Everything below concerns dual agonist. We keep the language plain, cite what the science says, and separate well-supported claims from open questions.
Updated 2025-08-16. Numbers and descriptions here follow the published literature rather than marketing material.
Tirzepatide is a synthetic peptide that activates both the glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptors. This dual agonist profile distinguishes it from earlier incretin-based compounds that act on a single receptor. The molecule was engineered from the native GIP sequence and carries several non-natural residues that slow enzymatic breakdown. Researchers designed it to combine the insulinotropic effects of GIP signaling with the appetite and gastric-emptying effects associated with GLP-1 activation.
Development of tirzepatide took place under a research program that sought to test whether simultaneous engagement of two incretin receptors would produce greater metabolic effects than single-receptor agonism. Clinical trials were organized into the SURPASS series for type 2 diabetes and the SURMOUNT series for obesity and weight management. Regulatory clearance for type 2 diabetes came in 2022 in the United States, followed by approval for chronic weight management in 2023. The trial programs reported reductions in glycated hemoglobin and body weight relative to comparators, though long-term cardiovascular and durability data continue to accumulate.
Tirzepatide 是一种由 39 个氨基酸组成的合成肽，分子结构上以 GIP 序列为骨架并引入脂肪酸侧链修饰，使其能够同时与葡萄糖依赖性促胰岛素多肽（GIP）受体和胰高血糖素样肽-1（GLP-1）受体结合。这种双重激动特性使它在同类肽类药物中区别于选择性 GLP-1 受体激动剂。该分子最早由一家制药公司在 2010 年代报道，随后进入糖尿病与体重管理领域的临床研究。
在生理层面，GIP 与 GLP-1 均为肠道内分泌细胞分泌的肠促胰素，进食后参与胰岛素分泌调节与胃排空抑制。Tirzepatide 通过同时激活这两条信号通路，使胰岛素分泌的葡萄糖依赖性增强，并延缓冲胃排空、降低食欲信号。与单一 GLP-1 激动相比，双靶点作用在血糖控制和体重变化上的效应幅度更大，但具体贡献比例仍在研究之中。
| Property | Value | Notes |
|---|---|---|
| Molecular class | Modified synthetic peptide | 39-residue backbone with non-natural residues |
| Receptor targets | GIP and GLP-1 | Dual incretin receptor agonist |
| Approximate molecular mass | 4,813 Da | Calculated from the peptide sequence |
| Administration route | Subcutaneous injection | Weekly schedule in approved products |
| Albumin binding | Present | Mediated by a C20 fatty diacid side chain |
Tirzepatide is a synthetic peptide built from thirty-nine amino acids. Its sequence is derived from native glucose-dependent insulinotropic polypeptide, or GIP, with several non-natural residues and a fatty diacid side chain attached through a linker. The molecule behaves as a dual agonist at two incretin receptors, GIP and GLP-1, instead of targeting a single receptor. This dual engagement separates it from earlier single-receptor incretin compounds and underpins most of its reported pharmacological activity.
At the receptor level, the compound binds both GIP and GLP-1 receptors and triggers downstream signalling that raises cyclic AMP in target cells. GLP-1 receptor activation is associated with glucose-dependent insulin release, slower gastric emptying, and reduced appetite signalling. GIP receptor activation contributes effects that are less completely characterised, and how much each receptor adds to the overall clinical response is still an open question. The two pathways appear to interact in a complementary rather than a purely additive way.
An extended fatty diacid moiety promotes binding to serum albumin, which slows renal clearance and extends the circulating half-life to roughly five days. That property supports once-weekly administration and largely explains the dosing interval described in clinical reports. Published data come mainly from large randomised programmes that evaluated glycaemic control and body weight over periods of many months. Long-term outcomes beyond those trial windows, including what happens after treatment stops, remain an active area of investigation.
Tirzepatide is a synthetic peptide developed as a dual agonist at the glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptors. Its structure is built on a GIP-derived backbone with non-natural amino acid substitutions and a fatty diacid side chain that promotes albumin binding and slows clearance. That modification supports once-weekly subcutaneous dosing. Registrational trial programs reported reductions in body weight and glycated hemoglobin alongside the drug's glycemic effects.
