pituitary axis comes up often in conversation and rarely with the context attached. Here we lay out the basics in order, then work through the practical considerations.
Last reviewed on 2026-08-01. Where a claim depends on a specific study, the study is described rather than over-claimed.
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.
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.
Signaling begins at the GHRH receptor, a class B G protein-coupled receptor displayed on somatotroph cells of the anterior pituitary. Receptor occupancy activates Gs proteins, which raise adenylyl cyclase activity and intracellular cyclic AMP, in turn driving protein kinase A dependent pathways. The downstream output is synthesis and pulsatile secretion of growth hormone into the bloodstream. Hepatic tissue and peripheral sites respond by increasing insulin-like growth factor 1 production. Somatostatin and IGF-1 itself supply negative feedback that caps the size and duration of each secretory burst.
Metabolic interest in this compound centers on fat distribution rather than on hormone levels alone. Imaging trials in adults with excess abdominal fat report reductions in visceral adipose tissue, while subcutaneous depots change comparatively little. Growth hormone and IGF-1 are presumed to carry the effect, but the separate contribution of each is not firmly established. Whether these changes persist after treatment stops, and whether they alter longer-term health outcomes, remain open questions that published work does not answer consistently.
Tesamorelin is a synthetic peptide of forty-four amino acids whose sequence reproduces human growth hormone-releasing hormone. Its distinguishing feature sits at the amino terminus, where a trans-3-hexenoyl group replaces the free amine. That acylation slows cleavage by dipeptidyl peptidase IV, an enzyme that otherwise removes the first two residues and inactivates the natural hormone quickly. The modified peptide therefore persists longer in circulation while keeping the same receptor target. It is handled as a lyophilized solid and dissolved shortly before use.
| 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 |
Tesamorelin is a synthetic peptide that belongs to the growth hormone-releasing hormone (GHRH) family. Its sequence corresponds to the fully active 44-amino-acid form of human GHRH, with a single structural modification: the addition of a trans-3-hexenoyl group at the N-terminus. That modification is not found in the naturally occurring hormone and was introduced deliberately during development to improve stability against enzymatic degradation. The compound is therefore best described as a stabilized analogue rather than a naturally occurring peptide.
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.
== Major products == The company's major products are: Humira (adalimumab) ($9 billion in 2024 revenues, 16% of total revenues), approved to treat autoimmune diseases including rheumatoid arthritis, juvenile idiopathic arthritis, psoriatic arthritis, plaque psoriasis, crohn's disease and ulcerative colitis and administered via injection; Skyrizi (Risankizumab) ($11.7 billion in 2024 revenues, 21% of total revenues), an interleukin-23 (IL-23) inhibitor also used to treat autoimmune diseases; Rinvoq (Upadacitinib) ($6.0 billion in 2023 revenues, 11% of total revenues), used to treat arthritis; and Botox ($6.0 billion in 2024 revenues, 11% of total revenues). Its other major products include Imbruvica (Ibrutinib) to treat cancer ($3.3 billion in 2024 revenues), Vraylar (Cariprazine) to treat schizophrenia and bipolar disorder ($3.3 billion in 2024 revenues), Venclexta (Venetoclax) to treat leukemia and lymphoma ($2.6 billion in 2024 revenues), Mavyret (Glecaprevir/pibrentasvir) to treat Hepatitis C ($1.3 billion in 2024 revenues), and Epkinly (epcoritamab), a blood-cancer therapy developed in partnership with Genmab ($0.1 billion in 2024 revenues). The company is also committed to product development for other treatments of cancer, neurologic diseases, eye care, and cystic fibrosis. The company's pipeline also includes drug candidates for Parkinson's disease including Vyalev (Foscarbidopa/foslevodopa) and tavapadon.
leucine zipper (ZIP) A common structural motif in DNA-binding transcription factors and some other types of proteins, approximately 35 amino acids in length, characterized chiefly by the recurrence of the amino acid leucine every seven residues. When modeled in an idealized alpha-helical conformation, the leucine residues are positioned in such a way that they can interdigitate with the same or similar motifs in an alpha helix belonging to another similar polypeptide, facilitating dimerization and the formation of a complex resembling a zipper.
