The short version of pituitary axis fits in a sentence. The long version — which is the one that helps — is below.
This page was last updated on 2026-05-25 and is reviewed periodically as new material appears.
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.
A Phase 3 program led to regulatory approval in the United States in 2010 for reduction of excess visceral abdominal fat in adults with HIV and lipodystrophy. Subsequent studies examined effects on liver fat, muscle area, and metabolic markers, with mixed findings for some endpoints. Long-term cardiovascular outcomes and effects on mortality remain uncertain because most trials were relatively short and focused on imaging-based fat measurements. Use in populations without HIV has been studied experimentally but is not part of the approved indication.
Tesamorelin is a synthetic analog of growth hormone-releasing hormone, a peptide hormone produced by the hypothalamus. The molecule retains the 44-amino-acid sequence of human GHRH and carries a trans-3-hexenoyl modification at its N-terminus. This modification increases resistance to enzymatic degradation and extends the peptide's functional stability relative to native GHRH. The compound is supplied as a lyophilized powder for reconstitution and subcutaneous administration in clinical settings. Its development code was TH9507, and it belongs to the GHRH analog class. It is not a growth hormone product; instead, it acts upstream to stimulate endogenous growth hormone release.
| Property | Value | Notes |
|---|---|---|
| Molecular class | Synthetic 44-residue peptide | GHRH analog backbone |
| Approximate molecular mass | 5136 Da | Varies with counterion and hydration state |
| N-terminal group | trans-3-hexenoyl | Increases resistance to dipeptidyl peptidase IV |
| Primary receptor | GHRH receptor (GHRHR) | Class B G protein-coupled receptor on somatotrophs |
| Principal mediator | IGF-1 | Rises indirectly after growth hormone release |
The hexenoyl cap slows the enzyme step that trims the amino terminus of native GHRH, the same step that shortens its active lifetime in circulation. As a result, the modified peptide persists longer in plasma than the unmodified hormone in side-by-side comparison. Receptor activity stays broadly comparable, because the added group sits away from the residues that contact the binding site. This combination, preserved receptor activity with reduced degradation, explains why the analog was developed instead of the native sequence.
Several compounds share the GHRH framework, including sermorelin, the shorter 1-29 fragment, and other analogs built on the full 1-44 chain. Naming follows a common convention: a stem that identifies the peptide plus a suffix marking analog status. Reports may describe tesamorelin by its sequence fragment, as a GHRH(1-44) analog, or by its amino-terminal modification. Indexing the compound therefore requires searching all of these forms, since some older literature predates the current international nonproprietary name.
Several related peptides act on the same receptor, including sermorelin, a shorter GHRH fragment, and modified analogs such as CJC-1295 and modified GRF(1-29) that are common in research settings rather than approved products. Tesamorelin differs from growth hormone itself in that it acts upstream, prompting the pituitary to release the hormone through physiological signaling rather than supplying it directly. Terminology in the literature distinguishes GHRH analogs, growth hormone secretagogues, and recombinant growth hormone, although popular discussion often blurs these categories together. Precise naming matters when comparing study results.
Tesamorelin is a synthetic peptide of 44 amino acids that reproduces the sequence of human growth hormone-releasing hormone (GHRH) and carries a trans-3-hexenoyl group on its N-terminal tyrosine. That small fatty-acid modification blocks cleavage by dipeptidyl peptidase-4, the enzyme that rapidly degrades native GHRH in plasma. The result is a molecule with a longer circulating half-life than the natural hormone while retaining the same receptor target. It is supplied as a lyophilized powder for reconstitution and belongs to the broader class of GHRH analogs studied for effects on pituitary growth hormone secretion.
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.
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.
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.
Qìgōng (气功; 氣功) is a TCM system of exercise and meditation that combines regulated breathing, slow movement, and focused awareness, purportedly to cultivate and balance qi. One branch of qigong is Qigong massage, in which the practitioner combines massage techniques with awareness of the acupuncture channels and points. Qi is air, breath, energy, or primordial life source that is neither matter or spirit. While Gong is a skillful movement, work, or exercise of the qi.
