • Standardize administration timing relative to breeding season

    • Include seasonally-matched control groups

    • Consider repeated measures designs across multiple seasons

  • Enhanced monitoring protocols:

    • Measure additional hormones known to show seasonal variation

    • Document photoperiod conditions in laboratory settings

    • Control environmental factors that might influence seasonal cycles

  • Analytical considerations:

    • Incorporate season as a variable in statistical analyses

    • Consider potential interaction effects between season and treatment

    • Apply time-series analyses that can account for cyclical patterns

These considerations are particularly important for wildlife research, conservation breeding programs, and studies with free-ranging or semi-free-ranging animals.

How does Deslorelin compare with other GnRH agonists for research applications?

When selecting between GnRH agonists for research, direct comparisons between Deslorelin and alternatives like buserelin provide valuable guidance:

ParameterDeslorelinBuserelinSignificance for Research
Half-life6-24 hours Shorter (specific value not provided)Influences dosing frequency
Dosage in mare study750 μg/0.5 ml 40 μg/10 ml Different effective concentrations
Luteotrophic actionPotentially stronger Comparative data limitedMay influence experimental outcomes
Administration routesImplant and injection Injection Impacts experimental design

In mares, plasma LH and progesterone concentrations significantly increased following Deslorelin treatment , suggesting potent stimulation of the hypothalamic-pituitary-gonadal axis during the initial phase.

When designing comparative studies, researchers should:

  • Consider standardizing for molar equivalence rather than mass

  • Implement consistent sampling schedules to capture potentially different pharmacokinetic profiles

  • Account for species-specific responses to different GnRH agonists

  • Consider the specific requirements of their experimental model regarding onset timing and duration

The choice between GnRH agonists should align with specific research objectives and practical considerations.

How does Deslorelin affect hormones beyond testosterone, and what are the implications for research?

While testosterone suppression is often the primary focus, Deslorelin's broader endocrine effects have important research implications:

In tom cats, 17β-estradiol concentrations significantly correlated with DHT concentrations (P<0.01) , demonstrating coordinated suppression of multiple sex hormones through Deslorelin's action on the hypothalamic-pituitary-gonadal axis.

In mares, intramuscular Deslorelin administration significantly increased both LH and progesterone concentrations within 8 hours .

These findings indicate that:

  • Deslorelin affects multiple endocrine pathways:

    • Direct effects on gonadotropins (LH, FSH)

    • Downstream effects on multiple sex steroids

    • Potential effects on related hormonal systems

  • Methodological implications:

    • Comprehensive hormonal profiling should include multiple hormones

    • Interpretation of results should consider interactive effects

    • Experimental designs targeting specific hormones must account for these broader effects

  • Research applications:

    • Models for conditions affected by multiple sex hormones

    • Investigation of hormonal feedback mechanisms

    • Studies of hormone-dependent behaviors

A multiplex approach to hormone measurement will provide the most comprehensive understanding of Deslorelin's effects in research contexts.

What parameters determine full reversal of Deslorelin's effects and how should recovery be monitored?

The reversibility of Deslorelin's effects is a key advantage for longitudinal research designs, but requires systematic monitoring across multiple parameters:

  • Hormonal recovery:

    • Return of testosterone/DHT to pre-treatment levels

    • In cats, DHT concentrations returned to preimplantation levels within 1 month after suppression ended

    • Restoration of normal hormonal patterns and pulsatility

  • Morphological recovery:

    • Testicular volume returning to baseline measurements

    • In rhesus macaques, testicular volumes at days 0 and 305 were not significantly different

    • In some macaques, testicular size began increasing around 6 months post-implantation

  • Histological recovery:

    • Restoration of Leydig cell morphology

    • Return of seminiferous tubule diameter to normal range

    • Reestablishment of normal spermatogenesis

  • Behavioral and functional recovery:

    • Return of sexually dimorphic behaviors

    • Restoration of fertility if relevant to research questions

A comprehensive monitoring protocol would track these parameters from baseline through treatment and recovery phases. The research indicates full reversal typically occurs, but with significant individual variation in timeline .

Product Science Overview

Chemical Structure and Properties

Deslorelin is a peptide with the chemical formula C64H83N17O12 and a molar mass of approximately 1282.47 g/mol . It is a GnRH superagonist, meaning it has a much higher potency compared to natural GnRH .

Mechanism of Action

Deslorelin works by initially stimulating the release of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) from the pituitary gland. This initial surge is followed by a downregulation of GnRH receptors, leading to a decrease in LH and FSH levels over time . This mechanism is utilized to control reproductive functions in animals.

Veterinary Uses

Deslorelin is used in various species, including horses, dogs, and ferrets. Some of its primary applications include:

  • Inducing Ovulation: In mares, deslorelin is used to induce ovulation, allowing for optimal timing of artificial insemination .
  • Managing Reproductive Functions: In dogs, it is used to manage reproductive functions and can be used to prevent pregnancy .
  • Treating Adrenal Disease: In ferrets, deslorelin is used to manage adrenal disease .
Commercial Forms

Deslorelin is available under several brand names, including Suprelorin and SucroMate . These products are typically administered as implants or injectable suspensions.

Regulatory Status

In the United States, deslorelin is FDA-approved for use in mares and ferrets. Its use in other species or for other indications is considered off-label and is subject to regulatory restrictions .

Preparation and Administration

Deslorelin is administered either intramuscularly or subcutaneously. The implants release the hormone over a period of time, typically around 72 hours . It is important to follow veterinary guidance for proper administration and dosage.

Side Effects and Precautions

Common side effects include swelling, sensitivity, and redness at the injection site. In rare cases, prolonged estrus and uterine infections have been reported in dogs . Pregnant women or those intending to become pregnant should handle deslorelin with caution to avoid direct contact with the medication .

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