== External links == XB1: The First Conference on Xenobiology Archived 2019-04-03 at the Wayback Machine May 6–8, 2014. Genoa, Italy. XB2: The Second Conference on Xenobiology May 24–26, 2016. Berlin, Germany.
The rise of cyber as a warfighting domain has led to efforts to determine how cyberspace can be used to foster peace. For example, the German civil rights panel FIfF runs a campaign for cyberpeace − for the control of cyberweapons and surveillance technology and against the militarization of cyberspace and the development and stockpiling of offensive exploits and malware. Measures for cyberpeace include policymakers developing new rules and norms for warfare, individuals and organizations building new tools and secure infrastructures, promoting open source, the establishment of cyber security centers, auditing of critical infrastructure cybersecurity, obligations to disclose vulnerabilities, disarmament, defensive security strategies, decentralization, education and widely applying relevant tools and infrastructures, encryption and other cyberdefenses. The topics of cyber peacekeeping and cyber peacemaking have also been studied by researchers, as a way to restore and strengthen peace in the aftermath of both cyber and traditional warfare.
Sources: en.wikipedia.org
Double-decker bus The approximate volume of a double-decker bus, abbreviated to DDB, has been used informally to describe the size of hole created by a major sewer collapse. For example, a report might refer to "a 4 DDB hole". Olympic-size swimming pool For larger volumes of liquid, one measure commonly used in the media in many countries is the Olympic-size swimming pool. A 50 m × 25 m (164 ft × 82 ft) Olympic swimming pool, built to the FR3 minimum depth of 2 metres (6.6 ft) would hold 2,500 m3 (660,000 US gal). The US National Institute of Standards and Technology (NIST) defines the Olympic swimming pool as 1 million litres, which is the approximate volume of the smaller FR2 pool. Royal Albert Hall The Royal Albert Hall, a large concert hall, is sometimes used as a unit of volume in the UK, for example when referring to volumes of rubbish placed in landfill. It is famously used in the line "Now they know how many holes it takes to fill the Albert Hall." in The Beatles song "A Day in the Life". The volume of the auditorium is between 3 and 3.5 million cubic feet (between 85,000 and 99,000 cubic metres). Melbourne Cricket Ground A common measure of volume in Australia, and in the state of Victoria in particular, is the Melbourne Cricket Ground, the largest stadium in Australia and 13th largest in the world. The volume of the Melbourne Cricket Ground is 1,574,000 cubic metres, or about 630 Olympic swimming pools. Its seating capacity (100,000 as of July 2019) is also used as a unit measure of the number of people.
In the late 19th century anorexia nervosa became widely accepted by the medical profession as a recognized condition, with mentions in the medical literature notably arising from the Salpêtrière clinic in Paris by physicians such as Jean-Martin Charcot. Awareness of the condition was largely limited to the medical profession until the latter part of the 20th century, when German-American psychoanalyst Hilde Bruch published The Golden Cage: the Enigma of Anorexia Nervosa in 1978. Despite major advances in neuroscience, Bruch's theories tend to dominate popular thinking. A further important event was the death of the popular singer and drummer Karen Carpenter in 1983, which prompted widespread ongoing media coverage of eating disorders.
=== Common names === Common names for B. edulis vary by region. The standard Italian name, porcino (pl. porcini), means porcine; fungo porcino, in Italian, echoes the term suilli, literally "hog mushrooms", a term used by the Ancient Romans and still in use in southern Italian terms for this species. The derivation has been ascribed to the resemblance of young fruit bodies to piglets, or to the fondness pigs have for eating them. It is also known as "king bolete". The English penny bun refers to its rounded brownish shape. The German name Steinpilz (stone mushroom) refers to the species' firm flesh. In Austria, it is called Herrenpilz, the "noble mushroom", while in Mexico, the Spanish name is panza, meaning "belly". Another Spanish name, rodellon, means "small round boulder", while the Dutch name eekhoorntjesbrood means "squirrel's bread". Russian names are belyy grib (ru:белый гриб; "white mushroom" as opposed to less valuable "black mushrooms") and borovik (ru:боровик; from bor—"pine forest"). The vernacular name cep is derived from the Catalan cep or its French name cèpe, although the latter is a generic term applying to several related species. In France, it is more fully cèpe de Bordeaux, derived from the Gascon cep "trunk" for its fat stalk, ultimately from the Latin cippus "stake". Ceppatello, ceppatello buono, ceppatello bianco, giallo leonato, ghezzo, and moreccio are names from Italian dialects, and ciurenys or surenys is another term in Catalan. The French-born King Charles XIV John popularised B.