Manuel's death exposed the fragility of the political system and the empire soon came under intense pressure. His son Alexios II was too young to rule, and his troubled regency was overthrown by his uncle Andronikos I Komnenos; he was replaced by Isaac II in 1185. The empire lost ground on several frontiers as ambitious rulers seized their chance: Hungary and the Turks captured Byzantine territories, an exiled Komnenian prince seized Cyprus; and most injuriously, a revolt in 1185 caused the foundation of a resurrected Bulgarian state. Relations with the West deteriorated further after Constantinople sought an understanding with Saladin and obstructed the overland army of Frederick Barbarossa during the Third Crusade. In 1195, Isaac II was deposed by his brother Alexios III; this dynastic quarrel helped make the Fourth Crusade's intervention in Constantinople possible. The Fourth Crusade was originally intended to target Egypt, but amid strategic difficulties, Isaac II's son Alexios Angelos convinced the crusaders to restore his father to the throne in exchange for a huge tribute. They attacked Constantinople in 1203, reinstating Isaac II and his son to the throne. The new rulers swiftly grew unpopular and were deposed by Alexios V, an event used by the crusaders as a pretext to sack the city in April 1204, ransacking the accumulated wealth of Constantinople.
== Activity in wheat dough == Laccases have the potential to crosslink food polymers such as proteins and nonstarch polysaccharides in dough. In non-starch polysaccharides, such as arabinoxylans (AX), laccase catalyzes the oxidative gelation of feruloylated arabinoxylans by dimerization of their ferulic esters. These cross-links have been found to greatly increase the maximum resistance and decrease extensibility of the dough. The resistance was increased due to the crosslinking of AX via ferulic acid and resulting in a strong AX and gluten network. Although laccase is known to crosslink AX, under the microscope it was found that the laccase also acted on the flour proteins. Oxidation of the ferulic acid on AX to form ferulic acid radicals increased the oxidation rate of free SH groups on the gluten proteins and thus influenced the formation of S-S bonds between gluten polymers. Laccase is also able to oxidize peptide-bound tyrosine, but very poorly. Because of the increased strength of the dough, it showed irregular bubble formation during proofing. This was a result of the gas (carbon dioxide) becoming trapped within the crust so it could not diffuse out (like it would have normally) and causing abnormal pore size. Resistance and extensibility was a function of dosage, but at very high dosage the dough showed contradictory results: maximum resistance was reduced drastically. The high dosage may have caused extreme changes in the structure of dough, resulting in incomplete gluten formation.
Choi has formed a militant band consisting of former police officers who were expelled or faked their own deaths, who had helped Lee take the fall for an operation he led in 1995. He promises Lee not only the position of commissioner, but also of security secretary later on, upon which Lee gives into temptation and help his son. Despite this, Lee tries to convince Joe to leave Choi's team for his safety. Legislator Oswald Kan is convinced by his old friend and junior Edward Lai, the current secretary of justice, to participate in the public inquiry into Lau. He chastises Lau for his methods of "desperate times, desperate measures" and disagrees with the "Cold War" operation being a successful failure. During another hearing, Kan is taken aback when Lee openly criticizes Lau, rather than defending him initially. Kan and Lau deduce that Lee is being controlled, as Kan tells his one of his pupils, Bella Au, to investigate. Lau also asks Cheung and his independent team to monitor both Lee and Kan, who he finds suspicious as Kan did not sign up for the public hearing until deadline and likely changed his mind. Au decides to secretly follow Lee, and later Choi whom Lee confers with. Realizing that they are being followed in a tunnel, Choi orders his subordinate to crash into Au's car, causing a chain collision in which Au is killed, and Choi's car is trapped. Lau arrives to investigate, and a shoot-out occurs, in which Joe is shot and severely injured by Lau, but Choi escapes. Lee accosts Lau for failing to keep his promise of Joe's safety and nearly fight before Kan interferes.
== Clinical relevance == IGF-2 is sometimes produced in excess in islet cell tumors and non-islet hypoglycemic cell tumors, causing hypoglycemia. Doege-Potter syndrome is a paraneoplastic syndrome in which hypoglycemia is associated with the presence of one or more non-islet fibrous tumors in the pleural cavity. Loss of imprinting of IGF-2 is a common feature in tumors seen in Beckwith-Wiedemann syndrome. As IGF-2 promotes development of fetal pancreatic beta cells, it is believed to be related to some forms of diabetes mellitus. Preeclampsia induces a decrease in methylation level at IGF-2 demethylated region, and this might be among the mechanisms behind the association between intrauterine exposure to preeclampsia and high risk for metabolic diseases in the later life of the infants. In animals it has been shown that toxins such as PCB (polychlorinated biphenyls) affects IGF II expression.
