This is a working overview of IGF-1, written for readers who want more than a one-paragraph summary but less than a textbook.
This page was last updated on 2026-07-30 and is reviewed periodically as new material appears.
Studies of the compound rely on imaging and laboratory endpoints rather than on symptoms alone. Visceral adipose tissue is usually quantified by computed tomography or magnetic resonance imaging at the level of the abdomen, with waist circumference serving as a cheaper but less specific proxy. Blood work tracks insulin-like growth factor 1, fasting glucose, glycated hemoglobin, and lipid fractions. In the pivotal trials the imaging endpoint fell by roughly fifteen to twenty percent over six months, subcutaneous fat changed little, and the visceral fat returned toward baseline after treatment stopped, a pattern that shapes how clinicians discuss durability.
Whether the drug improves hard clinical outcomes is not settled. No completed trial has shown a reduction in heart attacks or strokes among treated patients, although a dedicated cardiovascular outcomes study has been discussed in the literature. Investigators have also examined hepatic fat in people with HIV and fatty liver disease, cognitive measures in small cohorts, and changes in bone density. Regulatory labeling emphasizes monitoring of insulin-like growth factor 1 because supraphysiologic levels raise questions about tissue growth, and the clinical significance of that signal remains an open question rather than a demonstrated harm.
Binding of tesamorelin to the growth hormone-releasing hormone receptor on anterior pituitary somatotrophs activates a Gs protein pathway, raises cyclic AMP, and triggers release of stored growth hormone into the bloodstream. Because the analogue resists dipeptidyl peptidase-4, its plasma residence time exceeds that of native GHRH, producing a larger and more sustained secretory signal. The released growth hormone then acts on the liver and peripheral tissues to raise insulin-like growth factor 1, which feeds back on the hypothalamus and pituitary. This axis explains both the intended effects on fat distribution and the biological markers used to track them.
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.
Clinical interest in tesamorelin arose from the need to address visceral adiposity in people living with HIV. Antiretroviral therapy improved survival but was associated in some patients with central fat accumulation, altered lipid profiles, and metabolic complications. This condition, often called HIV-associated lipodystrophy, involves excess visceral adipose tissue that is difficult to manage through diet and exercise alone. Investigators evaluated tesamorelin because GHRH analogs can stimulate growth hormone secretion and influence fat distribution without direct liposuction or invasive procedures.
| Property | Value | Notes |
|---|---|---|
| Appearance | White to off-white powder | Lyophilized cake in single-use vials |
| Solubility class | Freely soluble in water | Reconstituted with sterile diluent before injection |
| Typical storage temperature | 2 to 8 degrees Celsius | Before reconstitution; protect from light |
| Typical analytical method | Reversed-phase high-performance liquid chromatography | Purity and related-substance testing |
| Identity confirmation | Mass spectrometry | Observed mass near 5.1 kDa for the intact peptide |
Pharmacodynamic studies show that tesamorelin reduces visceral adipose tissue more than subcutaneous adipose tissue in the studied population. This selectivity may relate to differences in blood flow and hormone sensitivity between fat depots. Effects on glucose metabolism and insulin sensitivity have been investigated, with some trials reporting modest changes and others showing stability. The precise relationship between growth hormone exposure, IGF-1 levels, and visceral fat loss remains an active area of analysis.
Tesamorelin binds to growth hormone-releasing hormone receptors on somatotroph cells in the anterior pituitary. Receptor activation increases intracellular cyclic AMP and promotes synthesis and secretion of growth hormone. Because the peptide mimics endogenous GHRH, it amplifies the normal pulsatile release of growth hormone rather than providing exogenous growth hormone directly. This upstream action distinguishes tesamorelin from recombinant growth hormone preparations and from growth hormone secretagogues that act at different receptors.
