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Last reviewed on 2026-03-26. Where a claim depends on a specific study, the study is described rather than over-claimed.
The native hormone is produced in the hypothalamus and acts on the anterior pituitary. Binding of GHRH to its receptor stimulates synthesis and release of growth hormone into circulation. Because the analogue retains the receptor-binding region of the parent sequence, it engages the same receptor and triggers the same downstream signaling. The result is increased growth hormone secretion from pituitary cells, which in turn influences hepatic production of insulin-like growth factor 1. This axis is the basis for the compound's measured biological effects.
Interest in this peptide developed because native GHRH has a short circulating lifetime. The N-terminal modification slows cleavage by dipeptidyl peptidase IV, an enzyme that removes the first two residues of many peptides and terminates their activity. Slower degradation means a longer window of receptor stimulation per administration. This design logic parallels other modified peptide hormones, where a small chemical change at a vulnerable site yields a more durable molecule without altering the core mechanism of action.
The peptide is synthesized chemically rather than extracted from biological sources. Solid-phase synthesis builds the chain from the C-terminus toward the N-terminus, after which the hexenoyl group is attached. Purity is typically assessed by high-performance liquid chromatography, and identity is confirmed by mass spectrometry. Regulatory review of the finished product focuses on these analytical controls, since small deviations in sequence or modification can change biological activity. Questions about long-term effects on the pituitary axis remain areas of continued investigation.
Tesamorelin is a synthetic peptide that acts as an analog of growth hormone-releasing hormone, a natural hypothalamic signal. Its sequence corresponds to the forty-four amino acid form of the human hormone, with a small acyl group attached near the amino terminus. That modification slows enzymatic breakdown and extends the time the peptide remains active in circulation. The compound was developed as a pharmacological way to raise endogenous growth hormone output rather than supplying the hormone directly.
After injection, the peptide binds receptors on somatotroph cells in the anterior pituitary. Receptor activation raises intracellular cyclic AMP and triggers release of stored growth hormone into the bloodstream. Because the compound works through the body's own regulatory system, growth hormone pulses retain much of their normal feedback control. Repeated administration also raises insulin-like growth factor 1, a hormone produced mainly in the liver. Investigators treat that rise as a marker that the pituitary axis has been engaged.
| Property | Value | Notes |
|---|---|---|
| Molecular formula | C221H366N72O67S | Reflects a 44-residue peptide with one N-terminal modification |
| Approximate molecular weight | 5136 Da | Sequence length and single acyl group determine the mass |
| Appearance | White to off-white lyophilized powder | Typical form of a purified synthetic peptide |
| Solubility class | Soluble in water and aqueous buffer | Peptide backbone favors aqueous dissolution |
| Common synonyms | GHRH(1-44) analogue; Egrifta | Descriptive name and approved brand name |
特沙莫瑞林是一种合成肽，其序列与人生长激素释放激素的 44 个氨基酸形式相关。它在 N 端带有反式-3-己烯酰基修饰，这一改动可减缓二肽基肽酶 IV 的降解。该化合物属于生长激素释放激素受体激动剂，可刺激垂体释放生长激素。研究文献通常将其归入合成肽类药物，而非小分子化合物。
监管记录显示，特沙莫瑞林于 2010 年在美国首次获得批准，用于人类免疫缺陷病毒感染相关的脂肪营养不良患者。批准依据来自降低内脏脂肪的临床试验，而非体重或瘦体重的普遍改善。后续出现了不同制剂版本，但其核心适应症保持一致。关于长期心血管结局和死亡率影响，现有证据仍不充分。
在临床研究之外，特沙莫瑞林常被讨论为生长激素分泌促进剂，但这一说法需要限定。它并不等同于生长激素本身，也不属于普通减重药物。部分研究关注其减少腹部脂肪和改善脂质谱的潜力，另一些研究则关注胰岛素抵抗和 IGF-1 升高等信号。这些效应的临床意义仍在评估中，尚未形成统一结论。
Tesamorelin is a synthetic peptide analog of growth hormone-releasing hormone, built from 44 amino acids. Its sequence follows the natural human GHRH(1-44) backbone, with a trans-3-hexenoyl group attached to the N-terminal tyrosine. This modification blocks recognition by dipeptidyl peptidase IV, the enzyme that rapidly truncates the native hormone in circulation. The result is a molecule with a substantially longer plasma residence time than unmodified GHRH, which makes it practical for clinical and laboratory study.