Both receptors are class B G protein-coupled receptors that signal largely through Gs-mediated cyclic AMP production. Activation within pancreatic islets increases glucose-dependent insulin secretion and suppresses glucagon release when glucose is elevated. Outside the pancreas, signaling in the central nervous system and gut appears to influence appetite and gastric emptying. The relative contribution of each receptor to observed clinical effects remains under investigation, and the two pathways are not simply additive in practice.
Reported outcomes in large trials include dose-dependent weight reduction and improvements in glycemic markers over periods ranging from several months to more than a year. Whether the compound alters long-term cardiovascular or renal outcomes is being examined in dedicated outcome studies, so those questions remain open. Labeling describes gastrointestinal effects such as nausea and diarrhea, which tend to appear during dose escalation. Discontinuation rates and the durability of effects after treatment stops vary across study populations and are still debated.
In Thailand, soy sauce is called sii-íu (Thai: ซีอิ๊ว). Sii-íu kǎao (Thai: ซีอิ๊วขาว, 'white soy sauce') is used as regular soy sauce in Thai cuisine, while sii-íu dam (Thai: ซีอิ๊วดำ, 'black soy sauce') is used primarily for colour. Another darker-coloured variety, sii-íu wǎan (Thai: ซีอิ๊วหวาน, 'sweet soy sauce') is used for dipping sauces. Sɔ́ɔt prung rót (Thai: ซอสปรุงรส, 'seasoning sauce') is also commonly used in modern Thai cuisine.
Prior to 1987, the South African government was reluctant to become directly involved with its UNITA's internal struggle with Luanda, other than providing that movement with arms and some limited air and artillery support. Nevertheless, Botha recognised that if Jamba fell, the buffer provided by UNITA's presence in southern Angola would collapse with it, and FAPLA would allow PLAN to gain direct access to its territory contiguous to the border. This would make PLAN infiltration of northern South West Africa almost impossible to check, especially in the Caprivi Strip and Kavangoland. As Cuban and MK sources had predicted, the commitment of regular ground troops alongside UNITA was authorised, albeit on the condition that strict control would be exercised over combat operations at the highest level of government to ensure that political and diplomatic requirements meshed with the military ones. The SADF took advantage of FAPLA's numerous delays to assemble a blocking force strong enough to stop the FAPLA drive on Mavinga. By the end of August, South Africa's expeditionary forces near Mavinga had built up to include 32 Battalion, 101 Battalion of the SWATF, and its elite 61 Mechanised Battalion Group. There were three major rivers and nine tributaries between Cuito Cuanavale and Mavinga. Although none of the rivers were especially large, all the prospective crossing points were adjacent to vast expanses of swamps and waterlogged flood plains. These stalled the FAPLA advance and permitted the SADF to create effective choke points which further hampered FAPLA's progress.
nickase Another name for a nicking enzyme, especially one that has been artificially engineered to create single-stranded breaks (i.e. nicks) by altering the cleavage activity of an endonuclease that normally creates double-stranded breaks, e.g. Cas9 nickase (nCas9).
Release and suppression of growth hormones such as auxin. UV screens to protect against ionizing radiation and to provide coloration (plant pigments). Deterrence of herbivores (sensory properties). Prevention of microbial infections (phytoalexins). Signaling molecules in ripening and other growth processes. In some woods can explain their natural preservation against rot. Flax and Myriophyllum spicatum (a submerged aquatic plant) secrete polyphenols that are involved in allelopathic interactions.
Sources: en.wikipedia.org
Temple University's College of Science and Technology houses,the departments of Biology, Chemistry, Computer & Information Sciences, Earth & Environmental Science, Mathematics, and Physics. It has 200 faculties and 4000 undergraduates and graduate students. Michael L. Klein is dean of the college, and Laura H. Carnell is the Professor. It was founded in 1998 from the science departments, which was then the College of Arts and Sciences. The College of Science and Technology offers bachelor's, master's, and doctoral degrees in all six departments as well as science with teaching bachelor's degrees through the TUteach program, based on the UTeach program.
