The short version of dual agonist fits in a sentence. The long version — which is the one that helps — is below.
Reviewed 2026-08-01. Anything still debated is marked as such rather than presented as settled.
Tirzepatide is a synthetic linear peptide of 39 amino acids that acts as a dual agonist at the glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptors. Its sequence derives from native GIP but incorporates non-natural residues and a C20 fatty diacid moiety linked to a lysine side chain. The lipophilic chain promotes albumin binding, which slows renal clearance and extends circulation time. The unmodified peptide has a molecular formula of C225H348N48O68 and a molecular mass near 4,813 daltons.
Receptor activation by tirzepatide raises intracellular cyclic AMP through Gs-coupled signalling at both targets. At the GLP-1 receptor the downstream effect includes glucose-dependent insulin release, suppressed glucagon secretion, delayed gastric emptying, and reduced appetite signalling in the hypothalamus. GIP receptor engagement adds insulinotropic activity and appears to influence lipid handling in adipose tissue. Because both receptors are stimulated at the same time, the pharmacological profile differs from that of selective GLP-1 receptor agonists, and the relative contribution of each arm remains an area of active investigation.
纯度评估通常综合反相色谱、体积排阻色谱与质谱三方面信息：前者反映疏水性杂质，后者反映聚集体，质谱则确认分子量与主要降解产物。有关降解途径的完整图谱——例如脱酰胺、氧化与水解各占多大比例——在不同储存条件下仍有差异，属于需要逐案验证的问题。
质量控制环节关注外观、含量、纯度、有关物质、水分与微生物限度等项目。检测结果需要有对照品和系统适用性数据支持，单次测定不足以判定批次的稳定性。实验室之间方法转移时，色谱柱品牌与梯度差异常导致保留时间漂移，因此方法验证十分必要。
固体状态的 tirzepatide 通常以冻干粉形式保存，推荐在低温、避光、干燥条件下存放，常见区间为 2 至 8 摄氏度，长期保存可考虑更低温度并避免反复冻融。冻融循环会导致肽链聚集或析出，从而影响后续定量结果。容器密封性与湿度控制同样是稳定性研究中反复强调的因素。
| Property | Value | Notes |
|---|---|---|
| Molecular formula | C225H348N48O68 | Unmodified peptide backbone |
| Molecular mass | approx. 4,813 Da | 39-residue linear chain |
| Receptor targets | GIP and GLP-1 | Dual agonist activity |
| Route | Subcutaneous injection | Weekly administration interval |
| Elimination half-life | approx. 5 days | Supports weekly dosing schedule |
Published work supports the view that engaging two incretin receptors produces changes in glucose handling and body weight larger than those seen with single-receptor activation. Why that difference arises is not fully settled. Open questions include how much of the observed weight effect depends on central versus peripheral signaling, and whether the two receptors form interacting complexes. Most reported findings come from controlled trials and animal models, and translation between species is imperfect. Further research is expected to refine these points over time.
Tirzepatide is a synthetic peptide built from 39 amino acid residues. Its sequence is related to human glucose-dependent insulinotropic polypeptide, with modifications that include a C-terminal extension and a C20 fatty diacid joined through a linker. Those changes raise the molecule's affinity for serum albumin, which slows renal filtration and lengthens the time it stays in circulation. The free base has an average molecular mass near 4813.5 daltons. The compound is made by solid-phase peptide synthesis followed by chromatographic purification.
At the receptor level, tirzepatide activates both the glucose-dependent insulinotropic polypeptide receptor and the glucagon-like peptide-1 receptor. Both belong to the class B family of G protein-coupled receptors and signal largely through cyclic AMP accumulation. The compound binds the two receptors with differing affinity, and the pattern of signaling at each site is described in the literature as biased rather than simply proportional to occupancy. Tissues carrying these receptors include pancreatic islets, adipose tissue, the central nervous system, and the gastrointestinal tract. The relative weight of each receptor population in producing metabolic effects continues to be studied.
Identity and purity assessment of tirzepatide relies primarily on reversed-phase high-performance liquid chromatography coupled with ultraviolet detection. Mass spectrometry, often in electrospray ionization mode, confirms the molecular mass and detects sequence-related impurities. Peptide mapping after enzymatic digestion provides residue-level confirmation of the backbone. Each method addresses a different question: chromatography for purity and related substances, mass measurement for identity, and mapping for sequence fidelity. No single technique covers all three.
