The short version of Phase 3 trial fits in a sentence. The long version — which is the one that helps — is below.
Reviewed 2025-08-05. Anything still debated is marked as such rather than presented as settled.
Several related peptides act on the same receptor, including sermorelin, a shorter GHRH fragment, and modified analogs such as CJC-1295 and modified GRF(1-29) that are common in research settings rather than approved products. Tesamorelin differs from growth hormone itself in that it acts upstream, prompting the pituitary to release the hormone through physiological signaling rather than supplying it directly. Terminology in the literature distinguishes GHRH analogs, growth hormone secretagogues, and recombinant growth hormone, although popular discussion often blurs these categories together. Precise naming matters when comparing study results.
Tesamorelin is a synthetic peptide of 44 amino acids that reproduces the sequence of human growth hormone-releasing hormone (GHRH) and carries a trans-3-hexenoyl group on its N-terminal tyrosine. That small fatty-acid modification blocks cleavage by dipeptidyl peptidase-4, the enzyme that rapidly degrades native GHRH in plasma. The result is a molecule with a longer circulating half-life than the natural hormone while retaining the same receptor target. It is supplied as a lyophilized powder for reconstitution and belongs to the broader class of GHRH analogs studied for effects on pituitary growth hormone secretion.
Development work on the compound, originally designated TH9507, focused on conditions in which reduced growth hormone signaling is thought to contribute to altered body composition. The United States Food and Drug Administration approved it in 2010 for the treatment of excess visceral abdominal fat in adults with human immunodeficiency virus infection and lipodystrophy. Later research examined other populations, including adults with mild cognitive impairment, where a large trial did not meet its primary endpoints. This mixed record illustrates how a single mechanism can produce clear effects in one setting and inconclusive results in another.
研究用与临床用材料的标准并不相同。质量控制通常覆盖纯度、残留溶剂、反离子含量、微生物限度与内毒素水平，各项均有对应检测方法。随货文件应包含批号、检测项目、方法与结果，使数据可以追溯。核验时应关注纯度是否按主峰面积计算、杂质是否已定性、方法是否经过验证，这些信息决定结果能否被外部重复。
纯度与身份确认依赖色谱与质谱的组合。反相高效液相色谱在 214 nm 紫外检测下分离主峰与相关杂质，给出纯度百分比与保留时间；电喷雾或基质辅助激光解吸电离质谱提供分子量，用于确认 N 端修饰是否完整。序列层面可通过肽图或氨基酸分析验证。含量测定常用紫外吸收法或氮元素分析，不同方法之间需要做交叉校验。
| Property | Value | Notes |
|---|---|---|
| Molecular class | Synthetic 44-residue GHRH analog | Sequence matches human GHRH(1-44); differs only at the N-terminus |
| Nominal molecular mass | Approximately 5,136 Da (free base) | Small variation arises from counterion and salt form |
| Appearance | White to off-white lyophilized powder | Supplied in single-use vials intended for reconstitution |
| Solubility class | Freely soluble in water | Practically insoluble in nonpolar organic solvents |
| Typical storage | 2 to 8 degrees Celsius, protected from light | Reconstituted material is handled according to label instructions |
Regulatory approval in the United States came in 2010, when the Food and Drug Administration cleared the peptide for the reduction of excess abdominal fat in adults with HIV infection and associated lipodystrophy. The decision rested mainly on two randomized phase 3 trials that enrolled roughly eight hundred patients and ran for twenty-six weeks. Participants receiving active drug showed substantially greater declines in visceral adipose tissue than those receiving placebo, while total body weight changed comparatively little. A reformulated presentation was later approved, and the product has remained a niche therapy rather than a general weight-loss agent.
Tesamorelin occupies a narrow position among agents that act on the growth hormone axis. Unlike growth hormone itself, which is given as replacement, it stimulates the pituitary to release the hormone in pulses, so the downstream increase in insulin-like growth factor 1 depends on intact somatotroph function. Other peptides in the same family include shorter GHRH fragments and synthetic secretagogues with different stability profiles. Several points remain unresolved, including whether the reduction in visceral fat translates into fewer cardiovascular events, what happens to metabolic markers after long-term use, and how the drug compares with lifestyle or surgical approaches.
Tesamorelin is a synthetic peptide that belongs to the growth hormone-releasing hormone family and contains the same forty-four amino acid sequence as endogenous GHRH, extended at the amino terminus by a trans-3-hexenoyl group. That small fatty acid modification protects the peptide from rapid cleavage by dipeptidyl peptidase-4, the enzyme that shortens the half-life of native GHRH to only a few minutes. Chemically the compound is produced by solid-phase peptide synthesis, purified by chromatography, and supplied as a sterile lyophilized powder for reconstitution.
