The short version of TH9507 fits in a sentence. The long version — which is the one that helps — is below.
Reviewed 2026-07-23. Anything still debated is marked as such rather than presented as settled.
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.
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.
| Property | Value | Notes |
|---|---|---|
| Drug class | Peptide hormone analog | Acts at the growth hormone-releasing hormone receptor |
| Receptor | Growth hormone-releasing hormone receptor | G protein-coupled; raises cyclic AMP in somatotrophs |
| Key mediator | Insulin-like growth factor 1 | Increases with repeated administration |
| Main studied population | Adults with HIV-associated lipodystrophy | Trials measured visceral adipose tissue by imaging |
| Route | Subcutaneous injection | Given once daily in clinical use |
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.
Interest in this peptide developed because native GHRH has a short circulating lifetime. The N-terminal modification slows cleavage by dipeptidyl peptidase IV, an enzyme that removes the first two residues of many peptides and terminates their activity. Slower degradation means a longer window of receptor stimulation per administration. This design logic parallels other modified peptide hormones, where a small chemical change at a vulnerable site yields a more durable molecule without altering the core mechanism of action.
Practical handling centers on limiting moisture, oxygen, and temperature excursions. Lyophilized material is generally held at or below minus twenty degrees Celsius, protected from light and kept sealed until use. Once reconstituted, solutions are typically kept cold and used within a short window because hydrolysis and microbial growth both accelerate in liquid form. Repeated freeze-thaw cycles are avoided, since they promote aggregation. Vial contents should be inspected for particulates and clarity before analysis, and working aliquots are prepared to reduce the number of times the stock is opened.
Quantitation of the peptide relies mainly on reversed-phase high-performance liquid chromatography with ultraviolet detection, typically at 214 nanometers, where the peptide bond absorbs. Identity is confirmed by mass spectrometry, most often electrospray ionization coupled to liquid chromatography, and by peptide mapping after enzymatic digestion. Because related impurities differ only slightly in sequence or modification, method development emphasizes resolution rather than speed. Purity is usually reported as a percentage of the main peak area, with individual impurities listed separately when they exceed a defined reporting threshold.
Development work on the compound, originally designated TH9507, focused on conditions in which reduced growth hormone signaling is thought to contribute to altered body composition. The United States Food and Drug Administration approved it in 2010 for the treatment of excess visceral abdominal fat in adults with human immunodeficiency virus infection and lipodystrophy. Later research examined other populations, including adults with mild cognitive impairment, where a large trial did not meet its primary endpoints. This mixed record illustrates how a single mechanism can produce clear effects in one setting and inconclusive results in another.
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.
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。
monosaccharide Any of a class of organic compounds which are the simplest forms of carbohydrates and the most basic structural subunits or monomers from which larger carbohydrate polymers such as disaccharides, oligosaccharides, and polysaccharides are composed. With few exceptions, all monosaccharides are variations on the empirical formula (CH2O)n, where n typically ranges from 3 (trioses) to 7 (heptoses). Common examples include glucose, ribose, and deoxyribose.
Myeloproliferative disease (primarily essential thrombocythemia and polycythemia vera). It has been found to be superior to anagrelide for the control of ET. Sickle-cell disease (increases production of fetal hemoglobin that then interferes with the hemoglobin polymerisation as well as by reducing white blood cells that contribute to the general inflammatory state in sickle cell patients.) Second line treatment for psoriasis (slows down the rapid division of skin cells) Systemic mastocytosis with associated hematological neoplasm(SM-AHN) (The utility in treating SM-AHN with hydroxycarbamide stems from its myelosuppressive activity, it does not however exhibit any selective anti-mast cell activity) Chronic myelogenous leukemia (largely replaced by imatinib, but still in use for its cost-effectiveness)
== Naming conventions == Amines are named in several ways. Typically, the compound is given the prefix "amino-" or the suffix "-amine". The prefix "N-" shows substitution on the nitrogen atom. An organic compound with multiple amino groups is called a diamine, triamine, tetraamine and so forth. Lower amines are named with the suffix -amine.
== Gene location of IDDM == Genome-wide linkage analysis could be used for identification in susceptibility genes of insulin-dependent (type I) diabetes mellitus (IDDM). This analysis verifies that eighteen different genome regions are predisposed to insulin-dependent (type I) diabetes mellitus(IDDM). There are 18 different symbols of genome region, which is labeled from IDDM1 to IDDM18. The MHC HLA gene (IDDM1) and the insulin gene INS (IDDM2) are the major genetic candidates in the development of insulin-dependent (type I) diabetes mellitus(IDDM), which are located on the chromosome 6p21.3 and chromosome 11p15 respectively. IDDM3, IDDM4, IDDM5 IDDM7 reside in chromosome 15q26, chromosome 11q13, chromosome 6q25 and 2q31 respectively.IDDM11 (insulin-dependent diabetes mellitus 11) is one of the susceptibility genes for IDDM which locates on chromosome 14q24.3-q31. This loci is identified by linkage to D14S67 marker via a sibling-pair linkage analysis Based on the previous study, the biological behavior of IDDM11is different to HLA region genes so that IDDM11 is less predisposing to HLA. Moreover, IDDM11 has more involvement on the families that are less predisposing to HLA, while IDDM11 has less involvement on the families that are more predisposing to HLA. The rest of susceptibility genes locus in insulin-dependent (type I) diabetes mellitus (IDDM)are shown in table 1. Table 1 The locus for susceptibility genes for IDDM.
