A practical reference on GHRH analog: what it is, how it behaves, what the literature reports, and where the honest uncertainties sit.
Reviewed 2025-11-03. Anything still debated is marked as such rather than presented as settled.
Published work tends to frame tesamorelin as a tool for studying the GHRH axis and as a compound with measurable effects on body composition. Reports often describe visceral adipose tissue as an endpoint, assessed by imaging rather than by inference. Analytical sections commonly describe liquid chromatography with tandem mass spectrometry to confirm identity and purity, because immunoassays may cross-react with related fragments. Where results diverge between studies, differences in assay choice, sampling timing, and population are frequent explanations offered. Whether effects persist after treatment stops remains an open question.
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.
A documented effect of tesamorelin is a reduction in visceral adipose tissue in some study populations. Researchers have reported decreases in trunk fat measured by computed tomography alongside changes in lipid markers. The mechanism is thought to involve growth hormone-mediated lipolysis, though the precise contribution of direct versus indirect pathways is not fully resolved. Studies have generally examined defined groups over finite periods, so long-term outcomes are less well characterized. Findings have not been uniform across all trials.
Tesamorelin is a synthetic peptide analog of growth hormone-releasing hormone (GHRH). Its sequence corresponds to the 44-amino-acid form of human GHRH with a trans-3-hexenoyl group attached to the N-terminal tyrosine. This modification slows enzymatic cleavage and extends the peptide's activity relative to the native hormone. The compound is produced by solid-phase peptide synthesis and supplied as a lyophilized powder. Researchers classify it as a GHRH receptor agonist. Its structure places it in the same family as other growth hormone secretagogues that act on the pituitary.
Binding of tesamorelin to GHRH receptors on pituitary somatotroph cells triggers cyclic AMP signaling and the release of growth hormone into circulation. Because the peptide acts upstream of the growth hormone axis, its effects are partly mediated by hepatic insulin-like growth factor 1 (IGF-1) production. The pulsatile character of endogenous growth hormone secretion is preserved rather than replaced. Whether amplified signaling produces effects beyond those of native GHRH remains an area of ongoing investigation.
| Property | Value | Notes |
|---|---|---|
| Primary target | GHRH receptor | Located on pituitary somatotroph cells |
| Signaling route | cAMP–protein kinase A | Gs-coupled receptor pathway |
| Downstream markers | Growth hormone and IGF-1 | Used as pharmacodynamic readouts |
| Common detection | LC-MS/MS | Separates intact peptide from fragments |
| Typical storage | 2–8 °C, protected from light | Applies to solid form before reconstitution |
Questions remain about how much of the observed fat reduction reflects direct GHRH-receptor signaling versus the downstream growth hormone and IGF-1 surge. It is also unclear whether the compound produces meaningful benefit in populations without lipodystrophy, since trials in cognitive impairment did not reach their stated goals. Long-term effects on glucose metabolism and on cardiovascular outcomes are not fully characterized. Published work generally describes effects on surrogate markers rather than on hard clinical endpoints, and independent replication of some findings is limited.
Tesamorelin acts on the growth hormone-releasing hormone receptor, a G-protein-coupled receptor found on somatotroph cells in the anterior pituitary. Binding triggers a rise in intracellular cyclic AMP, which in turn opens ion channels and raises calcium concentrations, leading to release of stored growth hormone into the bloodstream. Because the peptide works through the same receptor as the body's own GHRH, the resulting secretion follows a pulsatile pattern rather than a continuous elevation. The N-terminal modification slows enzymatic breakdown, so the signal persists longer than it would with the unmodified hormone.
Growth hormone released from the pituitary stimulates the liver and other tissues to produce insulin-like growth factor 1, a stable circulating protein that serves as a practical marker of activity. Clinical studies therefore track IGF-1 concentrations alongside the hormone itself, and they commonly measure body composition with imaging rather than relying on body weight alone. Visceral adipose tissue, the fat surrounding abdominal organs, is quantified by computed tomography in the studies that supported approval. Adverse effects reported in trials include injection-site reactions, joint pain, and increases in blood glucose, which is why monitoring accompanies use.
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.
