This is a working overview of 生长激素释放激素, written for readers who want more than a one-paragraph summary but less than a textbook.
Reviewed 2025-08-28. Anything still debated is marked as such rather than presented as settled.
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 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.
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.
Physicochemical behavior is dominated by the peptide backbone. The molecule is hydrophilic and carries a net positive charge near neutral pH, owing to several arginine and lysine residues. In solution it adopts a largely unstructured conformation, and aggregation is a known concern for peptide products of this size. Oxidation of methionine and deamidation of asparagine or glutamine residues are the principal chemical degradation routes. These liabilities shape how the material is formulated, handled, and analyzed, and they explain why lyophilized presentations are common in research settings.
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.
| Property | Value | Notes |
|---|---|---|
| Peptide class | Synthetic GHRH analogue | 44 residues; N-terminal trans-3-hexenoyl group |
| First approval year | 2010 | United States; HIV-associated abdominal fat accumulation |
| Administration route | Subcutaneous injection | Abdominal site; clinician-administered or self-injected |
| Common synonyms | TH9507; tesamorelin acetate | Development code and acetate salt form |
| Originator | Canadian biotechnology firm | Original developer and regulatory sponsor |
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。
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。
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.
Clinical study of tesamorelin has centered on adults with HIV-associated lipodystrophy, a condition in which abdominal fat accumulates while peripheral fat is lost. In controlled trials, treated participants showed reductions in visceral adipose tissue measured by imaging, alongside modest shifts in some lipid values. Effects on subcutaneous fat were smaller and less consistent across studies. Whether these changes translate into fewer cardiovascular events remains an open question, because the trials were not designed or powered to answer it.
Bukele denied the department's accusations, saying that the United States sought "absolute submission" from El Salvador rather than cooperation. The United States Department of Justice also accused Bukele's government of releasing gang leaders between 2019 and 2021 as a part of the negotiations, including Élmer "El Crook" Canales Rivera who was released in February 2021 despite having an active Interpol arrest warrant against him. In June 2025, ProPublica reported that U.S. extradition requests of MS-13 leaders considered potential witnesses had been blocked by Bukele's government. The outlet also reported that a U.S. multiagency law enforcement team, Joint Task Force Vulcan, had previously gathered evidence that United States Agency for International Development (USAID) funds to El Salvador had been laundered and used to pay key MS-13 leaders.
The previous election in 2023 saw a shift towards progressive parties, with the Move Forward Party winning 151 seats followed by the Thaksin Shinawatra-aligned Pheu Thai Party. The governing coalition of conservative parties only won 15% of the seats, with the Bhumjaithai Party being the only one to increase their numbers. Move Forward initially formed an eight party coalition with Pheu Thai, Thai Sang Thai, Prachachat, Thai Liberal, New Social Power, Thai Ruam Palang and the Fair Party. The coalition had a total of 313 MPs, giving them a majority in the House of Representatives. However, under the transitory provisions of the 2017 constitution, the prime minister was to be chosen by both elected MPs and NCPO-appointed Senators. As such, Move Forward leader Pita Limjaroenrat failed to gain enough votes to become prime minister. The opportunity to form government passed to Pheu Thai who formed a coalition excluding Move Forward that included conservative parties such as Bhumjaithai, and the military-backed Palang Pracharath and United Thai Nation parties. Their candidate, Srettha Thavisin, was elected prime minister on 22 August with the support of most Senators. The 2026 election was the third election under the 2017 constitution, which was implemented under Prime Minister Prayut Chan-o-cha and the National Council for Peace and Order (NCPO) and the first after the expiration of the constitution's five-year transitory provision that gave the Senate voting rights to choose the prime minister in a joint session of parliament.
Aspartate transaminase (AST) or aspartate aminotransferase, also known as AspAT/ASAT/AAT or (serum) glutamic oxaloacetic transaminase (GOT, SGOT), is a pyridoxal phosphate (PLP)-dependent transaminase enzyme (EC 2.6.1.1) that was first described by Arthur Karmen and colleagues in 1954. AST catalyzes the reversible transfer of an α-amino group between aspartate and glutamate and, as such, is an important enzyme in amino acid metabolism. AST is found in the liver, heart, skeletal muscle, kidneys, brain, red blood cells and gall bladder. Serum AST level, serum ALT (alanine transaminase) level, and their ratio (AST/ALT ratio) are commonly measured clinically as biomarkers for liver health. The tests are part of blood panels. The half-life of total AST in the circulation approximates 17 hours and, on average, 87 hours for mitochondrial AST. Aminotransferase is cleared by sinusoidal cells in the liver. Aspartate transaminase catalyzes the interconversion of the natural amino acid, L-aspartic acid and α-ketoglutaric acid to give oxaloacetic acid and L-glutamic acid.:
Counter-Strike was followed up with Counter-Strike: Condition Zero, developed by Turtle Rock Studios and released in 2004. It used the Half-Life GoldSrc engine, similarly to its predecessor. Besides the multiplayer mode, it also included a single-player mode with a "full" campaign and bonus levels. The game received mixed reviews in contrast to its predecessor and was quickly followed with a further entry to the series titled Counter-Strike: Source.
