This is a working overview of 脂肪营养不良, written for readers who want more than a one-paragraph summary but less than a textbook.
Reviewed 2026-05-05. Anything still debated is marked as such rather than presented as settled.
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.
Lyophilized tesamorelin is generally stored refrigerated at 2 to 8 degrees Celsius, protected from light and moisture. Peptides in this class are often kept frozen at minus 20 degrees Celsius for longer periods. Reconstituted solutions are typically used within a defined window because hydrolysis and oxidation proceed faster in liquid form. Container material and headspace also influence how long a preparation retains its expected profile. Specific stability figures depend on concentration and buffer composition.
Common analytical approaches include reversed-phase high-performance liquid chromatography for purity assessment and mass spectrometry for identity confirmation. Peptide mapping after enzymatic digestion can verify the expected sequence. Immunoassays may be used to measure the compound or its downstream markers, but they can cross-react with related peptides and require careful validation. Impurity profiles typically include truncated sequences, oxidized methionine residues, and residual solvents from synthesis. Each method reports a different property, so no single assay establishes overall quality.
Storage claims vary across suppliers, and published stability data for specific formulations are limited. Extrapolating from related peptides is common but not a substitute for direct measurement. For research use, documentation such as a certificate of analysis is often requested to confirm identity and purity. What constitutes an acceptable purity threshold depends on the intended application. Open questions remain about how temperature excursions during shipping affect long-term peptide integrity. Independent verification by an end user is not routinely reported.
| Property | Value | Notes |
|---|---|---|
| Molecular formula | C221H366N72O67S | Reflects a 44-residue peptide with one N-terminal modification |
| Approximate molecular weight | 5136 Da | Sequence length and single acyl group determine the mass |
| Appearance | White to off-white lyophilized powder | Typical form of a purified synthetic peptide |
| Solubility class | Soluble in water and aqueous buffer | Peptide backbone favors aqueous dissolution |
| Common synonyms | GHRH(1-44) analogue; Egrifta | Descriptive name and approved brand name |
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.
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。
稳定性研究通常考察温度、光照、湿度和 pH 对肽链的影响。冻干粉在低温避光条件下较为稳定，复溶后则需控制保存时间并避免反复冻融。肽类可能发生氧化、脱酰胺、水解和聚集，这些变化会改变色谱纯度。强制降解实验用于识别主要降解途径并验证分析方法的专属性。
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。
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。
Stimulated growth hormone release leads to hepatic production of insulin-like growth factor 1, a key mediator of many growth hormone effects. In clinical studies, tesamorelin increased IGF-1 levels in a dose-dependent manner, although the response varies among individuals. The drug's effect on visceral fat is thought to involve growth hormone-mediated lipolysis and altered adipocyte metabolism. Muscle mass and lean body mass have also been assessed as secondary outcomes, but changes are generally smaller and less consistent than fat reductions.
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.
1993/1223) Value Added Tax (General) (Amendment) (No. 4) Regulations 1993 (S.I. 1993/1224) Bromley and Greenwich (London Borough Boundaries) Order 1993 (S.I. 1993/1225) Medicines (Veterinary Drugs) (Renewal Applications for Licences and Animal Test Certificates) Regulations 1993 (S.I. 1993/1227) Beer Regulations 1993 (S.I. 1993/1228) Financial Services (Designated Countries and Territories) (Overseas Insurance Companies) Order 1993 (S.I. 1993/1237) Scottish Hospital Endowments Research Trust (Amendment) Regulations 1993 (S.I. 1993/1238) National Savings Bank (Investment Deposits) (Limits) (Amendment) Order 1993 (S.I. 1993/1239) Soft Drinks (Amendment) Regulations 1993 (S.I. 1993/1240) South West Regional Flood Defence Committee Order 1993 (S.I. 1993/1241) Social Security (Widow's Benefit and Retirement Pensions) Amendment Regulations 1993 (S.I. 1993/1242) Child Abduction and Custody (Parties to Conventions) (Amendment) Order 1993 (S.I. 1993/1243) Iraq (United Nations) (Sequestration of Assets) Order 1993 (S.I. 1993/1244) Iraq (United Nations) (Sequestration of Assets) (Dependent Territories) Order 1993 (S.I. 1993/1245) Treaty on Open Skies (Privileges and Immunities) Order 1993 (S.I. 1993/1246) Treaty on Open Skies (Privileges and Immunities) (Overseas Territories) Order 1993 (S.I. 1993/1247) Turks and Caicos Islands Constitution (Amendment) Order 1993 (S.I. 1993/1248) Income-related Benefits Schemes and Social Security (Recoupment) Amendment Regulations 1993 (S.I. 1993/1249) Access to Health Records (Northern Ireland) Order 1993 (S.I.
=== Middle Ages === In the 13th and 14th centuries, alum (from alunite) was a major import from Phocaea (Gulf of Smyrna in Byzantium) by Genoans and Venetians (and was a cause of war between Genoa and Venice) and later by Florence. After the fall of Constantinople, alunite (the source of alum) was discovered at Tolfa in the Papal States (1461). The textile dyeing industry in Bruges, and many locations in Italy, and later in England, required alum to stabilize the dyes onto the fabric (make the dyes "fast") and also to brighten the colors.