Measuring the effect of a growth hormone-releasing hormone analogue requires markers that reflect pituitary output rather than the peptide itself. The two most frequently used are growth hormone and insulin-like growth factor 1. Growth hormone fluctuates sharply across the day and responds to sleep, stress, and meals, so isolated readings can be difficult to interpret. Insulin-like growth factor 1 changes more slowly and is often treated as the more stable integrated marker of axis activity.
Because growth hormone is released in pulses, single measurements can misrepresent overall secretion. Investigators sometimes use repeated sampling or overnight profiles to capture the pattern rather than a single value. Provocative testing, in which a stimulus is given and the response is tracked over time, offers another way to characterize the axis. Each approach carries trade-offs between sensitivity, burden on the participant, and the influence of non-target variables.
Afonsoconus Tucker & Tenorio, 2013: synonym of Conus (Afonsoconus) Tucker & Tenorio, 2013 represented as Conus Linnaeus, 1758 Africonus Petuch, 1975: synonym of Conus (Lautoconus) Monterosato, 1923 represented as Conus Linnaeus, 1758 Arubaconus Petuch, 2013: synonym of Conus (Ductoconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Asprella Schaufuss, 1869: synonym of Conus (Asprella) Schaufuss, 1869 represented as Conus Linnaeus, 1758 Atlanticonus Petuch & Sargent, 2012: synonym of Conus (Atlanticonus) Petuch & Sargent, 2012 represented as Conus Linnaeus, 1758 Attenuiconus Petuch, 2013: synonym of Conus (Attenuiconus) Petuch, 2013 represented as Conus Linnaeus, 1758 Austroconus Tucker & Tenorio, 2009 synonym of Conus (Austroconus) Tucker & Tenorio, 2009 represented as Conus Linnaeus, 1758 Bathyconus Tucker & Tenorio, 2009: synonym of Conasprella (Fusiconus) Thiele, 1929, represented as Conasprella Thiele, 1929 Bermudaconus Petuch, 2013: synonym of Conus (Bermudaconus) Petuch, 2013 represented as Conus Linnaeus, 1758 Boucheticonus Tucker & Tenorio, 2013: synonym of Conasprella (Boucheticonus) Tucker & Tenorio, 2013 represented as Conasprella Thiele, 1929 Brasiliconus Petuch, 2013: synonym of Conus (Brasiliconus) Petuch, 2013 represented as Conus Linnaeus, 1758 Calamiconus Tucker & Tenorio, 2009: synonym of Conus (Lividoconus) Wils, 1970 represented as Conus Linnaeus, 1758 Calibanus da Motta, 1991: synonym of Conus (Calibanus) da Motta, 1991 represented as Conus Linnaeus, 1758 Cariboconus Petuch, 2003: synonym of Conus (Dauciconus) Cotton, 1945 represented as Conus Linnaeus, 1758 Californiconus Tucker & Tenorio, 2009 Chelyconus Mörch, 1852: synonym of Conus (Chelyconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Cleobula Iredale, 1930: synonym of Dendroconus Swainson, 1840 Coltroconus Petuch, 2013: synonym of Conasprella (Coltroconus) Petuch, 2013 represented as Conasprella Thiele, 1929 Conasprella Thiele, 1929: accepted name Conasprelloides Tucker & Tenorio, 2009: synonym of Conus (Dauciconus) Cotton, 1945 represented as Conus Linnaeus, 1758 † Conilithes Swainson, 1840 Continuconus Tucker & Tenorio, 2013 Conus Linnaeus, 1758: accepted name Cornutoconus Suzuki, 1972: synonym of Taranteconus Azuma, 1972 Coronaxis Swainson, 1840: synonym of Conus (Conus) Linnaeus, 1758 represented as Conus Linnaeus, 1758 Cucullus Röding, 1798: synonym of Conus (Conus) Linnaeus, 1758 represented as Conus Linnaeus, 1758 Cylinder Montfort, 1810: synonym of Conus (Cylinder) Montfort, 1810 represented as Conus Linnaeus, 1758 Cylindrella Swainson, 1840: synonym of Asprella Schaufuss, 1869synonym of Conus (Asprella) Schaufuss, 1869 represented as Conus Linnaeus, 1758 Cylindrus Batsch, 1789: synonym of Cylinder Montfort, 1810synonym of Conus (Cylinder) Montfort, 1810 