The anionic component of the salt has a certain significance in the manifestation of both general toxic and embryotoxic and teratogenic effects of lithium salts. For example, lithium oxybutyrate is characterized by a more pronounced general toxic effect at almost all times of administration and embryotoxic effect when administered during the period of organogenesis. Lithium carbonate has a more pronounced effect when administered at the early stages of embryogenesis.
=== RNA polymerase is purified === The biochemical purification and characterization of RNA polymerase from the bacterium Escherichia coli (E. coli) enabled the understanding of the mechanisms through which RNA polymerase initiates and terminates transcription, and how those processes are regulated to regulate gene expression (i.e. turning genes on and off). Following the isolation of E. coli RNA polymerase, the three RNA polymerases of the eukaryotic nucleus were identified, as well as those associated with viruses and organelles. Studies of transcription also led to the identification of many protein factors that influence transcription, including repressors, activators and enhancers. The availability of purified preparations of RNA polymerase permitted investigators to develop a wide range of novel methods for studying RNA in the test tube, and led directly to many of the subsequent key discoveries in RNA biology.
Sources: en.wikipedia.org
Andrew Krepinevich argued that an "archipelagic defense" of the countries that make up the first island chain would make up a big part of the implementation of the national defense strategy of 2018. A 2019 report by the Center for Strategic and Budgetary Assessments "proposes a U.S. military strategy of Maritime Pressure and a supporting joint operational concept, “Inside-Out” Defense, to stabilize the military balance in the Western Pacific and deny China the prospect of a successful fait accompli." The first island chain plays a central role in the report. In 2020, the United States Marine Corps started shifting its tactics in conjunction with the United States Navy to be deployed along or near the first island chain. In 2021, the United States Marine Corps announced a goal of three additional Pacific-based regiments. The 2025 National Security Strategy noted the need "to deter adversaries and protect the First Island Chain."
== Quality of living == Bangkok was ranked 129th of 230 (1=best quality of living, 230=worst quality of living) cities worldwide in Mercer's 2016 Quality of Living survey rankings. Vienna was ranked number 1, Baghdad last. Singapore (26) is the highest-ranked Asian city. Behind Singapore, the second highest-ranked city in Southeast Asia is Kuala Lumpur (86). Manila is ranked 136 and Jakarta 142. On the "personal safety" component of the ranking, Bangkok was ranked 173rd, due to political unrest and terrorist attacks.
==== Finland ==== In Finland the qualification of medical physicist is comparable to specialisation of physicians. In contrast to many other countries, qualified medical physicist is considered as a post-graduate university education requiring a licentiate's degree or a PhD and a 5-year training residency.
Structural biology is concerned with the structural analysis of biological material at every level of organization. During the 19th and early 20th centuries, structural studies were largely limited to structures visible to the naked eye or through magnifying glasses and light microscopes. In the 20th century, a variety of experimental techniques were developed to examine the 3D structures of biological molecules. The most prominent techniques are X-ray crystallography, nuclear magnetic resonance, and electron microscopy. The discovery of X-rays and their application to protein crystals transformed structural biology by allowing researchers to determine the three-dimensional structures of biological molecules in atomic detail. Likewise, NMR spectroscopy allowed information about protein structure and dynamics to be obtained. Finally, in the 21st century, electron microscopy also saw a drastic revolution with the development of more coherent electron sources, aberration correction for electron microscopes, and reconstruction software that enabled the successful implementation of high resolution cryo-electron microscopy, thereby permitting the study of individual proteins and molecular complexes in three-dimensions at angstrom resolution.
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 amino acid sequence matches human growth hormone-releasing hormone, but the amino terminus carries a trans-3-hexenoyl group instead of a free amine. That single structural change chiefly affects enzymatic stability rather than receptor selectivity.