Tesamorelin binds the growth hormone–releasing hormone receptor on pituitary somatotroph cells. The receptor signals through the Gs protein, raising intracellular cAMP and activating protein kinase A. That cascade triggers release of stored growth hormone in pulses rather than a steady stream. Because the drug acts at the receptor that normally controls this process, its effect depends on the body's own signaling architecture rather than on a synthetic pathway. The resulting hormone profile reflects the timing of each pulse, not only its size.
Measured responses usually involve growth hormone and insulin-like growth factor 1, known as IGF-1. Growth hormone rises in bursts and is difficult to sample reliably, while IGF-1 shifts more slowly and can be assessed from a single blood draw. Studies therefore treat IGF-1 as the more practical pharmacodynamic marker. Both are indirect, showing that the receptor was engaged rather than that the peptide reached a particular concentration. Direct exposure measurement requires an assay aimed at the molecule itself.
== Decreased GFR == A decreased renal function can be caused by many types of kidney disease. Upon presentation of decreased renal function, it is recommended to perform a history and physical examination, as well as performing a renal ultrasound and a urinalysis. The most relevant items in the history are medications, edema, nocturia, gross hematuria, family history of kidney disease, diabetes and polyuria. The most important items in a physical examination are signs of vasculitis, lupus erythematosus, diabetes, endocarditis and hypertension. A urinalysis is helpful even when not showing any pathology, as this finding suggests an extrarenal etiology. Proteinuria and/or urinary sediment usually indicates the presence of glomerular disease. Hematuria may be caused by glomerular disease or by a disease along the urinary tract. The most relevant assessments in a renal ultrasound are renal sizes, echogenicity and any signs of hydronephrosis. Renal enlargement usually indicates diabetic nephropathy, focal segmental glomerular sclerosis or myeloma. Renal atrophy suggests longstanding chronic renal disease.
=== World War II === After the appointment of Adolf Hitler as chancellor in 1933, IG Farben cooperated with the National Socialist government, profiting from guaranteed volumes and prices and, in time, from forced ("unfree") labour provided through governmental concentration camps. BASF (leader of the chemical industry of the IG Farben) built a 24 km2 chemical factory in Auschwitz named "IG Auschwitz", the largest chemical factory in the world at the time. IG Farben became notorious through its production of Zyklon-B, the lethal gas used to kill prisoners in German extermination camps during the Holocaust. IG Farben made extensive use of forced labor during WWII consisting mostly of drafted "service-duty" Germans, foreign workers from German-occupied territories, and prisoners of war. By 1943, nearly one-half of all IG Farben workers were forced laborers housed in factory-camp facilities. This number did not include the 51,445 concentration camp laborers supplied by the Nazis. Spread out over 23 facilities, it is estimated that 31,500–33,500 of those concentration camp inmates were killed by authorities or died from starvation, exhaustion, or disease. The Ludwigshafen site was almost completely destroyed during the Second World War but was subsequently rebuilt. The allies dissolved IG Farben in November 1945. Both the Ludwigshafen and Oppau plants were of strategic importance for the war because the German military needed many of their products (e.g., synthetic rubber and gasoline). As a result, they were major targets for air raids.
=== Function in other bacteria === Many bacteria, including Escherichia coli found in the large intestine, can synthesize vitamin K2 (MK-7 up to MK-11), but not vitamin K1. In the vitamin K2 (menaquinone)–synthesizing bacteria, menaquinone transfers two electrons between two different small molecules during oxygen-independent metabolic energy production processes (anaerobic respiration). For example, a small molecule with an excess of electrons (also called an electron donor) such as lactate, formate, or NADH, with the help of an enzyme, passes two electrons to menaquinone. The menaquinone, with the help of another enzyme, then transfers these two electrons to a suitable oxidant, such as fumarate or nitrate (also called an electron acceptor). Adding two electrons to fumarate or nitrate converts the molecule to succinate or nitrite plus water, respectively. Some of these reactions generate a cellular energy source, ATP, in a manner similar to eukaryotic cell aerobic respiration, except the final electron acceptor is not molecular oxygen, but fumarate or nitrate. In aerobic respiration, the final oxidant is molecular oxygen, which accepts four electrons from an electron donor such as NADH to be converted to water. E. coli, as facultative anaerobes, can carry out both aerobic respiration and menaquinone-mediated anaerobic respiration.