represented as Conus Linnaeus, 1758 Dalliconus Tucker & Tenorio, 2009: synonym of Conasprella (Dalliconus) Tucker & Tenorio, 2009 synonym of Conasprella Thiele, 1929 Darioconus Iredale, 1930: synonym of Conus (Darioconus) Iredale, 1930 represented as Conus Linnaeus, 1758 Dauciconus Cotton, 1945: synonym of Conus (Dauciconus) Cotton, 1945 represented as Conus Linnaeus, 1758 Dendroconus Swainson, 1840: synonym of Conus (Dendroconus) Swainson, 1840 represented as Conus Linnaeus, 1758 Ductoconus da Motta, 1991: synonym of Conus (Ductoconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Duodenticonus Tucker & Tenorio, 2013: synonym of Conasprella (Conasprella) Thiele, 1929 represented as Conasprella Thiele, 1929 Dyraspis Iredale, 1949: synonym of Conus (Virroconus) Iredale, 1930 represented as Conus Linnaeus, 1758 Elisaconus Tucker & Tenorio, 2013: synonym of Conus (Elisaconus) Tucker & Tenorio, 2013 represented as Conus Linnaeus, 1758 Embrikena Iredale, 1937: synonym of Conus (Embrikena) Iredale, 1937 represented as Conus Linnaeus, 1758 Endemoconus Iredale, 1931: synonym of Conasprella (Endemoconus) Iredale, 1931 represented as Conasprella Thiele, 1929 Eremiconus Tucker & Tenorio, 2009: synonym of Conus (Eremiconus) Tucker & Tenorio, 2009 represented as Conus Linnaeus, 1758 Erythroconus da Motta, 1991: synonym of Conus (Darioconus) Iredale, 1930 represented as Conus Linnaeus, 1758 Eugeniconus da Motta, 1991: synonym of Conus (Eugeniconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Floraconus Iredale, 1930: synonym of Conus (Floraconus) Iredale, 1930 represented as Conus Linnaeus, 1758 Fraterconus Tucker & Tenorio, 2013: synonym of Conus (Fraterconus) Tucker & Tenorio, 2013 represented as Conus Linnaeus, 1758 Fulgiconus da Motta, 1991: synonym of Conus (Phasmoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Fumiconus da Motta, 1991: synonym of Conasprella (Fusiconus) da Motta, 1991 represented as Conasprella Thiele, 1929 Fusiconus da Motta, 1991: synonym of Conasprella (Fusiconus) da Motta, 1991 represented as Conasprella Thiele, 1929 Gastridium Modeer, 1793: synonym of Conus (Gastridium) Modeer, 1793 represented as Conus Linnaeus, 1758 Genuanoconus Tucker & Tenorio, 2009: synonym of Conus (Kalloconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Gladioconus Tucker & Tenorio, 2009: synonym of Conus (Monteiroconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Globiconus Tucker & Tenorio, 2009: synonym of Conasprella (Ximeniconus) Emerson & Old, 1962 represented as Conasprella Thiele, 1929 Gradiconus da Motta, 1991: synonym of Conus (Dauciconus) Cotton, 1945 represented as Conus Linnaeus, 1758 Graphiconus da Motta, 1991: synonym of Conus (Phasmoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Harmoniconus da Motta, 1991: synonym of Conus (Harmoniconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Hermes Montfort, 1810: synonym of Conus (Hermes) Montfort, 1810 represented as Conus Linnaeus, 1758 Heroconus da Motta, 1991: synonym of Conus (Pionoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Isoconus Tucker & Tenorio, 2013: synonym of Conus (Splinoconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Jaspidiconus Petuch, 2004: synonym of Conasprella (Ximeniconus) Emerson & Old, 1962 represented as Conasprella Thiele, 1929 Kalloconus da Motta, 1991: synonym of Conus (Kalloconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Kellyconus Petuch, 2013: synonym of Conus (Kellyconus) Petuch, 2013 represented as Conus Linnaeus, 1758 Kenyonia Brazier, 1896: genus incertae sedis Kermasprella Powell, 1958: synonym of Conasprella (Endemoconus) Iredale, 1931 represented as Conasprella Thiele, 1929 Ketyconus da Motta, 1991: synonym of Conus (Floraconus) Iredale, 1930 represented as Conus Linnaeus, 