The short version of Visceral adipose tissue fits in a sentence. The long version — which is the one that helps — is below.
Reviewed 2026-03-31. 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 family and contains the same forty-four amino acid sequence as endogenous GHRH, extended at the amino terminus by a trans-3-hexenoyl group. That small fatty acid modification protects the peptide from rapid cleavage by dipeptidyl peptidase-4, the enzyme that shortens the half-life of native GHRH to only a few minutes. Chemically the compound is produced by solid-phase peptide synthesis, purified by chromatography, and supplied as a sterile lyophilized powder for reconstitution.
Regulatory approval in the United States came in 2010, when the Food and Drug Administration cleared the peptide for the reduction of excess abdominal fat in adults with HIV infection and associated lipodystrophy. The decision rested mainly on two randomized phase 3 trials that enrolled roughly eight hundred patients and ran for twenty-six weeks. Participants receiving active drug showed substantially greater declines in visceral adipose tissue than those receiving placebo, while total body weight changed comparatively little. A reformulated presentation was later approved, and the product has remained a niche therapy rather than a general weight-loss agent.
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.
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.
| Property | Value | Notes |
|---|---|---|
| Peptide class | Synthetic GHRH analogue | 44 residues; N-terminal trans-3-hexenoyl group |
| First approval year | 2010 | United States; HIV-associated abdominal fat accumulation |
| Administration route | Subcutaneous injection | Abdominal site; clinician-administered or self-injected |
| Common synonyms | TH9507; tesamorelin acetate | Development code and acetate salt form |
| Originator | Canadian biotechnology firm | Original developer and regulatory sponsor |
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.
Tesamorelin is a synthetic peptide built from 44 amino acids and classified with the growth hormone–releasing hormone family. Its sequence corresponds to the human GHRH(1-44) backbone, carrying one structural change at the amino terminus. That change is a trans-3-hexenoyl group placed where the natural peptide would have an unmodified end. The modification is the feature that separates the compound from the endogenous hormone in name, in stability, and in how it is handled in the laboratory.
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.
After injection, the peptide binds receptors on somatotroph cells in the anterior pituitary. Receptor activation raises intracellular cyclic AMP and triggers release of stored growth hormone into the bloodstream. Because the compound works through the body's own regulatory system, growth hormone pulses retain much of their normal feedback control. Repeated administration also raises insulin-like growth factor 1, a hormone produced mainly in the liver. Investigators treat that rise as a marker that the pituitary axis has been engaged.
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.
==== Renal perfusion ==== Ethylglyoxal bis(thiosemicarbazone) (ETS) has potential utility as a PET radiopharmaceutical with the various isotopes of copper. 64Cu-ETS has been used for experimental preclinical myocardial, cerebral and tumor perfusion evaluations, with a linear relationship between the renal uptake and blood flow. Renal perfusion can also be evaluated with CT or MRI instead of PET, but with drawbacks: CT requires administration of potentially allergenic contrast agents. MRI avoids use of ionising radiation but is difficult to implement, and often suffers from motion artefacts. PET with 64Cu can offer quantitative measurements of renal perfusion.
Keller also plans on opening his own burger restaurant inspired by his Los Angeles experience of In-N-Out. Julia Child, one of the first celebrities to champion the chain, admitted to knowing every location of the restaurant between Santa Barbara and San Francisco. Child also had the burgers delivered to her during a hospital stay. Anthony Bourdain reportedly said that In-N-Out was his favorite fast food meal, later naming the restaurant as "the best restaurant in Los Angeles". Ina Garten at an interview at Today show said "I have to say, I don't eat fast food at all, with one exception. When we're in California doing book tours, we always have to go to In-N-Out Burger. It's so good and I know it was Julia Child's favorite too, so it's okay." In-N-Out was one of the few restaurant chains mentioned positively in the book Fast Food Nation. The book commended the chain for using natural and fresh ingredients and for looking after the interests of employees regarding pay and benefits. An In-N-Out food truck catered Vanity Fair's 2012 Academy Awards after party.
Genetic screens conducted in Drosophila led to the identification of several proteins that play a central role in Notch signaling, including Enhancer of split, Master mind, Delta, Suppressor of Hairless (CSL), and Serrate. At the same time, the Notch gene was successfully sequenced and cloned, providing insights into the molecular architecture of Notch proteins and led to identification of Notch homologs in Caenorhabditis elegans (C. elegans) and eventually in mammals. In the early 1990s Notch was increasingly implicated as the receptor of a previously unknown intercellular signal pathway in which the Notch intercellular domain (NICD) is transported to the nucleus where it acts as a transcription factor to directly regulate target genes. The release of the NICD was found to be as a result of proteolytic cleavage of the transmembrane protein through the actions of the γ-secretase complex catalytic subunit Presenilin. This was a significant interaction as Presenilin is implicated in the development of Alzheimer's disease. This and further research into the mechanism of Notch signaling led to research that would further connect Notch to a wide range of human diseases.