Receptor-level activity begins when the peptide binds the GHRH receptor, a class B G-protein-coupled receptor found on pituitary somatotroph cells. Occupancy triggers Gs-mediated activation of adenylyl cyclase and a rise in intracellular cyclic AMP, which in turn promotes synthesis and pulsatile release of growth hormone. Because the compound acts upstream of the growth hormone axis rather than supplying hormone directly, its effect depends on intact pituitary function. Binding studies in cell culture and animal models have established this pathway; the detailed kinetics of receptor recycling in humans remain less well characterized.
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.
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 是一种人工合成的四十四肽，序列与内源性生长激素释放激素（GHRH）的 1-44 片段一致，区别在于 N 端加接了一个反式-3-己烯酰基。该修饰抑制二肽基肽酶 IV 的快速切割，从而延长分子在循环中的存留时间。作为肽类分子，它难以经胃肠道吸收，文献中讨论的均是注射途径。分类上通常把它归为 GHRH 类似物，以区别于生长激素本身。
作用位置在垂体前叶。tesamorelin 与 GHRH 受体结合后激活腺苷酸环化酶，升高细胞内 cAMP，再经蛋白激酶 A 通路促进生长激素的合成与释放。由于它作用于内源调控节点，生长激素仍以脉冲方式分泌，而不是被持续抬升到固定水平。生长激素随后在肝脏等组织诱导胰岛素样生长因子 1 产生，构成完整的生长激素轴响应。
Randomized controlled trials show that clonidine monotherapy reduces core ADHD symptoms, including inattention, hyperactivity, impulsivity and disruptive behavior, compared with placebo. Medical reviews on the efficacy of non-stimulant medications for ADHD indicate that clonidine produces moderate effect sizes for core symptom reduction, which are smaller than the large effect sizes reported for psychostimulants. In contrast to the rapid onset seen with psychostimulant medications, clinically significant symptom improvement may be delayed by a few weeks. Reviews of alpha-2 agonists suggest that this drug class may be more effective for managing hyperactivity and impulsivity than for inattentive ADHD symptoms, and that long-term treatment efficacy has been documented more extensively for guanfacine than for clonidine. Unlike psychostimulants, clonidine is regarded as having no abuse potential due in part to a lack of dopaminergic activity along the mesolimbic pathway. Clonidine is also used as an add-on to psychostimulant medications in individuals who have a partial response to psychostimulants, cannot tolerate higher psychostimulant doses, or experience notable evening symptoms. In a randomized controlled trial of ADHD children with an incomplete response to psychostimulants, the addition of clonidine extended-release produced greater reductions in ADHD symptom scores than continuing psychostimulant monotherapy. α2 adrenoreceptor agonists may also improve symptoms in comorbidities of ADHD such as tic disorders, oppositional or aggressive behavior, and insomnia.
=== Disease === Disease can arise if the host's protective immune mechanisms are compromised and the organism inflicts damage on the host. Microorganisms can cause tissue damage by releasing a variety of toxins or destructive enzymes. For example, Clostridium tetani releases a toxin that paralyzes muscles, and staphylococcus releases toxins that produce shock and sepsis. Not all infectious agents cause disease in all hosts. For example, less than 5% of individuals infected with polio develop disease. On the other hand, some infectious agents are highly virulent. The prion causing mad cow disease and Creutzfeldt–Jakob disease invariably kills all animals and people that are infected. Persistent infections occur because the body is unable to clear the organism after the initial infection. Persistent infections are characterized by the continual presence of the infectious organism, often as latent infection with occasional recurrent relapses of active infection. There are some viruses that can maintain a persistent infection by infecting different cells of the body. Some viruses once acquired never leave the body. A typical example is the herpes virus, which tends to hide in nerves and become reactivated when specific circumstances arise. Persistent infections cause millions of deaths globally each year. Chronic infections by parasites account for a high morbidity and mortality in many underdeveloped countries.