1758 Kioconus da Motta, 1991: synonym of Conus (Splinoconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Klemaeconus Tucker & Tenorio, 2013: synonym of Conus (Klemaeconus) Tucker & Tenorio, 2013 represented as Conus Linnaeus, 1758 Kohniconus Tucker & Tenorio, 2009: synonym of Conasprella (Kohniconus) Tucker & Tenorio, 2009 represented as Conasprella Thiele, 1929 Kurodaconus Shikama & Habe, 1968: synonym of Conus (Turriconus) Shikama & Habe, 1968 represented as Conus Linnaeus, 1758 Lamniconus da Motta, 1991: synonym of Conus (Lamniconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Lautoconus Monterosato, 1923: synonym of Conus (Lautoconus) Monterosato, 1923 represented as Conus Linnaeus, 1758 Leporiconus Iredale, 1930: synonym of Conus (Leporiconus) Iredale, 1930 represented as Conus Linnaeus, 1758 Leptoconus Swainson, 1840: synonym of Conus (Leptoconus) Swainson, 1840 represented as Conus Linnaeus, 1758 Lilliconus Raybaudi Massilia, 1994: synonym of Conasprella (Lilliconus) G. Raybaudi Massilia, 1994 represented as Conasprella Thiele, 1929 Lindaconus Petuch, 2002: synonym of Conus (Lindaconus) Petuch, 2002 represented as Conus Linnaeus, 1758 Lithoconus Mörch, 1852: synonym of Conus (Lithoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Lividoconus Wils, 1970: synonym of Conus (Lividoconus) Wils, 1970 represented as Conus Linnaeus, 1758 Lizaconus da Motta, 1991synonym of Profundiconus Kuroda, 1956 Magelliconus da Motta, 1991: synonym of Conus (Dauciconus) Cotton, 1945 represented as Conus Linnaeus, 1758 Malagasyconus Monnier & Tenorio, 2015 Mamiconus Cotton & Godfrey, 1932: synonym of Endemoconus Iredale, 1931synonym of Conasprella (Endemoconus) Iredale, 1931 represented as Conasprella Thiele, 1929 Miliariconus Tucker & Tenorio, 2009: synonym of Conus (Virroconus) Iredale, 1930 represented as Conus Linnaeus, 1758 Mitraconus Tucker & Tenorio, 2013: synonym of Conus (Turriconus) Shikama & Habe, 1968 represented as Conus Linnaeus, 1758 Monteiroconus da Motta, 1991: synonym of Conus (Monteiroconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Nataliconus Tucker & Tenorio, 2009: synonym of Conus (Leptoconus) Swainson, 1840 represented as Conus Linnaeus, 1758 Nimboconus Tucker & Tenorio, 2013: synonym of Conus (Phasmoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Nitidoconus Tucker & Tenorio, 2013: synonym of Conus (Splinoconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Ongoconus da Motta, 1991: synonym of Conus (Splinoconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Papyriconus Tucker & Tenorio, 2013: synonym of Conus (Papyriconus) Tucker & Tenorio, 2013 represented as Conus Linnaeus, 1758 Parviconus Cotton & Godfrey, 1932: synonym of Conasprella (Parviconus) Cotton & Godfrey, 1932 represented as Conasprella Thiele, 1929 Perplexiconus Tucker & Tenorio, 2009: synonym of Conasprella (Ximeniconus) Emerson & Old, 1962 represented as Conasprella Thiele, 1929 Phasmoconus Mörch, 1852: synonym of Conus (Phasmoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Pionoconus Mörch, 1852: synonym of Conus (Pionoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Plicaustraconus Moolenbeek, 2008: synonym of Conus (Plicaustraconus) Moolenbeek, 2008 represented as Conus Linnaeus, 1758 Poremskiconus Petuch, 2013: synonym of Conus (Dauciconus) Cotton, 1945 represented as Conus Linnaeus, 1758 Profundiconus Kuroda, 1956: accepted name Protoconus da Motta, 1991: synonym of Tenorioconus Petuch & Drolshagen, 2011 Protostrioconus Tucker & Tenorio, 2009: synonym of Conus (Gastridium) Modeer, 1793 represented as Conus Linnaeus, 1758 Pseudoconorbis Tucker & Tenorio, 2009: synonym of Conasprella (Pseudoconorbis) Tucker & Tenorio, 2009, represented as Conasprella Thiele, 1929 Pseudohermes Tucker & Tenorio, 