Sources: en.wikipedia.org
=== Premature ejaculation === Randomized, double-blind, placebo-controlled trials have confirmed the efficacy of dapoxetine for the treatment of PE. Different dosages have different impacts on different types of PE. Dapoxetine 60 mg significantly improves the mean intravaginal ejaculation latency time (IELT) compared to that of dapoxetine 30 mg in men with lifelong PE, but no difference is seen in men with acquired PE. Dapoxetine, given 1–3 hours before sexual episode, prolongs IELT and increases the sense of control and sexual satisfaction in men of 18 to 64 years of age with PE. Since PE is associated with personal distress and interrelationship difficulty, dapoxetine provides help for men with PE to overcome this condition. With no drug approved specifically for treatment for PE in the US and some other countries, other SSRIs such as fluoxetine, paroxetine, sertraline, fluvoxamine, and citalopram have been used off-label to treat PE. Waldinger's meta-analysis shows that the use of these conventional antidepressants increases IELT two- to nine-fold above baseline, compared to three- to eight-fold when dapoxetine is used. However, these SSRIs may need to be taken daily to achieve meaningful efficacy, and their comparatively longer half-lives increase the risk of drug accumulation and a corresponding increase of adverse effects such as reduced libido. Dapoxetine, though, is generally categorized as a fast-acting SSRI. It is more rapidly absorbed and mostly eliminated from the body within a few hours.
=== 1966 === January 31: Luna 9 is launched. February 3: Luna 9 successfully lands on the Moon becoming the first spacecraft to softly land on another extraterrestrial body. March 1: Venera 3 becomes the first man-made object to impact another planet. March 10: France withdraws from NATO command structure. March 11: President Sukarno of Indonesia signs a document, handing over authority to Major General Suharto. This led to Suharto later establishing the pro-western and anti-communist New Order regime. This regime would remain in power until 1998. May 8: Communist China detonates a third nuclear device. May 26: Guiana becomes independent from the UK under Commonwealth status. May 30: Surveyor 1 is launched. June 2: Surveyor 1 becomes the first American spacecraft to softly land on another extraterrestrial body. August 11: The Jakarta Accord is signed by the Indonesian Foreign Minister Adam Malik and Malaysian Deputy Prime Minister Tunku Abdul Razak ending the hostility between Indonesia and Malaysia. August 26: South African Border War begins. September 30: Bechuanaland renamed Botswana becomes independent from the UK. October 5: Beginning of low-level armed clashes in Korean DMZ between North Korea and South Korea backed by the United States. November 30: Barbados becomes independent from the UK.
== Technique == The caterpillar was first killed. If it was hairy then it was soaked in alcohol for half an hour before being left to dry out. The rear of the caterpillar was then cut open and the contents of the bowels squeezed out by applying gentle pressure to the outside of the caterpillar. Pressure would be applied, working from the rear towards the front of the caterpillar, until the intestines started to protrude from the cut. Forceps would then be used to pull the intestines from the caterpillar's body which would in turn drag out most of the rest of the caterpillar's innards with them. A straw was then inserted into the cut, and air blown into it while the caterpillar was gently heated in order to dry it. For an experienced practitioner the entire process took about 5 to 6 minutes. Once the caterpillar was dry it was ready to be prepared for mounting. This was done by pushing a loop of wire coated in shellac into the caterpillar via the cut, after which the wire was attached to an entomological pin for mounting in a storage cabinet. Various devices, such as miniature alcohol heated ovens, were developed to apply the technique with different entomologists taking different approaches. A closely related technique was to inject the caterpillar with wax after the organ removal stage.