=== 28 May === The Mayor of Kyiv, Vitali Klitschko, claimed that Russian drones attacked the Ukrainian capital. Two people were killed by falling drone debris, while a woman was injured. Two high-rise apartments were set on fire. The Ukrainian Air Force claimed that 58 out of 59 drones had been shot down, with more than 40 of them intercepted over Kyiv. Fires were reported in the Solomyanskyi, Holosiivskyi and Pecherskyi Districts. The attack came on the anniversary of Kyiv's founding in 482 AD. It was later described as Russia's largest drone attack on Kyiv since the war began. Air raid alerts were activated in 12 oblasts, from Volyn in the north-west to Dnipropetrovsk in the south-east. There were also reports of explosions in Zhytomyr, where at least 26 residential buildings were damaged as well as schools and medical units. Shelling was also reported in Sumy Oblast, which borders Russia, and in Nikopol, across the Dnipro River from the Zaporizhzhia Nuclear Power Plant. Russia said its air defences shot down several drones approaching the Ilsky oil refinery in Krasnodar Krai. The Ukrainian General Staff claimed that 80 Russian soldiers deserted their positions in Lysychansk, Luhansk Oblast, while 30 others deserted from Bakhmut. Valerii Zaluzhnyi, Commander-in-Chief of the Armed Forces of Ukraine, reported that all the preparations for the anticipated major counter-attack are complete and that they were only waiting for the decision to strike.
Sources: en.wikipedia.org
Cells are one of the main components for the success of tissue engineering approaches. Tissue engineering uses cells as strategies for creation/replacement of new tissue. Examples include fibroblasts used for skin repair or renewal, chondrocytes used for cartilage repair (MACI–FDA approved product), and hepatocytes used in liver support systems. Cells can be used alone or with support matrices for tissue engineering applications. An adequate environment for promoting cell growth, differentiation, and integration with the existing tissue is a critical factor for cell-based building blocks. Manipulation of any of these cell processes create alternative avenues for the development of new tissue (e.g., cell reprogramming - somatic cells, vascularization).
Instant coffee is a beverage derived from processed brewed coffee beans that is quickly prepared by adding hot water or milk to powdered solid coffee extracts. Instant coffee solids in powdered or crystallized form (also called soluble coffee, coffee extract, coffee crystals, coffee powder, or powdered coffee, and often sold as "instant coffee") refers to dehydrated and packaged solids used to make the instant coffee beverage. The product was invented in 1890 in Invercargill, Southland, New Zealand by David Strang. Instant coffee solids are commercially prepared by either freeze-drying or spray drying coffee beverage. Instant coffee is also manufactured in a concentrated liquid form. Instant coffee has advantages over coffee brewed from ground coffee beans including speed of preparation (instant coffee dissolves quickly in hot water), lower shipping weight and volume than beans or ground coffee for the same amount of beverage, and long shelf life—though instant coffee can spoil if not kept dry. However, the beverage made from ground coffee is considered to have superior quality and taste. Instant coffee also reduces cleanup since there are no coffee grounds. At least one study has found that instant coffee has a lower environmental footprint than drip filter coffee and capsule espresso coffee, on a prepared beverage basis, disregarding quality and appeal of the beverage produced. The global instant coffee market was valued at US$4.16 Billion in 2026.
To regain the military initiative, the adoption of mine warfare as an integral strategy of PLAN was discussed at a 1969–70 SWAPO consultative congress held in Tanzania. PLAN's leadership backed the initiative to deploy land mines as a means of compensating for its inferiority in most conventional aspects to the South African security forces. Shortly afterwards, PLAN began acquiring TM-46 mines from the Soviet Union, which were designed for anti-tank purposes, and produced some homemade "box mines" with TNT for anti-personnel use. The mines were strategically placed along roads to hamper police convoys or throw them into disarray prior to an ambush; guerrillas also laid others along their infiltration routes on the long border with Angola. The proliferation of mines in South West Africa initially resulted in heavy police casualties and would become one of the most defining features of PLAN's war effort for the next two decades. On 2 May 1971 a police van struck a mine, most likely a TM-46, in the Caprivi Strip. The resulting explosion blew a crater in the road about two metres in diameter and sent the vehicle airborne, killing two senior police officers and injuring nine others. This was the first mine-related incident recorded on South West African soil. In October 1971, another police vehicle detonated a mine outside Katima Mulilo, wounding four constables. The following day, a fifth constable was mortally injured when he stepped on a second mine laid directly alongside the first.