2013: synonym of Conus (Virgiconus) Cotton, 1945 represented as Conus Linnaeus, 1758 Pseudolilliconus Tucker & Tenorio, 2009: synonym of Conus (Pseudolilliconus) Tucker & Tenorio, 2009 represented as Conus Linnaeus, 1758 Pseudonoduloconus Tucker & Tenorio, 2009: synonym of Conus (Pseudonoduloconus) Tucker & Tenorio, 2009 represented as Conus Linnaeus, 1758 Pseudopterygia Tucker & Tenorio, 2013: synonym of Conus (Pseudopterygia) Tucker & Tenorio, 2013 represented as Conus Linnaeus, 1758 Puncticulis Swainson, 1840: synonym of Conus (Puncticulis) Swainson, 1840 represented as Conus Linnaeus, 1758 Purpuriconus da Motta, 1991: synonym of Conus (Dauciconus) Cotton, 1945 represented as Conus Linnaeus, 1758 Pygmaeconus Puillandre & Tenorio, 2017 Pyruconus Olsson, 1967: synonym of Conus (Pyruconus) Olsson, 1967 represented as Conus Linnaeus, 1758 Quasiconus Tucker & Tenorio, 2009: synonym of Conus (Quasiconus) Tucker & Tenorio, 2009 represented as Conus Linnaeus, 1758 Regiconus Iredale, 1930: synonym of Conus (Darioconus) Iredale, 1930 represented as Conus Linnaeus, 1758 Rhizoconus Mörch, 1852: synonym of Conus (Rhizoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Rhombiconus Tucker & Tenorio, 2009: synonym of Conus (Stephanoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Rhombus Montfort, 1810: synonym of Rhombiconus Tucker & Tenorio, 2009, synonym of Conus (Stephanoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Rolaniconus Tucker & Tenorio, 2009: synonym of Conus (Strategoconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Rollus Montfort, 1810 :synonym of Conus (Gastridium) Modeer, 1793 represented as Conus Linnaeus, 1758 Rubroconus Tucker & Tenorio, 2013: synonym of Conus (Rubroconus) Tucker & Tenorio, 2013 represented as Conus Linnaeus, 1758 Sandericonus Petuch, 2013: synonym of Conus (Sandericonus) Petuch, 2013 represented as Conus Linnaeus, 1758 Sciteconus da Motta, 1991: synonym of Conus (Sciteconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Seminoleconus Petuch, 2003: synonym of Conus (Stephanoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Socioconus da Motta, 1991: synonym of Conus (Pionoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Splinoconus da Motta, 1991: synonym of Conus (Splinoconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Spuriconus Petuch, 2003: synonym of Conus (Lindaconus) Petuch, 2002 represented as Conus Linnaeus, 1758 Stellaconus Tucker & Tenorio, 2009: synonym of Conus (Splinoconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Stephanoconus Mörch, 1852: synonym of Conus (Stephanoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Strategoconus da Motta, 1991: synonym of Conus (Strategoconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Strioconus Thiele, 1929: synonym of Pionoconus Mörch, 1852, synonym of Conus (Pionoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Sulciconus Bielz, 1869: synonym of Asprella Schaufuss, 1869, synonym of Conus (Asprella) Schaufuss, 1869 represented as Conus Linnaeus, 1758 Taranteconus Azuma, 1972: synonym of Conus (Stephanoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Tenorioconus Petuch & Drolshagen, 2011: synonym of Conus (Stephanoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Tesselliconus da Motta, 1991: synonym of Conus (Tesselliconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Textilia Swainson, 1840: synonym of Conus (Textilia) Swainson, 1840 represented Conus Linnaeus, 1758 Thalassiconus Tucker & Tenorio, 2013: synonym of Calibanus da Motta, 1991, synonym of Conus (Calibanus) da Motta, 1991 represented as Conus Linnaeus, 1758 Theliconus Swainson, 1840: synonym of Hermes Montfort, 1810, synonym of Conus (Hermes) Montfort, 1810 represented as Conus Linnaeus, 1758 Thoraconus da