Methods used for desulfurization include, among others, hydrodesulfurization, oxidative desulfurization, extractive desulfurization, and extraction by ionic liquids. Despite their efficiency at reducing sulfur content, the conventional desulfurization methods are still accountable for a significant amount of the CO2 emissions associated with the crude oil refining process, releasing up to 9000 metric tons per year. Furthermore, these processes usually require large amounts of energy, and are accompanied by massive costs for the industries that employ them. A greener and also complementary alternative process to the conventional desulfurization methods is biodesulfurization.
Sources: en.wikipedia.org
=== Laver Cup === Zverev took part in the inaugural Laver Cup in Prague in 2017. He accrued four points by winning both of his singles matches for Team Europe as they defeated Team World 15–9. He played a more crucial role in 2018 and 2019, winning the clinching matches in both editions against Kevin Anderson and Milos Raonic respectively. In the 2021 edition in Boston, he defeated John Isner in three sets in his only match in Team Europe's 14–1 win. In 2024, Zverev returned to the Laver Cup after a two-year absence in which Team World had won both editions. He lost his first match to Taylor Fritz, but rebounded on the third day to win against Frances Tiafoe in a deciding match tie-break. In 2025, Zverev failed to win any matches against Team World, losing in straight sets to Alex de Minaur and Taylor Fritz, the latter contributing his sixth consecutive loss against the American and allowing Team World to secure their third Laver Cup title.
After the Polish–Russian Treaty of Andrusovo split Ukraine along the Dnieper River in 1667, Ukrainian Cossacks were known as Left-bank and Right-bank Cossacks. The ataman had executive powers, and in wartime was the supreme commander in the field. Legislative power was given to the Band Assembly (Rada). The senior officers were called starshyna. In the absence of written laws, the Cossacks were governed by the "Cossack Traditions" – the common, unwritten law. Cossack society and government were heavily militarized. The nation was called a host (vois'ko, or viys'ko, translated as "army"). The people and territories were subdivided into regimental and company districts, and village posts (polky, sotni, and stanytsi). A unit of a Cossack troop could be called a Kurin. Each Cossack settlement, alone or in conjunction with neighboring settlements, formed military units and regiments of light cavalry or, in the case of Siberian Cossacks, mounted infantry. They could respond to a threat on very short notice. A high regard for education was a tradition among the Cossacks of Ukraine. In 1654, when Macarius III Ibn al-Za'im, the Patriarch of Antioch, traveled to Moscow through Ukraine, his son, Deacon Paul Allepscius, wrote the following report:
2 SeO3 → 2 SeO2 + O2 (ΔH = −54 kJ/mol) Selenium trioxide is produced in the laboratory by the reaction of anhydrous potassium selenate (K2SeO4) and sulfur trioxide (SO3). Salts of selenous acid are called selenites. These include silver selenite (Ag2SeO3) and sodium selenite (Na2SeO3). Hydrogen sulfide reacts with aqueous selenous acid to produce selenium disulfide:
==== Canada ==== As of October 2018, when recreational use of cannabis was legalized in Canada, some 220 dietary supplements and 19 veterinary health products, containing not more than 10 parts per million of THC extract, were approved with general health claims for treating minor conditions.
== C == CAICISS – Coaxial impact collision ion scattering spectroscopy CARS – Coherent anti-Stokes Raman spectroscopy CBED – Convergent beam electron diffraction CCM – Charge collection microscopy CDI – Coherent diffraction imaging CE – Capillary electrophoresis CET – Cryo-electron tomography CL – Cathodoluminescence CLSM – Confocal laser scanning microscopy COSY – Correlation spectroscopy Cryo-EM – Cryo-electron microscopy Cryo-SEM – Cryo-scanning electron microscopy CV – Cyclic voltammetry
Sources: en.wikipedia.org
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.
Growth hormone released from the pituitary stimulates IGF-1 production in the liver and other tissues, so circulating IGF-1 generally rises during exposure. The size of the rise varies between individuals and depends on baseline hormonal status and other concurrent factors.
Reported imaging studies focus on visceral adipose tissue, where reductions are more consistently observed across trials. Subcutaneous depots show smaller and less reproducible changes, so the two compartments should not be treated as equivalent.
It is a synthetic peptide analog of human growth hormone-releasing hormone. It is used clinically to reduce excess visceral abdominal fat in adults with HIV-associated lipodystrophy. It works by stimulating pituitary growth hormone release.