The short version of Somatotroph fits in a sentence. The long version — which is the one that helps — is below.
This page was last updated on 2026-04-20 and is reviewed periodically as new material appears.
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.
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.
| Property | Value | Notes |
|---|---|---|
| Chemical class | Synthetic peptide | GHRH analog family |
| Residue count | 44 amino acids | Matches human GHRH(1-44) backbone |
| N-terminal group | trans-3-hexenoyl | Main structural difference from native hormone |
| Appearance | White to off-white powder | Lyophilized solid form |
| Solubility class | Freely soluble in water | Peptide character; less soluble in organic solvents |
Tesamorelin occupies a narrow position among agents that act on the growth hormone axis. Unlike growth hormone itself, which is given as replacement, it stimulates the pituitary to release the hormone in pulses, so the downstream increase in insulin-like growth factor 1 depends on intact somatotroph function. Other peptides in the same family include shorter GHRH fragments and synthetic secretagogues with different stability profiles. Several points remain unresolved, including whether the reduction in visceral fat translates into fewer cardiovascular events, what happens to metabolic markers after long-term use, and how the drug compares with lifestyle or surgical approaches.
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.
=== 25 November === According to U.S. and Ukrainian officials, about 1/3 of Western-supplied artillery went out of action in Ukraine due to wear-related mechanical problems. The United States European Command was said to have a repair base in Poland, but there were problems in transporting the weapons there from the front.
Plants secrete a variety of chemicals to help seal off damaged areas. For example, the grape vine Vitis vinifera is able to block the xylem water-transport tubes in its stems using the chemical tylose in summertime, and gels in wintertime when the plant is dormant. Tylose helps to prevent pathogens such as wood-rotting fungi and the bacterium Xylella fastidiosa from spreading through the plant: the chemical is produced as a response both to the bacterium and to mechanical damage such as viticultural pruning.
== Agents of deterioration == The practice of preventive conservation is the management of fluctuations in temperature, light, relative humidity, pests, and pollutants that can deteriorate museum collections. These factors are considered agents of deterioration. Understanding the practice of preventive conservation as well as the agents of deterioration is most important when trying to protect, display, and store collections within the conservation field.
A "stop" traffic sign with three 3D military drones painted on by Banksy is unveiled. The artwork has an anti-war theme believed to be relating to the Gaza war. However, it is stolen one hour after its unveiling in Peckham, London. 23 December The Metropolitan Police launches an investigation after a street sign in Peckham, London featuring the work of Banksy is stolen. A man is arrested on suspicion of theft and criminal damage during the first day of investigation. An increase in environmental activists being referred to the Prevent terrorism programme is reported, following the recent rise in disruptive climate protests. 24 December A second man is arrested on suspicion of theft and criminal damage after a road sign featuring work by street artist Banksy was stolen. Home Secretary James Cleverly apologises for a joke about his wife in which he said, "a little bit of Rohypnol in her drink every night" is "not really illegal", just hours after the Home Office announced plans to crack down on spiking. Two teenagers die and three others are injured in a three-car crash in Cramlington, Northumberland. The warmest Christmas Eve since 1997 is recorded, with temperatures of up to 15.3 °C (59.5 °F). British businessman Sir Jim Ratcliffe agrees a deal worth an estimated £1.3bn to buy a 25% share in Manchester United. The Ministry of Defence confirms that HMS Trent will take part in joint military exercises in Guyana in early 2024 as Venezuela renews its claims in the Guyana–Venezuela territorial dispute.
Sources: en.wikipedia.org
=== 2016–2025: Hayden leadership === Appointed in 2016 by President Barack Obama, Carla D. Hayden was sworn in as the fourteenth librarian of Congress on September 14, 2016. She is the first professional librarian to hold the post since 1974, holding a Ph.D. in library science from the University of Chicago. She was the CEO of Enoch Pratt Free Library in Baltimore, Maryland, from 1993 until 2016, and president of the American Library Association (ALA) from 2003 to 2004. She also is the first woman and the first African American to hold the position. She continued the work of digitizing as much as possible of the collection and of expanding electronic access to the collection. She initiated programs to modernize the library, expand access from rural areas, and expanding the infrastructure and technological capacity of the library and assessment of her leadership of the library by the community reflects her expressed goals. The Association of Research Libraries noted Hayden's transformation of the library "into a more open, accessible, and celebrated U.S. institution, while reaffirming its role as the people’s library". The American Library Association characterized Hayden as a "wise and faithful steward of the Library of Congress – the library she has called our 'national treasure'".
==== Systemic lupus erythematosus ==== Systemic lupus erythematosus (SLE) is a chronic autoimmune disease. Studies have implicated a role for neutrophil death (NETosis) in SLE. Neutrophil ferroptosis is prevalent in patients with SLE and is induced by autoantibodies and interferon-alpha (IFN-α), which suppress GPX4 expression via the transcriptional repressor CREMα. Inhibition of ferroptosis was able to ameliorate SLE disease progression in the MRL/lpr mouse model of SLE.
=== Serotonin 5-HT2A receptor antagonists === Serotonin 5-HT2A receptor antagonists such as ritanserin, ketanserin, eplivanserin, volinanserin, nelotanserin, and pimavanserin have been studied and developed to improve sleep. They do not improve sleep onset, but have been found to increase slow wave sleep (deep sleep) and reduce nighttime awakenings. Conversely, improvement in subjective sleep ratings have been more mixed. Ultimately no selective serotonin 5-HT2A receptor antagonists have been approved for treatment of insomnia. The only selective serotonin 5-HT2A receptor antagonist to be approved for any indication is pimavanserin for treatment of Parkinson's disease psychosis. Besides selective serotonin 5-HT2A receptor antagonists however, many non-selective agents used as hypnotics show serotonin 5-HT2A receptor antagonism, for instance antidepressants like trazodone, mirtazapine, and amitriptyline, antipsychotics like quetiapine and olanzapine, and antihistamines like hydroxyzine and cyproheptadine.