监管记录显示，特沙莫瑞林于 2010 年在美国首次获得批准，用于人类免疫缺陷病毒感染相关的脂肪营养不良患者。批准依据来自降低内脏脂肪的临床试验，而非体重或瘦体重的普遍改善。后续出现了不同制剂版本，但其核心适应症保持一致。关于长期心血管结局和死亡率影响，现有证据仍不充分。
在临床研究之外，特沙莫瑞林常被讨论为生长激素分泌促进剂，但这一说法需要限定。它并不等同于生长激素本身，也不属于普通减重药物。部分研究关注其减少腹部脂肪和改善脂质谱的潜力，另一些研究则关注胰岛素抵抗和 IGF-1 升高等信号。这些效应的临床意义仍在评估中，尚未形成统一结论。
特沙莫瑞林是一种合成肽，其序列与人生长激素释放激素的 44 个氨基酸形式相关。它在 N 端带有反式-3-己烯酰基修饰，这一改动可减缓二肽基肽酶 IV 的降解。该化合物属于生长激素释放激素受体激动剂，可刺激垂体释放生长激素。研究文献通常将其归入合成肽类药物，而非小分子化合物。
质量控制项目一般包括外观、身份、纯度、含量、有关物质、水分和微生物限度。身份确认可通过肽图谱、氨基酸分析和质谱完成，纯度则用面积归一化法计算。研究级材料与药品级材料的要求不同，前者常缺少完整药典验证。不同批次间杂质谱是否影响活性，仍是一个需要具体数据回答的问题。
特沙莫瑞林的检测通常依赖反相高效液相色谱和质谱联用。反相色谱可分离肽主峰与缺失序列、氧化产物等杂质，质谱则提供精确质量以确认身份。对于复杂基质中的定量，常采用液相色谱-串联质谱，并配合固相萃取或蛋白沉淀。生物样品中的肽易降解，因此采集和处理条件会影响结果。
20983Bi + 7030Zn → 279113* → 278113 + n The Riken team observed four alpha decays from 278113, creating a decay chain passing through 274Rg, 270Mt, and 266Bh before terminating with the spontaneous fission of 262Db. The decay data they observed for the alpha decay of 266Bh matched the 2000 data, lending support for their claim. Spontaneous fission of its daughter 262Db had not been previously known; the American team had observed only alpha decay from this nuclide.
Periodontal pocket formation Gingival ulceration and suppuration Destruction of the alveolar bone and periodontal ligament Tooth mobility, drifting and eventual loss Because bone loss makes its first appearance in the advanced lesion, it is equated with periodontitis, while the first three lesions are classified as gingivitis in levels of increasing severity. The advanced lesion is no longer localized to the area around the gingival sulcus but spreads apically as well as laterally around a tooth and perhaps even deep into the gum tissue papilla. There is a dense infiltrate of plasma cells, other lymphocytes and macrophages. The clusters of perivascular plasma cells still appears from the established lesion. Bone is resorbed, producing scarring and fibrous change.
Glycogen storage diseases may show transient exercise-induced alkalosis (high pH), hyperammonemia, and myogenic hyperuricemia. During a non-ischemic forearm exercise test, in GSDs the plasma lactate typically fails to rise (and may fall below resting levels); except for a few GSDs such as phosphoglucomutase deficiency (GSD-XIV), deficiency of functioning myophosphorylase-a (autosomal dominant PYGM), phosphorylase-b kinase deficiency (GSD-IXd), and Pompe disease (GSD-II) where lactate production is normal. In myoadenylate deaminase deficiency (AMPD1 deficiency), there is no rise in ammonia. Some fatty acid oxidation disorders show lactic acidosis, hypoketotic hypoglycaemia and hyperammonemia, while others are asymptomatic. Differentiating between different types of metabolic myopathies can be difficult due to the similar symptoms of each type such as myoglobinuria and exercise intolerance. It has to be determined whether the patient has fixed (static) or exercise-induced (dynamic) manifestations; and if exercise-related, what kind of exercise, before extensive exercise-related lab testing is done to determine the underlying cause. Adequate knowledge is required of the body's bioenergetic systems, including:
In 66 AD, the Roman tribune Neapolitanus met with King Agrippa II in Iamnia, to inform him of his mission to investigate the situation in Jerusalem, following Florus' seizure of Temple funds and clashes between Jews and Roman troops. Later, in spring 68 AD, after the Roman army under Vespasian quelled the insurrection in Galilee, the army marched upon Iamnia and Azotus, taking both towns and stationing garrisons within them. Following the failure of the revolt and the destruction of the Second Temple, Judaism underwent significant reform in Yavne. According to rabbinic tradition, Rabbi Yohanan ben Zakkai and his disciples were permitted to settle in Iamnia during the outbreak of the war, after ben Zakkai, realizing that Jerusalem was about to fall, departed the city and sought the permission of Vespasian, commander of the Roman forces, to settle in Yavne and teach his disciples. Upon the fall of Jerusalem, his school functioned as a Sanhedrin. It was also theorized for some time to have been the site of a supposed Council of Jamnia that established the rabbinic Jewish biblical canon (although current scholarship largely rejects the theory that such a council in fact occurred). According to the Jerusalem Talmud (Berakhot 1:4), when the rabbis argued over some fine point of Jewish law, a Divine voice (Hebrew: bat ḳol) was heard in Yavne, ruling in favor of the School of Hillel.