Research and analytical settings increasingly require documentation of peptide origin and chain of custody. Certificate of analysis documents typically report purity by chromatographic area, mass confirmation, appearance, and residual solvent or counterion content. Independent verification by an accredited laboratory is common when a material will be used in a regulated study. Open questions remain about how well compendial methods transfer between laboratories, and about which impurity thresholds are meaningful for materials not intended for clinical use.
Tirzepatide is a synthetic peptide of 39 amino acids engineered from the native glucose-dependent insulinotropic polypeptide sequence. Its structure incorporates several non-natural residues and a C-terminal segment derived from glucagon-like peptide-1, together with a C20 fatty diacid moiety attached through a linker. The lipophilic side chain promotes binding to serum albumin, which slows renal clearance after administration. The compound is classified as a dual incretin receptor agonist and is supplied as a lyophilized powder for reconstitution or as a preformulated solution, depending on the presentation.
The peptide activates two G protein-coupled receptors, GIPR and GLP-1R. Binding triggers adenylyl cyclase activity and raises intracellular cyclic AMP in pancreatic beta cells, which potentiates insulin release when glucose is elevated. Signaling in the central nervous system is associated with reduced appetite and lower energy intake, while effects on gastric emptying and glucagon secretion are also reported. Because activity at both receptors is retained, the pharmacological profile is often described as incretin-based rather than selective for a single receptor.
Tirzepatide is a synthetic peptide developed as a dual agonist at the glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptors. Its structure is built on a GIP-derived backbone with non-natural amino acid substitutions and a fatty diacid side chain that promotes albumin binding and slows clearance. That modification supports once-weekly subcutaneous dosing. Registrational trial programs reported reductions in body weight and glycated hemoglobin alongside the drug's glycemic effects.
Both receptors are class B G protein-coupled receptors that signal largely through Gs-mediated cyclic AMP production. Activation within pancreatic islets increases glucose-dependent insulin secretion and suppresses glucagon release when glucose is elevated. Outside the pancreas, signaling in the central nervous system and gut appears to influence appetite and gastric emptying. The relative contribution of each receptor to observed clinical effects remains under investigation, and the two pathways are not simply additive in practice.
Reported outcomes in large trials include dose-dependent weight reduction and improvements in glycemic markers over periods ranging from several months to more than a year. Whether the compound alters long-term cardiovascular or renal outcomes is being examined in dedicated outcome studies, so those questions remain open. Labeling describes gastrointestinal effects such as nausea and diarrhea, which tend to appear during dose escalation. Discontinuation rates and the durability of effects after treatment stops vary across study populations and are still debated.
=== Cosmetics with donkey milk === In recent years, the cosmetic industry has focused on products made with natural ingredients, and is oriented towards sustainable consumption. Because of their natural origin, milk components correspond in many fields to the needs of the cosmetics industry. A recent scientific study on a cream containing lyophilized donkey milk showed different benefits for the skin. These results are related to the effectiveness of donkey milk components like proteins, minerals, vitamins, essential fatty acids, bioactive enzymes, and coenzymes which provide balanced nourishment and proper hydration for the skin. In particular vitamin C content in donkey milk is almost 4 times more of cow's milk. Since donkey milk contains more lactoferrin than cows milk, and a considerable amount of lysozyme, it has the potential, when properly formulated, to reduce skin problems such as eczema, acne, psoriasis, and herpes by calming the irritation symptoms as reported by some authors. Some authors have preliminarily evaluated whether the use of a face cream made from donkey milk affected the perception of some sensory aspects. The results showed that treated cream was appreciated by dry skin consumers for the following sensory aspects: spreadability, total appearance, smoothness, moisturisation, and total effectiveness. The overall judgement also resulted highest for face cream made with donkey milk. Donkey milk is used in the manufacture of soaps and creams.
Prior to Ahmed's execution, the last judicial hanging for murder was carried out in 2019. As of November 2024, another eight traffickers, including Rosman Abdullah, Roslan Bakar and Pausi Jefridin, were hanged in Singapore after Ahmed.
=== Adaptive immunity === Activated platelets are able to participate in adaptive immunity, interacting with antibodies. They are able to specifically bind IgG through FcγRIIA, a receptor for IgG's constant fragment (Fc). When activated and bound to IgG-opsonised bacteria, platelets release reactive oxygen species (ROS), antimicrobial peptides, defensins, kinocidins and proteases, killing the bacteria directly. Platelets also secrete proinflammatory and procoagulant mediators such as inorganic polyphosphates or platelet factor 4 (PF4), connecting innate and adaptive immune responses.