=== Pharmaceutical products === Several currently marketed amphetamine formulations contain both enantiomers, including those marketed under the brand names Adderall, Adderall XR, Mydayis, Adzenys ER, Adzenys XR-ODT, Dyanavel XR, Evekeo, and Evekeo ODT. Of those, Evekeo (including Evekeo ODT) is the only product containing only racemic amphetamine (as amphetamine sulfate), and is therefore the only one whose active moiety can be accurately referred to simply as "amphetamine". Dextroamphetamine, marketed under the brand names Dexedrine and Zenzedi, is the only enantiopure amphetamine product currently available. A prodrug form of dextroamphetamine, lisdexamfetamine, is also available and is marketed under the brand name Vyvanse. As it is a prodrug, lisdexamfetamine is structurally different from dextroamphetamine, and is inactive until it metabolizes into dextroamphetamine. The free base of racemic amphetamine was previously available as Benzedrine, Psychedrine, and Sympatedrine. Levoamphetamine was previously available as Cydril. Many current amphetamine pharmaceuticals are salts due to the comparatively high volatility of the free base. However, oral suspension and orally disintegrating tablet (ODT) dosage forms composed of the free base were introduced in 2015 and 2016, respectively. Some of the current brands and their generic equivalents are listed below.
Sources: en.wikipedia.org
=== Tempe murni === Pure soybean cake, tempeh made in plastic wrap without any fillings or additives such as grated raw papaya. This was meant to create a more "hygienic and pure" tempeh free from any impurities or unwanted microbes.
Electronic toll collection – on toll roads, an alternative to manual collection of tolls at a toll booth, in which a transponder in a vehicle, when triggered by a roadside transmitter, transmits a signal to a roadside receiver to register the vehicle's use of the road, enabling the owner to be billed for the toll.
The main gas supply for surface-supplied diving can be from high pressure bulk storage cylinders. When the storage cylinders are relatively portable this is known as a scuba replacement system in the commercial diving industry. The application is versatile and can ensure high quality breathing gas in places where atmospheric air is too contaminated to use through a normal low pressure compressor filter system, and is easily adaptable to a mixed gas supply and oxygen decompression provided that the breathing apparatus and gas supply system are compatible with the mixtures to be used. Scuba replacement is often used from smaller diving support vessels, for emergency work, and for hazmat diving. Mixed breathing gases are provided from high pressure bulk storage systems for saturation diving, but these are less portable, and generally involve manifolded racks of cylinders of approximately 50 litres water capacity arranged as quads and even larger racks of high pressure tubes. If gas reclaim systems are used, the reclaimed gas is scrubbed of carbon dioxide, filtered of other contaminants, and recompressed into high pressure cylinders for interim storage, ans is generally blended with oxygen or helium to make up the required mix for the next dive before re-use.
Sources: en.wikipedia.org
As little as 1 ounce (28 g) exists at any given time throughout the Earth's crust; aside from francium-223 and francium-221, its other isotopes are entirely synthetic. The largest amount produced in the laboratory was a cluster of more than 300,000 atoms.
In early 1936, Thomas met Caitlin Macnamara (1913–1994), a 22-year-old dancer of Irish and French Quaker descent. She had run away from home, intent on making a career in dance, and aged 18 joined the chorus line at the London Palladium. Introduced by Augustus John, Caitlin's lover, they met in The Wheatsheaf pub on Rathbone Place in London's West End. Laying his head in her lap, a drunken Thomas proposed. Thomas liked to assert that he and Caitlin were in bed together ten minutes after they first met. Although Caitlin initially continued her relationship with John, she and Thomas began a correspondence, and in the second half of 1936 were courting. They married at the register office in Penzance, Cornwall, on 11 July 1937. For the first months of their relationship and marriage the couple lived at the Macnamara family home in Blashford, Hampshire. In May 1938 they moved to Wales, to the village of Laugharne, Carmarthenshire where they rented a cottage in Gosport Street before moving into 'Sea View', a larger property, a couple of months later. They left Laugharne in July 1940 and then led a peripatetic lifestyle over the next few years, returning to Blashford and subsequently living at Marshfield (1940), Bishopston (1940–41), Chelsea, in London (1942–43), Talsarn (1942–44), East Knoyle, Beaconsfield (1944), Bosham, Sussex (1944), Blaencwm (Llansteffan) (1944 and 1945), New Quay (1944–45), and in premises arranged by Margaret Taylor, one of Dylan's benefactors (the wife of the historian A. J. P.
Holyhead Old Town is built around St Cybi's Church, which is built inside one of Europe's few three-walled Roman forts (the fourth boundary being the sea, which used to come up to the fort). The Romans also built a watchtower on the top of Holyhead Mountain inside Mynydd y Twr, a prehistoric hillfort. Settlements in the area date from prehistoric times, with circular huts, burial chambers and standing stones featuring in the highest concentration in Britain. The current lighthouse is on South Stack on the other side of Holyhead Mountain. Soldiers Point Hotel, located near the breakwater park in Holyhead, was built in 1848 as the residence of an engineer who was in charge of the government-sponsored alterations to Holyhead Harbour being carried out. It was badly damaged in a fire in 2011.
Sources: en.wikipedia.org
It shares the 44-residue sequence of human GHRH but carries an added trans-3-hexenoyl group at its N-terminus. That addition does not occur in the natural hormone and serves mainly to resist enzymatic breakdown. The receptor target and signaling pathway remain the same.
It binds the growth hormone-releasing hormone receptor on anterior pituitary cells. Activation of that receptor promotes synthesis and release of growth hormone. The effect propagates through the growth hormone and insulin-like growth factor 1 axis.
Native GHRH is cleared quickly by peptidases, which limits how long it can stimulate its receptor. The added group hinders one of the primary cleavage enzymes. The practical consequence is a longer period of receptor activity per dose.
Refrigeration between 2 and 8 degrees Celsius with protection from light is the common recommendation. Many laboratories choose frozen storage at minus 20 degrees Celsius when the material will not be used soon. Repeated temperature cycling is generally avoided.