Sources: en.wikipedia.org
=== Nomenclature === The usage of Roman numerals rather than eponyms or systematic names was agreed upon during annual conferences (starting in 1955) of hemostasis experts. In 1962, consensus was achieved on the numbering of factors I–XII. This committee evolved into the present-day International Committee on Thrombosis and Hemostasis (ICTH). Assignment of numerals ceased in 1963 after the naming of Factor XIII. The names Fletcher Factor and Fitzgerald Factor were given to further coagulation-related proteins, namely prekallikrein and high-molecular-weight kininogen, respectively. Factor VI is unassigned, as accelerin was found to be activated Factor V.
The family struggled financially; however, their situation started improving once his father found employment in the accounting department at the Titan Wheels tire factory in Scarborough. Furthermore, in return for living in the house across the street from the factory, the family—primarily Carrey and his older brother—would work as janitors and security guards at the tire factory, doing eight-hour shifts from 6 pm into the next morning. Moving back to Scarborough, teenage Carrey started attending Agincourt Collegiate Institute before dropping out of school on his sixteenth birthday. He began to perform comedy in downtown Toronto while continuing to work at the factory. In a 2007 Hamilton Spectator interview, Carrey said, "If my career in show business hadn't panned out I would probably be working today in Hamilton, Ontario, at the Dofasco steel mill." As a young man, he could see the steel mills across the Burlington Bay and often thought that was "where the great jobs were."
Like many other anemones, S. helianthus can serve as a “hub” for mutualistic networks of species and has been documented to live in symbiosis with other organisms. Symbiosis refers to the close association between organisms of two different species, whereas at least one organism benefits. These symbiont organisms vary substantially and can include algal endosymbionts, such as zooxanthellae, anemone crabs and anemone shrimp. In specific, Symbiodinium spp. is zooxanthellae that has been investigated to establish complex relationships with sun anemones, even to the extent of coordinating cell cycles with hosts. Another endosymbiont is the Clibanarius tricolor, or the blue-legged hermit crab, which has been recorded to live in symbiosis in the Caribbean and Indo-Pacific Regions. This crab uses the surface of the anemone as a “microhabitat” and is protected from the anemone's harmful toxins by removable coverings on the surface of their bodies. Another largely-studied endosymbiont is the anemone shrimp. Hayes et al. reported cohabitation of sun anemones by Periclimenes rathbunae, also called sun anemone shrimp, in a random manner that may be directly influenced by anemone size in the West Indies. In a further study, Periclimenes yucatanicus, or spotted cleaner shrimp, were additionally observed in symbiosis with S. helianthus in the Florida Bay.
Sources: en.wikipedia.org
It shares the 44-residue sequence of human GHRH but carries an added trans-3-hexenoyl group at its N-terminus. That addition does not occur in the natural hormone and serves mainly to resist enzymatic breakdown. The receptor target and signaling pathway remain the same.
It binds the growth hormone-releasing hormone receptor on anterior pituitary cells. Activation of that receptor promotes synthesis and release of growth hormone. The effect propagates through the growth hormone and insulin-like growth factor 1 axis.
Native GHRH is cleared quickly by peptidases, which limits how long it can stimulate its receptor. The added group hinders one of the primary cleavage enzymes. The practical consequence is a longer period of receptor activity per dose.
It is a laboratory-made peptide that mimics growth hormone-releasing hormone. It prompts the pituitary gland to release growth hormone and has been studied mainly in adults with HIV-associated lipodystrophy.