Motta, 1991: synonym of Fulgiconus da Motta, 1991, synonym of Conus (Phasmoconus) Mörch, 1852 represented as Conus Linnaeus, 1758 Trovaoconus Tucker & Tenorio, 2009, synonym of Conus (Kalloconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Tuckericonus Petuch, 2013: synonym of Conus (Dauciconus) Cotton, 1945 represented as Conus Linnaeus, 1758 Tuliparia Swainson, 1840: synonym of Gastridium Modeer, 1793, synonym of Conus (Gastridium) Modeer, 1793 represented as Conus Linnaeus, 1758 Turriconus Shikama & Habe, 1968, synonym of Conus (Turriconus) Shikama & Habe, 1968 represented as Conus Linnaeus, 1758 Utriculus Schumacher, 1817: synonym of Gastridium Modeer, 1793, synonym of Conus (Gastridium) Modeer, 1793 represented as Conus Linnaeus, 1758 Varioconus da Motta, 1991: synonym of Conus (Lautoconus) Monterosato, 1923 represented as Conus Linnaeus, 1758 Viminiconus Tucker & Tenorio, 2009: synonym of Conasprella (Fusiconus) da Motta, 1991 represented as Conasprella Thiele, 1929 Virgiconus Cotton, 1945: synonym of Conus (Virgiconus) Cotton, 1945 represented as Conus Linnaeus, 1758 Virroconus Iredale, 1930: synonym of Conus (Virroconus) Iredale, 1930 represented as Conus Linnaeus, 1758 Vituliconus da Motta, 1991: synonym of Conus (Strategoconus) da Motta, 1991 represented as Conus Linnaeus, 1758 Ximeniconus Emerson & Old, 1962: synonym of Conasprella (Ximeniconus) Emerson & Old, 1962 represented as Conasprella Thiele, 1929 Yeddoconus Tucker & Tenorio, 2009: synonym of Conasprella (Endemoconus) Iredale, 1931 represented as Conasprella Thiele, 1929
Anaroids (アーナロイド, Ānaroido): Asteroid-themed androids that wield blasters and swords. The Anaroids are voiced by Katsumi Shiono (塩野 勝美, Shiono Katsumi) and Yuuki Anai (穴井 勇輝, Anai Yūki). Batsuroids (バーツロイド, Bātsuroido): Planet-themed androids that lead the Anaroids and wield hand-mounted guns and, later, swords. Throughout the series, the Batsuroids pilot Kaijuki such as the chest of drawers-themed Super Kaijuki (超巨大怪重機, Chōkyodai Kaijūki) Big Drawer (ビグドローワー, Bigu Dorōwā), which is capable of storing buildings, the flight-capable Hunter Jet 2 (ハンタージェット2, Hantā Jetto Tsū), the angel-themed Megaroria (メガロリア), and the knight-themed Knight Chaser (ナイトチェイサー, Naito Cheisā) before being destroyed by Deka Base Robo, confiscated by the Dekarangers for use in a sting operation, destroyed by Deka Bike Robo, and destroyed by Super Dekaranger Robo respectively. The Batsuroids are voiced by Katsumi Shiono and Yuuki Anai. Igaroids (イーガロイド, Īgaroido): Star-themed androids that are able to speak human languages, lead the Anaroids and Batsuroids, and primarily wield swords that allow them to perform the Cross Burst (クロスバースト, Kurosu Bāsuto) attack. The Igaroids are voiced by Kazuya Nakai (中井 和哉, Nakai Kazuya).
=== Type 2 diabetes === Liraglutide improves control of blood glucose. In people with high cardiovascular risk, liraglutide has been shown to reduce the risk for first occurrence of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke. American Diabetes Association (ADA) guidelines consider liraglutide a first line pharmacologic therapy for type 2 diabetes (usually together with metformin), specifically for people with atherosclerotic cardiovascular disease or obesity. A 2011 Cochrane review showed a HbA1c reduction of 0.24% more with liraglutide 1.8 mg compared to insulin glargine, 0.33% more than exenatide 10 μg twice daily, sitagliptin and rosiglitazone. In a randomized controlled trial (RCT) comparing liraglutide, glargine, glimepiride, and sitagliptin (all added to metformin) with a follow-up of five years, glargine and liraglutide were modestly more effective in achieving and maintaining target HbA1c, with no difference in outcomes of microvascular and cardiovascular disease.