Sources: en.wikipedia.org
=== Third representation === Given uncontrolled flow rate or varied solvent composition, another representation was designed such that a different heating source and control system would allow for partial vaporization. Two different heating methods were combined because one is capable of more rapid response time while the other is slower. This combination allows the third representation of vaporizer to handle fluctuations in flow rate coming of the LC column.
==== Member of the Order of the British Empire (MBE) ==== Military Commander Steven Andrews, Royal Navy, D257452S. Lieutenant Commander Ross Donald Balfour, Royal Navy, C040712E. Warrant Officer 1 James Adrian Cuthbert, Royal Marines, P047210N. Warrant Officer 1 Engineering Technician (Communication and Information Systems) Steven Gilbertson, Royal Navy, D242982T. Commander Martin John Howard, Royal Navy, C041681L. Lieutenant Commander Alexander Rowan Marsh, Royal Navy, 30033538. Commander Paul O'Dooley, Royal Naval Reserve, C900344D. Chief Petty Officer Engineering Technician (Marine Engineering) Michael John Stephens, Royal Navy, D258366B. Leading Seaman (Diver) Rory Edward Cartwright-Taylor, Royal Navy, 30050838. Lieutenant Sam David Thompson, Royal Navy, 30023663. Commander Roger Simon Wyness, Royal Navy, C037182G. Major John Edward BAILEFF, Royal Regiment of Artillery, 30121479. Major Allan Paul Beard, Intelligence Corps, 25132230. Sergeant Daniel Adam Powderham-Bissell, Intelligence Corps, 25179642. Lieutenant Colonel John George Bradbury, Corps of Royal Electrical and Mechanical Engineers, Army Reserve, 552247. Major (now Acting Lieutenant Colonel) Keith Michael Timothy Brooks, , Royal Regiment of Artillery, Army Reserve, 511819. Captain Barry Lee Byron, , General Service Corps, Army Reserve, 24751476. Captain Giles Alexander Leighton Clarke, The Royal Logistic Corps, 30082571. Major Lisa Jane Clarke, Adjutant General's Corps (Staff and Personnel Support Branch), W0815832. Major James Philip Dott, The Parachute Regiment, 30011021.
=== Environmental impacts === There are several negative environmental impacts due to the modern day textile industry such as the discharge of textile dyes and pigments into wastewater, greenhouse gas emissions from production, energy and resource intensive production, and large amounts of landfill waste. Water pollution is the greatest environment concern since pigments and textile dyes do not naturally biodegrade over time, which causes direct health concerns for both humans and ecosystem wildlife.
Historically, Japanese consumption of animal products primarily focused on seafood. Influenced by Buddhist precepts against killing (sesshō) and the Shinto reverence for rice cultivation, meat from mammals and birds was often considered impure (kegare) and rarely eaten. Although domesticated chickens arrived in Japan during the Yayoi period, imperial edicts, such as those by Emperor Tenmu and Emperor Shōmu, forbade the killing and eating of certain animals, including chickens, and eggs were likely avoided as well. During the Sengoku period and Edo period, contact with Europeans, particularly in Western Japan, introduced meat-eating habits and the consumption of eggs. Namban confectionery using eggs, such as castella and bōro, also arrived. An early dish resembling TKG, called Tamago meshi (玉子飯, egg rice), appears in the 1805 cookbook Shirōto Hōchō (素人包丁, Amateur Cooking). It involved pouring beaten egg over cooked rice and steaming it. In 1838, records from the Nabeshima clan (Onji Nikki) mention "Odonburi Namatamago" (御丼 生玉子, bowl of rice [with] raw egg) being served to guests. The first person known to have eaten TKG in its modern, raw form was Kishida Ginkō (1833–1905), a pioneering journalist, around 1877. He reportedly recommended the dish to others. According to a 1927 magazine article describing Ginkō's habits, he seasoned it with salt and chili pepper (bansho). Eggs were a luxury during the food shortages after World War II, but became widely affordable from the 1950s onwards. TKG then gained popularity for its taste and nutritional value.
