Peptide directoryBrain, hypothalamus & pituitary

RFRP-3

The mammalian gonadotropin-inhibitory hormone, which puts the brakes on GnRH.

Where it comes from

Made in
The dorsomedial hypothalamus
Sent out by
Stress, through glucocorticoids; the seasons, through melatonin; falls before the LH surge
Acts on
  • GnRH neurons and kisspeptin neurons
  • Pituitary gonadotrophs
  • Gonads directly

What it does

  • Inhibits GnRH neurons and LH release, the opposite of kisspeptin 1
  • Carries stress and season into the reproductive axis 3
  • Reduces sexual motivation in rodents

In medicine

  • No medicine. In the one human study an infusion lowered overall LH output in five postmenopausal women without changing the LH pulses, and in four men it did not blunt kisspeptin-driven LH 2
  • It is not measured in people, and no assay for it is offered: the human work gave the peptide rather than measured it 2

Beyond the body’s own use

  • It is studied as a non-steroidal route to suppress reproduction, and as the signal that carries stress and the seasons into the reproductive axis; nothing has gone beyond that single-dose human infusion 2
  • Nothing containing it is approved or obtainable outside the laboratory
  • The gap between species is the problem. In birds and seasonal mammals gonadotropin-inhibitory hormone has clear effects on reproduction; in people a dose that worked in animals barely moved LH, so whether humans use this brake at all is unsettled 12

Sources

  1. Tsutsui et al., A novel avian hypothalamic peptide inhibiting gonadotropin release, Biochemical and Biophysical Research Communications 2000
  2. George et al., Effect of gonadotropin-inhibitory hormone on luteinizing hormone secretion in humans, Clinical Endocrinology 2017
  3. Tsutsui et al., Gonadotropin-inhibitory hormone, a key neurohormone of reproduction, Frontiers in Neuroendocrinology 2021

This card describes what a medicine is for and what the evidence says; it recommends nothing. Talk to your clinician about anything you read here.