Urocortins, three paralogs of the stress-related peptide corticotropin-releasing factor (CRF) found in bony fish, amphibians, birds and mammals, have unique phylogenies, pharmacologies, and tissue distributions. As a result and despite a structural family resemblance, the natural functions of urocortins and CRF in mammalian homeostatic responses differ substantially. Endogenous urocortins are neither simply counterpoints nor mimics of endogenous CRF action. In their own right, urocortins may be clinically relevant molecules in the pathogenesis or management of many conditions, including congestive heart failure, hypertension, gastrointestinal and inflammatory disorders (irritable bowel syndrome, active gastritis, gastroparesis, rheumatoid arthritis), atopic/ allergic disorders (dermatitis, urticaria, asthma), pregnancy and parturition (preeclampsia, spontaneous abortion, onset and maintenance of effective labor), major depression and obesity. Safety trials for intravenous urocortin treatment have already begun for the treatment of congestive heart failure. Further understanding the unique functions of urocortin 1, urocortin 2 and urocortin 3 action may uncover other therapeutic opportunities.
KeywordsUrocortin 1 or urocortin 2 or urocortin 3 or stresscopin or stresscopin-related peptide; corticotropinreleasing factor or CRF or corticotropin-releasing hormone or CRH or corticoliberin; stress response; peptide; anxiety or depression; pregnancy; labor or parturitition; food intake or energy balance or obesity; inflammation or immune system; salt or fluid balance; cardiovascular or hypertension or heart failure; gastrointestinal motility or irritable bowel syndrome