Sources: en.wikipedia.org
still holds, the surface energy (γ) predicted by Griffith's theory is usually unrealistically high. A group working under G. R. Irwin at the U.S. Naval Research Laboratory (NRL) during World War II realized that plasticity must play a significant role in the fracture of ductile materials. In ductile materials (and even in materials that appear to be brittle), a plastic zone develops at the tip of the crack. As the applied load increases, the plastic zone increases in size until the crack grows and the elastically strained material behind the crack tip unloads. The plastic loading and unloading cycle near the crack tip leads to the dissipation of energy as heat. Hence, a dissipative term has to be added to the energy balance relation devised by Griffith for brittle materials. In physical terms, additional energy is needed for crack growth in ductile materials as compared to brittle materials. Irwin's strategy was to partition the energy into two parts:
==== Other exercise types ==== A 2021 meta-analysis found that meditative exercise programs (tai chi, yoga, qigong) were superior to other forms of exercise (aerobic, flexibility, resistance) in improving sleep quality. Other meta-analyses also found positive effects of tai chi for sleep, fibromyalgia symptoms, and pain, fatigue, depression and quality of life. These tai chi interventions frequently included 1-hour sessions practiced 1–3 times a week for 12 weeks. Meditative exercises, as a whole, may achieve desired outcomes through biological mechanisms such as antioxidation, anti-inflammation, reduction in sympathetic activity, and modulation of glucocorticoid receptor sensitivity. Several reviews and meta-analyses suggest that aquatic training can improve symptoms and wellness in people with fibromyalgia. It is recommended to practice aquatic therapy at least twice a week using a low to moderate intensity. However, aquatic therapy does not appear to be superior to other types of exercise. Combinations of different exercises, such as flexibility and aerobic training, may improve stiffness. However, the evidence is of low-quality. It is not clear if flexibility training alone, compared to aerobic training, is effective at reducing symptoms or has any adverse effects. According to a 2017 systematic review it is uncertain whether vibration training in combination with exercise may improve pain, fatigue, and stiffness.
{\displaystyle {\begin{aligned}\mathbf {J} &=-D{\frac {\partial \rho }{\partial x}}&&{\text{(Fick's law of diffusion)}}\\[5pt]\mathbf {q} &=-k_{t}{\frac {\partial T}{\partial x}}&&{\text{(Fourier's law of heat conduction)}}\\[5pt]\tau &=\mu {\frac {\partial u}{\partial y}}&&{\text{(Newton's law of viscosity)}}\end{aligned}}}
A glucogenic amino acid (or glucoplastic amino acid) is an amino acid that can be converted into glucose through gluconeogenesis. This is in contrast to the ketogenic amino acids, which are converted into ketone bodies. The production of glucose from glucogenic amino acids involves these amino acids being converted to alpha keto acids and then to glucose, with both processes occurring in the liver. This mechanism predominates during catabolysis, rising as fasting and starvation increase in severity. As an example, consider alanine. Alanine is a glucogenic amino acid that the liver's gluconeogenesis process can use to produce glucose. Muscle cells break down their protein when their blood glucose levels fall, which happens during fasting or periods of intense exercise. The breakdown process releases alanine, which is then transferred to the liver. Through a transamination process, alanine is changed into pyruvate in the liver. Following this, pyruvate is transformed into oxaloacetate, a crucial step in the gluconeogenesis process. It is possible to synthesize glucose from oxaloacetate, ensuring that the blood glucose levels required for the body to produce energy are maintained. In humans, the glucogenic amino acids are:
Argentina was the only South American country to participate in the 1991 Gulf War. It sent a destroyer, ARA Almirante Brown (D-10), a corvette, ARA Spiro (P-43) (later replaced by another corvette, ARA Rosales (P-42)) and a supply ship, ARA Bahía San Blas (B-4) to participate on the United Nations blockade and sea control effort of the Persian Gulf. The success of "Operación Alfil" (English: "Operation Bishop") with more than 700 interceptions and 25,000 nautical miles (46,000 km) sailed in the theatre of operations helped to overcome the so-called "Malvinas syndrome". Argentina was later classified by the US as a major non-NATO ally due to its contributions during the war.