Each T cell expresses clonal TCRs which recognize a specific peptide loaded on a MHC molecule (pMHC), either on MHC class II on the surface of antigen-presenting cells or MHC class I on any other cell type. A unique feature of T cells is their ability to discriminate between peptides derived from healthy, endogenous cells and peptides from foreign or abnormal (e.g. infected or cancerous) cells in the body. Antigen-presenting cells do not discriminate between self and foreign peptides and typically express a large number of self-derived pMHCs on their cell surface and only a few copies of any foreign pMHC. For example, cells infected with HIV have only 8–46 HIV-specific pMHCs, compared with 100,000 total pMHCs, per cell. Because T cells undergo positive selection in the thymus, there is a non-negligible affinity between self-pMHC and the TCR. Nevertheless, the T-cell receptor signaling should not be activated by self-pMHC so that endogenous, healthy cells are ignored by T cells. However, when these very same cells contain even minute quantities of pathogen-derived pMHC, T cells must get activated and initiate immune responses. The ability of T cells to ignore healthy cells but respond when these same cells express a small number of foreign pMHCs is known as antigen discrimination. To do so, T cells have a very high degree of antigen specificity, despite the fact that the affinity to the peptide/MHC ligand is rather low in comparison to other receptor types.
The human brain contains multiple regions, as does the spinal cord. There are multiple ways to divide the brain, including by the embryological development of the brain; into three parts: the cerebellum, brainstem, and cerebrum; the evolution of the brain; and cytoarchitecture, as in the case of Brodmann areas. A popular model of the 'triune brain' — comprising the reptilian complex (basal ganglia), the paleomammalian complex (limbic system), and the neomammalian complex (neocortex) — was formerly popular during the 1960s, though is now regarded as a myth. 'Limbic system' and associated terms, however, remain in neuroanatomical use, although some neuroscientists have argued against such use.
Sources: en.wikipedia.org
==== Music ==== MDMA and ecstasy have featured in a number of songs, including Miley Cyrus's "We Can't Stop", Jay-Z and Alicia Keys' "Empire State of Mind", Fujiya & Miyagi's "Seratonin Rushes", Soulwax's "E Talking", Nonpoint's "Double Stacked", Green Velvet's "La La Land", Primal Scream's "Don't Fight It, Feel It", The Streets' "Blinded by the Lights", The Shamen's "Ebeneezer Goode", Missy Elliott's "4 My People", Pulp's "Sorted for E's & Wizz" and Hot Chip's "Over and Over".
Some closely linked chordates and hemichordates, but that idea is now rejected. Combining such analyses with data from a small set of ribosome RNA genes eliminated some older ideas, but opened up the possibility that tunicates (urochordates) are "basal deuterostomes", surviving members of the group from which echinoderms, hemichordates and chordates evolved. Some researchers believe that, within the chordates, craniates are most closely related to cephalochordates, but there are also reasons for regarding tunicates (urochordates) as craniates' closest relatives. Since early chordates have left a poor fossil record, attempts have been made to calculate the key dates in their evolution by molecular phylogenetics techniques—by analyzing biochemical differences, mainly in RNA. One such study suggested that deuterostomes arose before 900 million years ago and the earliest chordates around 896 million years ago. However, molecular estimates of dates often disagree with each other and with the fossil record, and their assumption that the molecular clock runs at a known constant rate has been challenged. Traditionally, Cephalochordata and Craniata were grouped into the proposed clade "Euchordata", which would have been the sister group to Tunicata/Urochordata. More recently, Cephalochordata has been thought of as a sister group to the "Olfactores", which includes the craniates and tunicates. The matter is not yet settled.
In collaboration with Professor Jack Henion at Cornell University and Dr. Peter Dawson at the National Research Council of Canada, the first application of liquid chromatography-mass spectrometry-mass spectrometry (LC-MS-MS) was demonstrated on the TAGA 6000 in 1982. This proof of concept led to the development of the heated nebulizer LC interface for APCI, using pneumatic nebulization to allow the full LC flow to enter the ion source. In 1983, LC-MS-MS using ion evaporation, a spray method similar to electrospray but compatible with higher flow rates of up to 1 mL/min, was demonstrated on the TAGA 6000 but was not commercialized. The API III LC-MS-MS system introduced in 1989 provided both ion spray (developed by Bruins, Covey and Henion at Cornell University) and heated nebulizer LC inlets on a triple quadrupole platform based on the TAGA 6000 architecture. It was the second commercial LC-MS in the market, and the first that provided electrospray ionization. The atmospheric pressure spray methods of electrospray, ion spray and APCI which helped to drive the burgeoning LC-MS market are now available on a wide variety of MS platforms and from a variety of vendors. In 1998, the cryopump API III platform began to be replaced with turbo-molecular-pumped single and triple quadrupole mass spectrometer products that evolved from the API 2000 (benchtop) and API 3000 to the current API 7500 series.