Organic fertilizers can be used to supplement or entirely replace the inorganic compounds used in conventional hydroponic solutions. However, using organic fertilizers introduces a number of challenges that are not easily resolved. Examples include:
Sources: en.wikipedia.org
Environmentally friendly – reuses leftover leather without need for extra farming and use of resources Product consistency – no natural defects and minimal batch to batch variation High cutting yield – cost efficient and reducing waste Possible drawbacks include:
==== MeSH D12.776.467.100.800 – vascular endothelial growth factors ==== MeSH D12.776.467.100.800.200 – vascular endothelial growth factor a MeSH D12.776.467.100.800.300 – vascular endothelial growth factor b MeSH D12.776.467.100.800.400 – vascular endothelial growth factor c MeSH D12.776.467.100.800.500 – vascular endothelial growth factor d MeSH D12.776.467.100.800.600 – vascular endothelial growth factor, endocrine-gland-derived
=== Psychiatric disorders === Flutamide has been studied in the treatment of bulimia nervosa in women. Flutamide was found to be effective in the treatment of obsessive–compulsive disorder (OCD) in men with comorbid Tourette's syndrome in one small randomized controlled trial. Conversely, it was ineffective in patients with OCD in another study. More research is necessary to determine whether flutamide is effective in the treatment of OCD.
== Further reading == World Health Organization publications: Safety and nutritional adequacy of irradiated food, WHO, Geneva, 1994 High-dose irradiation: Wholesomeness of food irradiated with doses above 10 kGy, WHO, Geneva, 1999, Technical Report Series No. 890 Facts about Food Irradiation, A series of Fact Sheets from the International Consultative Group on Food Irradiation (ICGFI), 1999, IAEA, Vienna, Austria at the Wayback Machine (archived 2006-03-16) Diehl, J.F., Safety of irradiated foods, Marcel Dekker, N.Y., 1995 (2. ed.) Satin, M., Food irradiation, Technomic, Lancaster, 1996 (2. ed.) Urbain, W.M., Food irradiation, Academic Press, Orlando, 1986 Molins, R. (ed.), Food irradiation – Principles and applications, Wiley Interscience, N.Y., 2001 Sommers, C.H. and Fan, X. (eds.), Food Irradiation Research and Technology, Blackwell Publishing, Ames, IA, 2006 The Food That Would Last Forever : Understanding the Dangers of Food Irradiation, by Gary Gibbs, Garden City Park, N.Y. : Avery Pub. Group, c1993 anon., Food Irradiation: Available Research Indicates That Benefits Outweigh Risks, RCED-00-217, August 24, 2000, Government Accountability Office, United States General Accounting Office, Resources, Community, and Economic Development Division, Washington, D.C. 20548 "Food Irradiation" Farkas, József; Mohácsi-Farkas, Csilla (March 2011). "History and future of food irradiation". Trends in Food Science & Technology. 22 (2–3): 121–126. doi:10.1016/j.tifs.2010.04.002.
On 9 November 1918, Philipp Scheidemann, a Social Democrat, proclaimed the German Republic, marking Germany's transition to a federal democratic state. Germany's new leadership signed the Treaty of Versailles in 1919, accepting defeat by the Allies. Germans perceived the treaty as humiliating, which was seen by historians as influential in the rise of Adolf Hitler. Germany lost around 13% of its European territory and ceded all of its colonial possessions. On 11 August 1919, President Friedrich Ebert signed the democratic Weimar Constitution. Communists briefly seized power in Bavaria and a few larger cities, while conservative elements failed to overthrow the central government in the 1920 Kapp Putsch. The occupation of the Ruhr by Belgian and French troops and a period of hyperinflation followed. A plan to restructure Germany's war reparations and the creation of a new currency in 1924 helped stabilise the government and ushered in the Golden Twenties, an era of artistic innovation and liberal cultural life. In 1929, the Great Depression hit Germany, and by 1932 the unemployment rate had risen to nearly 30%. The Nazi Party led by Adolf Hitler became the largest party in the Reichstag after the election of July 1932, and President Hindenburg appointed Hitler as chancellor on 30 January 1933. After the Reichstag fire, a decree abrogated basic civil rights, and the first Nazi concentration camp opened. On 23 March 1933, the Enabling Act gave Hitler unrestricted legislative power, overriding the constitution, and marked the beginning of Nazi Germany.
Sources: en.wikipedia.org
It mimics a natural hypothalamic signal that tells the pituitary to release growth hormone. The result is a rise in circulating growth hormone and, indirectly, in insulin-like growth factor 1. Over weeks of treatment this shift is associated with a selective decrease in fat stored inside the abdomen.
The primary measure is usually a cross-sectional abdominal scan that separates internal fat from fat just under the skin. Waist circumference and body weight are recorded as secondary measures because they are easy to obtain but do not distinguish the two fat compartments. Hormone and metabolic blood tests are collected alongside the imaging.
Available follow-up data indicate that visceral fat drifts back toward pretreatment levels once injections stop. The change is therefore best described as treatment-dependent rather than permanent. Investigators continue to debate whether intermittent or repeated courses would preserve any benefit.
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.