Lytic peptide Hecate (23-amino acid (AA)) fused with a 15-AA fragment of human chorionic gonadotropin-b (CG-b), Hecate-CGb conjugate (H-CGb-c) selectively binds to and destroys tumor cells expressing LH/chorionic gonadotropin receptor (Lhcgr). Transgenic mice (6.5 month old) expressing SV40 T-antigen under the inhibin-a promoter (inha/Tag) presenting with Lhcgr expressing adrenal tumors were treated either with H-CGb-c, GnRH antagonist (GnRH-a), estradiol (E 2 ; only females) or their combinations for 1 month. We expected that GnRH-a or E 2 in combination with H-CGb-c could improve the treatment efficacy especially in females by decreasing circulating LH and eliminating the potential competition of serum LH with the H-CGb-c. GnRH-a and H-CGb-c treatments were successful in males (adrenal weights 14G2.8 mg and 60G26 vs 237G59 mg in controls; P!0.05). Histopathologically, GnRH-a apparently destroyed the adrenal parenchyma leaving only the fibrotic capsule with few necrotic foci. In females, H-CGb-c was totally ineffective, whereas GnRH-a (19G5 mg) or E 2 (77G50 mg) significantly reduced the adrenal weights compared with controls (330G70 mg). Adrenal morphometry, cell proliferation markers, post-treatment suppression of serum progesterone, and quantitative RT-PCR of GATA-4, Lhcgr, and GATA-6 further supported the positive outcome. H-CGb-c selectively killed the Lhcgr expressing tumor cells, whereas GnRH-a blocked tumor progression through gonadotropin suppression, emphasizing the gonadotropin dependency of these adrenocortical tumors. If extrapolated to humans, H-CGb-c could be considered for the treatment of gonadotropin-dependent adrenal tumors in males, whereas in females gonadotropin suppression, but not H-CGb-c, would work better.