Samples are dissolved or suspended in a "cocktail" containing a solvent (historically aromatic organics such as xylene or toluene, but more recently less hazardous solvents are used), typically some form of a surfactant, and "fluors" or scintillators which produce the light measured by the detector. Scintillators can be divided into primary and secondary phosphors, differing in their luminescence properties. Beta particles emitted from the isotopic sample transfer energy to the solvent molecules: the π cloud of the aromatic ring absorbs the energy of the emitted particle. The energized solvent molecules typically transfer the captured energy back and forth with other solvent molecules until the energy is finally transferred to a primary scintillator. The primary phosphor will emit photons following absorption of the transferred energy. Because that light emission may be at a wavelength that does not allow efficient detection, many cocktails contain secondary phosphors that absorb the fluorescence energy of the primary phosphor and re-emit at a longer wavelength. Two widely used primary and secondary fluors are 2,5-diphenyloxazole (PPO) with an emission maximum of 380 nm and 1,4-bis-2-(5-phenyloxazolyl)benzene (POPOP) with an emission maximum of 420 nm. The radioactive samples and cocktail are placed in small transparent or translucent (often glass or plastic) vials that are loaded into an instrument known as a liquid scintillation counter. Newer machines may use 96-well plates with individual filters in each well.
== Contraindications == Ethylestrenol should not be taken by pregnant women as it can masculinize female fetuses. It is contraindicated in men with prostate cancer as it may accelerate the progression of the disease.
Sources: en.wikipedia.org
1 May – Brendan Walsh, 50, hurler (Killeagh, Imokilly, Cork senior team). 6 May Derek Keating, 67, politician, TD (2011–2016). Joe Young, 89, Gaelic footballer and hurler (St. Vincent's, Dublin junior team, Galway senior teams). 7 May Seán Keane, 76, fiddler. (The Chieftains). Patrick Joseph McGrath, 77, Roman Catholic prelate, Bishop of San Jose, California (1999–2019). 15 May – Marty Lynch, 59, Gaelic footballer (Newry Mitchels, Newry Bosco, Down senior team). Born in Northern Ireland. 19 May – Seán McCormack, 79, Gaelic footballer (Kilmainhamwood, Meath senior team). 27 May Hugh Callaghan, 93, a member of the Birmingham Six. Graham Knuttel, 69, painter and sculptor. 30 May – Michael Viney, 90, artist, author, journalist and broadcaster. 31 May – Peter Harbison, 84, archaeologist.
=== Oxidative stress === Many algicides produced by bacteria increase reactive oxygen species (ROS), which are highly reactive molecules produced during cell processes such as photosynthesis and respiration inside algal cells. This damages DNA, proteins, and lipids, due to an oxidative chain reaction which produces toxic products that lead to cell death. Algal cells can usually counteract these elevated ROS levels with antioxidants, however excessive or prolonged ROS levels can overwhelm the cell and lead to its death. Oxidative stress can be detected in algae based on elevated levels of malondialdehyde (MDA), which is a marker of lipid peroxidation (where lipids are attacked by oxidants), as well as elevated levels of antioxidants and defence enzymes.
=== Newborn screening === Several countries test all newborns for SCID as a part of routine newborn screening. A measure using real-time quantitative PCR of the blood concentration of T-cell receptor excision circles (TRECs), which are reduced in SCID, is the method used to screen all U.S. newborns for SCID. As of September 2022, the known percentage of newborns screened has increased throughout the world with 100% in the United States, 100% in Australia, 78% in Europe, 32% in Latin America, 26% in the Middle East and North Africa, 13% in Asia-Pacific, and 0% in Central America. The introduction of newborn screenings and genetic testing in many countries has allowed early detection and treatment before the development of severe infections, which progressively improved the five-year survival rate for newborns with SCID to around 90%.
== Cause == The toxic dose of paracetamol is highly variable. In general the recommended maximum daily dose for healthy adults is 4 grams. Higher doses lead to increasing risk of toxicity. In adults, single doses above 10 grams or 200 mg/kg of bodyweight, whichever is lower, have a reasonable likelihood of causing toxicity. Toxicity can also occur when multiple smaller doses within 24 hours exceed these levels. Following a dose of 1 gram of paracetamol four times a day for two weeks, patients can expect an increase in alanine transaminase in their liver to typically about three times the normal value. It is unlikely that this dose would lead to liver failure. Studies have shown significant hepatotoxicity is uncommon in patients who have taken greater than normal doses over 3 to 4 days. In adults, a dose of 6 grams a day over the preceding 48 hours could potentially lead to toxicity, while in children acute doses above 200 mg/kg could potentially cause toxicity. Acute paracetamol overdose in children rarely causes illness or death, and it is very uncommon for children to have levels that require treatment, with chronic larger-than-normal doses being the major cause of toxicity in children. Intentional overdosing (self-poisoning, with suicidal intent) is frequently implicated in paracetamol toxicity. In a 2006 review, paracetamol was the most frequently ingested compound in intentional overdosing. In rare individuals, paracetamol toxicity can result from normal use.
Sources: en.wikipedia.org
No. It is a peptide that acts upstream of growth hormone release, while growth hormone is the hormone itself. The two differ in size, in receptor, and in how the body clears them.
It blocks the amino-terminal degradation step that limits native GHRH. The addition extends how long the peptide survives in plasma without removing its ability to activate the receptor.
The chain contains 44 amino acid residues. It matches the human GHRH(1-44) sequence apart from the amino-terminal modification.
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.