=== Occlusion and hydration === Silicone gel sheets occlude and hydrate the stratum corneum of the treated skin area. The stratum corneum normally conserves water and acts as a barrier to microbial infection. Its function can be disrupted by wound formation. The stratum corneum of hypertrophic scars and keloids absorbs more water than normal skin, depleting the water supply from the stratum corneum. Excessive dehydration of keratinocytes stimulates cytokine production, leading to increased collagen production. After applying the sheet, the rate of water loss via evaporation of the treated skin area is half of the untreated area. Therefore, the sheet prevents the drying up of stratum corneum, and thus further collagen production. Collagen production exacerbates the growth of hypertrophic scars and keloids and thus should be avoided. Hydrating a scar over a prolonged period can also relieve symptoms such as itching and pain. Such an effect is likely due to decreased capillary activity and thus local collagen deposition.
==== Duration of action ==== Oral oxycodone has a half-life of 4.5 hours. The manufacturer of OxyContin (a controlled-release preparation of oxycodone), Purdue Pharma, claimed in its 1992 patent application that the duration of action of OxyContin is 12 hours in "90% of patients". Purdue has never performed any clinical studies in which OxyContin was given at more frequent intervals. In a separate filing, Purdue claimed that controlled-release oxycodone "provides pain relief in said patient for at least 12 hours after administration". However, in 2016, an investigation by the Los Angeles Times found that "the drug wears off hours early in many people", inducing symptoms of opiate withdrawal and intense cravings for OxyContin. One doctor, Lawrence Robbins, told journalists that over 70% of his patients would report that OxyContin would only provide 4–7 hours of relief. Doctors in the 1990s often would switch their patients to a dosing schedule of once every eight hours when patients complained that the duration of action for OxyContin was too short to be taken only twice a day. Purdue strongly discouraged the practice: Purdue's medical director Robert Reder wrote to one doctor in 1995 that "OxyContin has been developed for [12-hour] dosing...I request that you not use a [8-hourly] dosing regimen." Purdue repeatedly released memos to its sales representatives ordering them to remind doctors not to deviate from a 12-hour dosing schedule. One such memo read, "There is no Q8 dosing with OxyContin... [8-hour dosing] needs to be nipped in the bud.
Sources: en.wikipedia.org
== Euler line == A triangle's Euler line goes through its orthocenter, its circumcenter, and its centroid, but does not go through its incenter unless the triangle is isosceles. For all non-isosceles triangles, the distance d from the incenter to the Euler line satisfies the following inequalities in terms of the triangle's longest median v, its longest side u, and its semiperimeter s:
short arm Denoted in shorthand with the symbol p. In condensed chromosomes where the positioning of the centromere creates two segments or "arms" of unequal length, the shorter of the two arms of a chromatid. Contrast long arm.
Carbon nanotubes are modelled in a similar manner as traditional composites in which a reinforcement phase is surrounded by a matrix phase. Idealized models such as cylindrical, hexagonal and square models are common. The size of the micromechanics model is a function of the studied mechanical properties. The concept of representative volume element (RVE) is used to determine the appropriate size and configuration of the computer model to replicate the actual behavior of the CNT-reinforced nanocomposite. Depending on the material property of interest (thermal, electrical, modulus, creep), one RVE might predict the property better than the alternatives. While the implementation of the ideal model is computationally efficient, they do not represent microstructural features observed in scanning electron microscopy of actual nanocomposites. To incorporate realistic modeling, computer models are also generated to incorporate variability such as waviness, orientation and agglomeration of multiwall or single-wall carbon nanotubes.
Sources: en.wikipedia.org
It binds and activates both the GIP and GLP-1 receptors, making it a dual incretin receptor agonist. Single-receptor GLP-1 agonists act on one target only. The dual profile is the defining pharmacological feature of the molecule.
A fatty diacid side chain promotes reversible binding to serum albumin. This association slows renal clearance and protects the peptide from rapid enzymatic degradation. The result is a prolonged circulation time that supports weekly administration.
The first regulatory approval, for type 2 diabetes, was granted in the United States in 2022. An additional approval for chronic weight management followed in 2023. Availability and approved indications vary by country and are set by each national regulator.
它属于合成修饰肽，同时激动 GIP 与 GLP-1 两种肠促胰素受体。这类分子通常被称为双重肠促胰素受体激动剂，与选择性 GLP-1 激动剂在靶点范围上不同。