The combination of an estrogen and oral or vaginal progesterone has been found to improve cardiovascular health in women in early menopause but not in women in late menopause. Estrogen therapy has a favorable influence on the blood lipid profile, which may translate to improved cardiovascular health. The addition of oral or vaginal progesterone has neutral or beneficial effects on these changes. This is in contrast to various progestins, which are known to antagonize the beneficial effects of estrogens on blood lipids. Progesterone, both alone and in combination with an estrogen, has been found to have beneficial effects on skin and to slow the rate of skin aging in postmenopausal women. In the French E3N-EPIC observational study, the risk of diabetes was significantly lower in women on menopausal hormone therapy, including with the combination of an oral or transdermal estrogen and oral progesterone or a progestin.
Because of the extraordinary coupling efficiency of HATU, it has often been used for intramolecular amidation (coupling of a carboxylic acid and an amine of the same molecule). For example, the formation of cyclo-tetrapeptides through the head-to-tail reaction of linear tetrapeptides assisted by HATU has been reported.
Sources: en.wikipedia.org
== Epigenetics == The MTHFR aberrant promoter hypermethylation is associated with male infertility. Furthermore, this improper epigenetic phenomenon was observed in semen samples of infertile males belonging to couples with a history of recurrent spontaneous abortion. The MTHFR improper promoter hypermethylation may affect the two essential roles of DNA methylation in spermatogenetic cells, the global genome methylation process and the genomic imprinting of paternal genes. In addition, MTHFR gene promoter hypermethylation has also been associated with methylation loss at H19 imprinted gene in semen samples from infertile males.
As a consequence, the female-specific diversity of our genome would fit less well with geography and linguistics than would our male-specific component. [...] If that were to prove to be the case, then the common belief that we speak our mother's tongue should be revised in favor of the concept of a 'father's tongue'. Estella Poloni also presented the Father Tongue hypothesis at an international conference in Paris in April 2000. On the basis of this population genetic work, the Dutch historical linguist George van Driem elaborated the Father Tongue hypothesis in his ethnolinguistic publications and in population genetic publications which he has co-authored. At the Indo-Pacific Prehistory Association conference in Taipei in 2002 he proposed that
genomic island (GI) A region of a genome that shows evidence of horizontal transfer from another organism. The term is used especially in describing microbial genomes such as those of bacteria, where genomic islands having the same or similar sequences commonly occur in species or strains that are otherwise only distantly related, implying that they were not passed on through vertical descent from a common ancestor but through some form of lateral transfer such as conjugation. These islands often contain functional genes which confer adaptive traits such as antibiotic resistance.
Before Ho had insisted that the United States had to "unconditionally and finally" stop the bombing, and this slight change in phrasing was seen as a hopeful sign. Harriman sent his deputy, Chester Cooper, to join Kissinger in the unofficial peace talks in Paris, which seemed promising. However, Aubrac stated that Ho had wanted the United States to cease bombing North Vietnam for a short period of time as a sign of good faith, but the National Security Advisor, W.W. Rostow, persuaded Johnson to increase the bombing of North Vietnam at the same time. On 22 August 1967, Aubrac and Marcovitch were refused visas to visit North Vietnam as the inability of Kissinger to achieve the promised bombing pause had disillusioned Ho. In August 1968, Kissinger wrote to Harriman, who was leading the American delegation at the Paris peace talks: "My dear Averell...I am through with Republican politics. The party is hopeless and unfit to govern". On 17 September 1968, Kissinger arrived in Paris and served as an unofficial consultant to the American delegation. At the time, Kissinger spoke of his disgust with the Republican candidate, Richard Nixon, saying: "Three days of the week I think I'll vote for Hubert. The other days I think I won't vote at all". But at the same time, Kissinger was in contact with the Nixon campaign and began to share information about the progress of the peace talks. Kissinger began to call Richard Allen, Nixon's foreign policy adviser, from a public telephone booth, offering information in exchange for which he wanted a senior position if Nixon won the election.
To perform a manual white blood cell differential, the microscopist counts 100 cells on the blood smear and classifies them based on their appearance; sometimes 200 cells are counted. This gives the percentage of each type of white blood cell, and by multiplying these percentages by the total number of white blood cells, the absolute number of each type of white cell can be obtained. Manual counting is subject to sampling error because so few cells are counted compared with automated analysis, but it can identify abnormal cells that analyzers cannot, such as the blast cells seen in acute leukaemia. Clinically significant features like toxic granulation and vacuolation can also be ascertained from microscopic examination of white blood cells. The hematocrit can performed manually by filling a capillary tube with blood, centrifuging it, and measuring the percentage of the blood that consists of red blood cells. This is useful in some conditions that can cause automated hematocrit results to be incorrect, such as polycythemia (a highly elevated red blood cell count) or severe leukocytosis (a highly elevated white blood cell count, which interferes with red blood cell measurements by causing white blood cells to be counted as red cells).