Thursday of the Dead is a feast day shared by Christians and Druze in the Lebanon, it falls sometime between the Easter Sundays of the Catholic and Eastern Orthodox Christian traditions. It is a day on which the souls of the dead are honoured. Particularly popular among women in the region, this occasion highlights the shared cultural heritage between Arab Christians and Druze in Lebanon. Additionally, the baptism of children in accordance with Christian customs often took place within prominent Lebanese Druze families. Common surnames among Lebanese Christians and Druze include Abi-Lamma, Assaf, Atrash, Awar, Ballout, Barakat, Daou, Dergham, Faour, Farraj, Ghannam, Halabi, Harb, Hatoum, Hilal, Ibrahim, Jaber, Kadamani, Kadi, Malaeb, Nammour, Safadi, Saker, Saleh, Serhal, Shaya, Timani, Yaghi, and others.
Sources: en.wikipedia.org
=== Māori === The Māori-language 85-letter place name Taumatawhakatangihangakoauauotamateaturipukakapikimaungahoronukupokaiwhenuakitanatahu is the longest place name in English-speaking countries and second longest in the world, according to Wises New Zealand Guide and The New Zealand Herald.
=== Caucus memberships === Black Maternal Health Caucus Congressional Equality Caucus Congressional Asian Pacific American Caucus Congressional Progressive Caucus Congressional Arts Caucus Congressional Caucus on Macedonia and Macedonian-Americans Congressional Solar Caucus Congressional Ukraine Caucus Congressional Wildlife Refuge Caucus Medicare for All Caucus Blue Collar Caucus Problem Solvers Caucus Rare Disease Caucus United States–China Working Group
The first Pan-Slavic convention was held in Prague on June 2 through 16, 1848. The delegates at the Congress were specifically both anti-Austrian and anti-Russian. Still "the Right"—the moderately liberal wing of the Congress—under the leadership of František Palacký (1798–1876), a Czech historian and politician, and Pavol Jozef Šafárik (1795–1861), a Slovak philologist, historian and archaeologist, favored autonomy of the Slav lands within the framework of Austrian (Habsburg) monarchy. In contrast "the Left"—the radical wing of the Congress—under the leadership of Karel Sabina (1813–1877), a Czech writer and journalist, Josef Václav Frič, a Czech nationalist, Karol Libelt (1817–1861), a Polish writer and politician, and others, pressed for a close alliance with the revolutionary-democratic movement going on in Germany and Hungary in 1848. A national rebirth in the Hungarian "Upper Land" (now Slovakia) awoke in a completely new light, both before the Slovak Uprising in 1848 and after. The driving force of this rebirth movement were Slovak writers and politicians who called themselves Štúrovci, the followers of Ľudovít Štúr. As the Slovak nobility was Magyarized and most Slovaks were merely farmers or priests, this movement failed to attract much attention. Nonetheless, the campaign was successful as brotherly cooperation between the Croats and the Slovaks brought its fruit throughout the war. Most of the battles between Slovaks and Hungarians however, did not turn out in favor for the Slovaks who were logistically supported by the Austrians, but not sufficiently.
Sources: en.wikipedia.org
It is a synthetic peptide built from 44 amino acids arranged in the same order as human growth hormone-releasing hormone. A short fatty-acid chain, described as a trans-3-hexenoyl group, is attached to the first amino acid. The finished molecule is formulated as a sterile powder that is dissolved before use.
No. It is a releasing-factor analog that signals the pituitary gland to secrete growth hormone, whereas recombinant growth hormone is the hormone itself administered directly. The two are chemically distinct and act at different points in the same endocrine pathway. This distinction is often lost in informal discussion.
Native growth hormone-releasing hormone is broken down within minutes by dipeptidyl peptidase-4 in the bloodstream. Adding the hexenoyl group at the N-terminus shields the peptide from that enzyme. The modification does not change the receptor it targets, only how long the peptide survives in circulation.
多肽在反相柱上按疏水性差异分离，能有效区分主峰、缺失序列片段与氧化产物。配合紫外检测可获得可量化的纯度百分比，是肽类分析的常规手段。