On June 26, 2025, Pritzker announced he would seek a third term as governor. With incumbent Lieutenant Governor Juliana Stratton running for U.S. Senate, Pritzker chose former state representative Christian Mitchell as his running mate. Pritzker and Mitchell ran unopposed in the March Democratic primary, winning 100% of the vote. Pritzker faces the Republican nominee, former state senator Darren Bailey, in a rematch in the November general election. Should Pritzker win, he will be first Illinois governor to win a third term since Jim Thompson in 1986, and the first Democrat to do so in Illinois history.
Sources: en.wikipedia.org
=== Pregnancy === Traditional Chinese medicine's dealings with pregnancy are documented from at least the seventeenth century. According to Charlotte Furth, "a pregnancy (in the seventeenth century) as a known bodily experience emerged [...] out of the liminality of menstrual irregularity, as uneasy digestion, and a sense of fullness". These symptoms were common among other illness as well, so the diagnosis of pregnancy often came late in the term. The Canon of the Pulse, which described the use of pulse in diagnosis, stated that pregnancy was "a condition marked by symptoms of the disorder in one whose pulse is normal" or "where the pulse and symptoms do not agree". Women were often silent about suspected pregnancy, which led to many men not knowing that their wife or daughter was pregnant until complications arrived. Complications through the misdiagnosis and the woman's reluctance to speak often led to medically induced abortions. Cheng Maoxian, Furth wrote, "was unapologetic about endangering a fetus when pregnancy risked a mother's well being". The method of abortion was the ingestion of certain herbs and foods. Disappointment at the loss of the fetus often led to family discord.
Alexios' concentration of power in the hands of his Komnenos dynasty meant the most serious political threats came from within the imperial family—before his coronation, John II had to overcome his mother Irene and his sister Anna, and the primary threat during his reign was his brother Isaac. John campaigned annually and extensively—he fought the Pechenegs in 1122, the Hungarians in the late 1120s, and the Seljuks throughout his reign, waging large campaigns in Syria in his final years—but he did not achieve large territorial gains. In 1138, John raised the imperial standard over the Crusader Principality of Antioch to intimidate the city into allying with the Byzantines, but did not attack, fearing that it would provoke western Christendom to respond. Manuel I used the considerable financial resources left by his father in pursuit of his ambitions, and also to secure the empire's position in an increasingly multilateral geopolitical landscape. Through a combination of diplomacy and subsidies, he cultivated a network of allies and client rulers around the empire: the Turks of the Sultanate of Rum, the Kingdom of Hungary, the Cilician Armenians, Balkan princes, Italian and Dalmatian cities, and most importantly Antioch and the Crusader States, marrying one of their princesses in 1161. Manuel managed the difficult passage of the Second Crusade through Byzantine territories in 1147, but the campaign's failure was blamed on the Byzantines by western contemporaries.
Many mixed valence compounds contain both iron(II) and iron(III) centers, such as magnetite and Prussian blue (Fe4[Fe(CN)6]3). The latter is used as the traditional "blue" in blueprints. Iron is the first of the transition metals that cannot reach its group oxidation state of +8, although its heavier congeners ruthenium and osmium can, with ruthenium having more difficulty than osmium. Ruthenium exhibits an aqueous cationic chemistry in its low oxidation states similar to that of iron, but osmium does not, favoring high oxidation states in which it forms anionic complexes. In the second half of the 3d transition series, vertical similarities down the groups compete with the horizontal similarities of iron with its neighbors cobalt and nickel in the periodic table, which are also ferromagnetic at room temperature and share similar chemistry. As such, iron, cobalt, and nickel are sometimes grouped together as the iron triad. Unlike many other metals, iron does not form amalgams with mercury. As a result, mercury is traded in standardized 76 pound flasks (34 kg) made of iron. Iron is by far the most reactive element in its group; it is pyrophoric when finely divided and dissolves easily in dilute acids, giving Fe2+. However, it does not react with concentrated nitric acid and other oxidizing acids due to the formation of an impervious oxide layer, which can nevertheless react with hydrochloric acid. High-purity iron, called electrolytic iron, is considered to be resistant to rust, due to its oxide layer.
=== Response duration === The response duration is occasionally used to analyze the results of the treatment for the advanced disease. The event is progression of the disease (relapse). This endpoint involves selecting a subgroup of the patients. It measures the length of the response in those patients who responded. The patients who don't respond aren't included.
=== Phenol === Phenol, also known as carbolic acid, was one of the first chemicals was used as an antimicrobial agent. It has high antiseptic properties. It is bacteriostatic at concentrations of 0.1%–1% and is bactericidal and fungicidal at 1%–2%. A 5% solution kills anthrax spores in 48 hr. Phenols are most commonly used in oral mouth washes and household cleaning agents. They are active against a wide range of bacteria, fungi and viruses. Phenol derivatives, such as thymol and cresol, are used because they are less toxic compared to phenol. These phenolic compounds have a benzene ring along with the –OH group incorporated into their structures. They have a higher antimicrobial activity. These compounds inhibit microbial growth by precipitating proteins which lead to their denaturation and by penetrating into the cell membrane of microorganisms and disrupting it. Hexachlorophene (bisphenol) is used as a surfactant. It is widely used in soaps, handwashes, and skin products because of its antiseptic properties. It is also used as a sterilizing agent. Cresol is an effective antimicrobial and is widely used in mouthwashes and cough drops.