Sources: en.wikipedia.org
In chemistry, an ester is a compound derived from an acid (either organic or inorganic) in which the hydrogen atom (H) of at least one acidic hydroxyl group (−OH) of that acid is replaced by an organyl group (R′). These compounds contain a distinctive functional group. Analogues derived from oxygen replaced by other chalcogens belong to the ester category as well. According to some authors, organyl derivatives of acidic hydrogen of other acids are esters as well (e.g. amides), but not according to the IUPAC. Glycerides are fatty acid esters of glycerol; they are important in biology, being one of the main classes of lipids and comprising the bulk of animal fats and vegetable oils. Lactones are cyclic carboxylic esters; naturally occurring lactones are mainly 5- and 6-membered ring lactones. Lactones contribute to the aroma of fruits, butter, cheese, vegetables like celery and other foods. Esters can be formed from oxoacids (e.g. esters of acetic acid, carbonic acid, sulfuric acid, phosphoric acid, nitric acid, xanthic acid), but also from acids that do not contain oxygen (e.g. esters of thiocyanic acid and trithiocarbonic acid). An example of an ester formation is the substitution reaction between a carboxylic acid (R−C(=O)−OH) and an alcohol (R'−OH), forming an ester (R−C(=O)−O−R'), where R stands for any group (typically hydrogen or organyl) and R′ stands for organyl group. Organyl esters of carboxylic acids typically have a pleasant smell; those of low molecular weight are commonly used as fragrances and are found in essential oils and pheromones.
== Natural cartilage == There are three types of cartilage in the human body: fibrocartilage, hyaline cartilage and elastic cartilage. Each type of cartilage has varying concentrations of components such as proteoglycans, collagen and water which determine its functional properties and location in the body. Fibrocartilage is most often found in the intervertebral discs, elastic cartilage is found in the external ear and hyaline cartilage is found on many joint surfaces in the body. Replacement of hyaline cartilage (articular cartilage) is the most common application of synthetic cartilage.
Properties also decrease with the age of the fiber. Younger fibers tend to be stronger and more elastic than older ones. Many natural fibers exhibit strain rate sensitivity due to their viscoelastic nature. Bone contains collagen and exhibits strain rate sensitivity in that the stiffness increases with strain rate, also known as strain hardening. Spider silk has hard and elastic regions that together contribute to its strain rate sensitivity, these cause the silk to exhibit strain hardening as well. Properties of natural fibers are also dependent on the moisture content in the fiber.
Vascular EDS (vEDS; formerly categorized as type 4) is identified by skin that is thin, translucent, extremely fragile, and bruises easily. It is also characterized by fragile blood vessels and organs that can easily rupture. Affected people are frequently short and have thin scalp hair. It also has characteristic facial features, including large eyes, an undersized chin, sunken cheeks, a thin nose and lips, and ears without lobes. Joint hypermobility is present, but generally confined to the small joints (fingers, toes). Other common features include club foot, tendon and/or muscle rupture, acrogeria (premature aging of the skin of the hands and feet), early-onset varicose veins, pneumothorax (collapse of a lung), the recession of the gums, and a decreased amount of fat under the skin. It can be caused by the variations in the COL3A1 gene. Rarely, COL1A1 variations can also cause it.
Sources: en.wikipedia.org
It acts on the growth hormone–releasing hormone receptor, a Gs-coupled receptor found on pituitary somatotroph cells. Activation raises cAMP and prompts pulsatile hormone release.
IGF-1 reflects growth hormone activity but changes slowly and can be measured from one sample. Growth hormone itself is pulsatile, which makes single measurements hard to interpret.
The receptor pathway is well described, but how individual responses vary and what governs long-term outcomes remain open questions. Reported differences across studies are often attributed to assay and population factors.
It mirrors the 44-residue form of human growth hormone-releasing hormone. A hexenoyl group on the N-terminal tyrosine distinguishes it from the unmodified hormone. The change is intended to improve resistance to enzymatic breakdown.