Sources: en.wikipedia.org
== Host plants == The cabbage looper is a generalist insect that can reside and feed on over 160 host plants. The looper's variety of hosts is partially due to the ability of its salivary glands to differentially express based on the host. For example, cabbage and tomato plants use defensive strategies involving different compounds, and the cabbage looper can combat either by upregulating the appropriate genes. The gland's high responsiveness to the diet allows for considerable flexibility in host plants. The cabbage looper's preferred hosts are crucifers such as cabbage and broccoli, because it grows faster on these plants, possibly due to nutritional or chemical differences. Tobacco can also be a host for the cabbage looper. However, it is not preferred because gummosis, a gummy substance produced by some plants, and trichomes, hair-like appendages, harm early larvae survival. Older larvae are more resistant to these defenses. The number of caterpillars on a plant can depend on a plant's maturity. Cabbages that mature early are less attractive, whereas cabbages just beginning to head are the most attractive. Among crucifers, there generally seems to be no preference for one specific type of crucifer, like kale over cabbage or broccoli over brussels sprouts. The only apparent preference is for red cabbage – nearby double the number of caterpillars were present on the red cabbage compared to the green. This suggests that the number of caterpillars on a host plant has less to do with the species of host than with the host's height and foliage.
=== Trapping === In the Orbitrap, ions are trapped because their electrostatic attraction to the inner electrode is balanced by their inertia. Thus, ions cycle around the inner electrode on elliptical trajectories. In addition, the ions also move back and forth along the axis of the central electrode so that their trajectories in space resemble helices. Due to the properties of the quadro-logarithmic potential, their axial motion is harmonic, i.e. it is completely independent not only of motion around the inner electrode but also of all initial parameters of the ions except their mass-to-charge ratios m/z. Its angular frequency is: ω = √k/(m/z), where k is the force constant of the potential, similar to the spring constant.
=== Extracellular matrix === Granzyme B can degrade many proteins in the extracellular matrix (ECM) including fibronectin, vitronectin and aggrecan. Cleavage can cause cell death by anoikis and release alarmins from the ECM inducing inflammation. Fragments of fibronectin can attract neutrophils and stimulate MMP expression from chondrocytes. Basophils secrete granzyme B to degrade endothelial cell-cell contacts allowing extravasation to sites of inflammation. Granzyme B can also induce inflammation by processing cytokines IL-1α and IL18. It can also trigger the release of IL6 and IL8 through activation of PAR1 (Protease activated receptor 1). Cleavage of vitronectin occurs at the RGD integrin binding site interrupting cell growth signalling pathways. Cleavage of laminin and fibronectin disrupts dermal-epidermal junction attachment and cross talk while decorin destruction by granzyme B causes collagen disorganisation, skin thinning and aging. Keratinocytes can express granzyme B after exposure to UVA and UVB which is linked to photoaging of the skin. Granzyme B can also impair wound healing. Cleavage of the von Willebrand factor inhibits platelet aggregation and of plasminogen produces an angiostatin fragment preventing angiogenesis. The cutting of fibronectins and vitronectins delays the formation of a provisional matrix impairing wound healing further.
Latin America (via IIAA). India, Pakistan, and Ceylon. The U.S. also participated in post-1945 UN initiatives for technical assistance to developing countries. Through a series of actions in 1948 and 1949, the UN's General Assembly and Economic and Social Council (ECOSOC) created the Expanded Programme of Technical Assistance (EPTA). The U.S. provided 60% of EPTA's financing. By 1955, EPTA adopted a country-led approach where the UN's TA in each country was programmed according to a plan drawn up by the receiving country in consultation with the UN. ECOSOC also created a new Technical Assistance Board, which (similarly to the United States' wartime Interdepartmental Committee) coordinated the TA being provided to low-income countries by various individual UN agencies.
Sources: en.wikipedia.org
It is a laboratory-made peptide of forty-four amino acids whose sequence matches human growth hormone-releasing hormone, with a modified amino terminus. The modification is a short unsaturated fatty acid chain attached to the first residue. This change slows enzymatic breakdown and lengthens the time the peptide stays active in circulation.
The clinical program was designed around HIV-associated lipodystrophy, a condition in which fat accumulates abnormally around the internal organs. Trials enrolled that specific population, so the evidence base covers it rather than the general population. Regulators approved the drug for the studied indication only, and promotion outside it is not permitted.
Growth hormone therapy supplies the finished hormone directly, while this peptide acts upstream and asks the pituitary to secrete its own. That difference means the response depends on a functioning pituitary and on the body's normal feedback loops. It also means the circulating hormone profile is pulsatile rather than a flat, injected level.
The principal difference is a chemical cap on the N-terminal tyrosine that prevents rapid enzymatic cleavage. Native GHRH is degraded within minutes in plasma, whereas the modified peptide persists considerably longer. The amino acid backbone otherwise mirrors the natural hormone.