Sources: en.wikipedia.org
Several postwar disagreements between western and Soviet leaders were related to their differing interpretations of wartime and immediate post-war conferences. In late 1943, the Tehran Conference was the first Allied conference in which Stalin was present. At the conference the Soviets expressed frustration that the Western Allies had not yet opened a second front against Germany in Western Europe. In Tehran, the Allies also considered the political status of Iran. At the time, the British had occupied southern Iran, while the Soviets had occupied an area of northern Iran bordering the Soviet republic of Azerbaijan. Nevertheless, at the end of the war, tensions emerged over the timing of the pull out of both sides from the oil-rich region. The differences between Roosevelt and Churchill led to several separate deals with the Soviets. Personal politics was reflected in the deals made with Soviets. Stalin's relationship with Roosevelt differed from that with Churchill, having greater respect between the Soviet and his American counterpart in the Grand Alliance. In October 1944, Churchill traveled to Moscow and proposed the "percentages agreement" to divide the Balkans into respective spheres of influence, including giving Stalin predominance over Romania and Bulgaria and Churchill carte blanche over Greece. Meanwhile, Roosevelt was less concerned with Balkan affairs. His aims were more concerned with working to secure a post-war alliance that included Stalin.
The preservative in hops comes from the lupulin glands which contain soft resins with alpha and beta acids. Though much studied, the preservative nature of the soft resins is not yet fully understood, though it has been observed that unless stored at a cool temperature, the preservative nature will decrease. Brewing is the sole major commercial use of hops.
This reasoning was conditioned by Russia's historical experiences, given the frequency with which the country had been invaded over the preceding 150 years. The Second World War experience was particularly dramatic for the Russians: the Soviet Union suffered unprecedented devastation as a result of the Nazi onslaught, and over 20 million Soviet citizens died during the war; tens of thousands of Soviet cities, towns, and villages were leveled; and 30,100 Soviet factories were destroyed. In order to prevent a similar assault in the future, Stalin was determined to use the Red Army to gain control of Poland, to dominate the Balkans and to destroy utterly Germany's capacity to engage in another war. The problem was that Stalin's strategy risked confrontation with the equally powerful United States, who viewed Stalin's actions as a flagrant violation of the Yalta agreement. At the end of the war in Europe, in May 1945, the Soviets insisted on occupying the Danish island of Bornholm, due to its strategic position at the entrance to the Baltic. When the local German commander insisted on surrendering to the Western Allies, as did German forces in the rest of Denmark, the Soviets bombed the island, causing heavy casualties and damage among a civilian population which was only lightly touched throughout the war, and then invaded the island and occupied it until mid-1946—all of which can be considered as initial moves in the Cold War.
=== Hopback === A hopback is a traditional chamber between the brewing kettle and wort chiller that acts as a sieve or filter by using whole hops to clear debris (or "trub") from the unfermented wort, as the whirlpool does, and also to increase hop aroma in the finished beer. Hops are added to the chamber, the hot wort from the kettle is run through it, and then immediately cooled in the wort chiller before entering the fermentation vessel. Hopbacks utilising a sealed chamber facilitate maximum retention of volatile hop aroma compounds that would normally be driven off when the hops contact the hot wort. While a hopback has a similar filtering effect as a whirlpool, it operates differently: a whirlpool uses centrifugal forces, while a hopback uses a layer of whole hops to act as a filter bed. Whirlpools are particularly suited to the removal of pelleted hops, whereas hopbacks are generally used to remove whole flower hops from the wort, retaining them as a filter bed. The hopback has mainly been substituted in modern breweries by the whirlpool.
Sources: en.wikipedia.org
It is a laboratory-made peptide of forty-four amino acids whose sequence matches human growth hormone-releasing hormone, with a modified amino terminus. The modification is a short unsaturated fatty acid chain attached to the first residue. This change slows enzymatic breakdown and lengthens the time the peptide stays active in circulation.
The clinical program was designed around HIV-associated lipodystrophy, a condition in which fat accumulates abnormally around the internal organs. Trials enrolled that specific population, so the evidence base covers it rather than the general population. Regulators approved the drug for the studied indication only, and promotion outside it is not permitted.
Growth hormone therapy supplies the finished hormone directly, while this peptide acts upstream and asks the pituitary to secrete its own. That difference means the response depends on a functioning pituitary and on the body's normal feedback loops. It also means the circulating hormone profile is pulsatile rather than a flat, injected level.
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.