====== Interferons ====== Type I and type II interferons have anticancer activity (see the "Function" section in the "Interferon" article). Interferons can promote expression of major histocompatibility complex molecules, MHC I and MHC II, and stimulate immunoproteasome activity. All interferons drastically increase the presentation of MHC I dependent antigens. Interferon gamma (IFN-gamma) also strongly promotes the MHC II-dependent presentation of antigens. Higher MHC I expression leads to higher presentation of viral and abnormal peptides from cancer cells to cytotoxic T cells, while the immunoproteasome more efficiently processes these peptides for loading onto the MHC I molecule. Therefore, the recognition and killing of infected or malignant cells increases. Higher MHC II expression enhances presentation of viral and cancer peptides to helper T cells; which are releasing cytokines (such as more interferons, interleukins and other cytokines) that stimulate and co-ordinate the activity of other immune cells. By down regulation of angiogenic stimuli produced by tumor cells interferon can also suppress angiogenesis In addition, they suppress the proliferation of endothelial cells. Such suppression causes a decrease in tumor vascularization and subsequent growth inhibition. Interferons can directly activate immune cells including macrophages and natural killer cells. INF-1 and interferon gamma (IFN-γ) production are triggered by SeV molecular components in many cells (See "Virus-induced antiviral immunity" section above).
Sources: en.wikipedia.org
== Medical uses == Tralokinumab is indicated for the treatment of moderate-to-severe atopic dermatitis in adults who are candidates for systemic therapy. In the United States, tralokinumab is indicated for the treatment of moderate-to-severe atopic dermatitis in adults whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable.
=== Peace committees === Among those Burghers who had stopped fighting, it was decided to form peace committees to persuade those fighting to desist. In December 1900, Lord Kitchener gave permission that a central Burgher Peace Committee be inaugurated in Pretoria. By the end of 1900 thirty envoys were sent out to the districts to form peace committees to persuade burghers to give up. Previous leaders of the Boers, like Generals Piet de Wet and Andries Cronjé were involved in the organisation. Meyer de Kock was an emissary of a peace committee, but he was arrested, convicted of high treason, and executed by firing squad.
Number of amino acid residues: 583 Molecular weight: 66,463 Da (= 66.5 kDa) isoelectric point in water at 25 °C: 4.7 Extinction coefficient of 43,824 M−1cm−1 at 279 nm Dimensions: 140 × 40 × 40 Å (prolate ellipsoid where a = b < c) pH of 1% Solution: 5.2-7 Optical Rotation: [α]259: -61°; [α]264: -63° Stokes Radius (rs): 3.48 nm Sedimentation constant, S20,W × 1013: 4.5 (monomer), 6.7 (dimer) Diffusion constant, D20,W × 10−7 cm2/s: 5.9 Partial specific volume, V20: 0.733 Intrinsic viscosity, η: 0.0413 Frictional ratio, f/f0: 1.30 Refractive index increment (578 nm) × 10−3: 1.90 Optical absorbance, A279 nm1 g/L: 0.667 ε280 = 43.824 mM−1 cm−1 Mean residue rotation, [m']233: 8443 Mean residue ellipticity: 21.1 [θ]209 nm; 20.1 [θ]222 nm Estimated a-helix, %: 54 Estimated b-form, %: 18
Pharmaceutical industry applications, which use adsorption as a means to prolong neurological exposure to specific drugs or parts thereof, are lesser known. The word "adsorption" was coined in 1881 by German physicist Heinrich Kayser (1853–1940).
=== 25 April === Three people were killed in Russian attacks in Donetsk Oblast. Russian-installed officials claimed that four people were killed in separate Ukrainian attacks in Kherson and Zaporizhzhia Oblasts. Two Russian soldiers were arrested for fatally shooting at least seven people while intoxicated in the villages of Podo-Kalynivka and Abrykosivka in Kherson Oblast, including the head of the latter village. The Polish and Lithuanian governments offered to repatriate Ukrainian men living in their countries to Ukraine for them to be drafted into the Ukrainian military. Spain pledged to provide Patriot missiles to Ukraine. The Swiss Parliament's Security Committee approved a proposal to send five billion Swiss Francs in aid to Ukraine. Russia seized the village of Novobakhmutivka, ten kilometers northwest of Avdiivka.
Sources: en.wikipedia.org
It is a laboratory-made peptide that mimics growth hormone-releasing hormone. It prompts the pituitary gland to release growth hormone and has been studied mainly in adults with HIV-associated lipodystrophy.
Administered growth hormone supplies the hormone directly, while this peptide acts upstream by prompting the pituitary to release it. The indirect route preserves pulsatile secretion and some endogenous feedback, which changes the hormone and IGF-1 profile observed after treatment.
Reductions in visceral adipose tissue appear consistently in randomized trials of the approved population. Effects on peripheral fat, cardiovascular outcomes, and use outside that population are less well established.
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.