=== Hungary and the Pan-European Picnic === Events in Poland were soon followed by developments in Hungary, where reformist leaders dismantled border controls with Austria during the summer of 1989. An opening of a border gate once part of the Iron Curtain between Austria and Hungary triggered a chain reaction, at the end of which the German Democratic Republic no longer existed and the Eastern Bloc had disintegrated—incentivized at least in part by the absence of Soviet intervention. The idea for the Pan-European Picnic came from Otto von Habsburg and was intended as a test of whether the Soviet Union would react when the iron curtain was opened. The Pan-European Union Austria then advertised with leaflets in Hungary to make East Germans aware of the possibility of escape. The result was the greatest mass exodus since the building of the Berlin Wall and the non-reaction of the Eastern bloc states showed the oppressed population that their governments had lost absolute power. Subsequently, large numbers of East German refugees attempted to flee through Hungary and the weak reactions showed that the communist leaders lost even more power, which also contributed directly to the collapse of communist rule in East Germany. By mid-1989 even Soviet officials openly joked that Eastern European states would now be allowed to proceed in their own way (like Sinatra), signaling the end of enforced ideological conformity within the bloc.
Sources: en.wikipedia.org
Following his rookie season, Mizell married Nancy McAlpine. The couple had two sons: Wilmer David Jr. and James Daniel. Nancy died in 1990, and Mizell married Ruth Cox in 1991. He had met Ruth at a Washington prayer breakfast, and the two spent the next several years "promoting prayer study," according to Mike Jaffe of the Society for American Baseball Research. Mizell had a friendly disposition. Writing for Sports Illustrated, Robert Creamer observed, "he has an appealing drawl, a facile tongue, a warm, memorable face and that wonderful nickname." His smiling manner drew comparisons to Preacher Roe. Mizell was good friends with teammate Hal Smith. Both players lived in Florissant, Missouri, and would carpool to Busch Stadium together, often with Wally Moon. Smith and Mizell stayed close friends after their careers had ended. He was also close friends with fellow Christian Don Demeter, whom Mizell struck out in his first MLB at bat. In 1976, he supported fellow former major leaguer Bobby Richardson in his unsuccessful run for a House seat in South Carolina. During his time with the Cardinals, Mizell and Smith attended Florissant Valley Baptist Church, going to the early service so they could make it to Busch Stadium in time for the games. While he was a representative, Mizell attended a Christian and Missionary Alliance church. He never swore, explaining, "I decided a long time ago swearin’ was a waste of words.
splicing Any natural or artificial process involving the excision of oligonucleotide sequences from nucleic acid molecules (either DNA or RNA) or of peptide sequences from proteins and the subsequent re-ligation of the flanking fragments into a single continuous molecule lacking the excised sequence. RNA splicing in particular is an important form of post-transcriptional processing whereby introns are removed from primary mRNA transcripts and the exons rejoined (and sometimes rearranged) to create mature mRNAs; a similar process also occurs with the removal of inteins and the rejoining of exteins in the post-translational modification of certain proteins. The term may also refer more generally to artificial techniques for creating recombinant sequences in genetic engineering.
== History == Israeli pediatric endocrinologist Zvi Laron, along with Athalia Pertzelan, Avinoam Galatzer, Liora Kornreich, Dalia Peled, Rivka Kauli, and Beatrice Klinger published the earliest clinical studies of individuals with LS beginning in 1966. Among their first 22 patients, Laron and colleagues noted consanguineous genealogy of Israeli and Palestinian ancestry with distinct physical characteristics resembling hypopituitarism. However, researchers noticed that these people had high serum GH levels, which are expected to be low in patients with hypopituitarism. Successive studies carried out over the subsequent 20 years by Laron and colleagues revealed an absence of IGF-1 release in response to exogenous hGH and an absence of GH binding to liver cell membranes in this group of patients. The results of these studies provided clear evidence that the pathogenicity of the disease was the result of GH receptor failure in the liver.
Russian Cossacks are thought to originate on the border with the steppe, and stretching from the middle Volga to Ryazan and Tula, then breaking abruptly to the south and extending to the Dnieper via Pereyaslavl. This area was settled by a population of free people practicing various trades and crafts. These people, constantly facing the Tatar warriors on the steppe frontier, received the Turkic name Cossacks (Kazaks), which was then extended to other free people in Russia. Many Cumans, who had assimilated Khazars, retreated to the Principality of Ryazan (Grand Duchy of Ryazan) after the Mongol invasion. The oldest mention in the annals is of Cossacks of the Russian principality of Ryazan serving the principality in the battle against the Tatars in 1444. In the 16th century, the Cossacks (primarily of Ryazan) were grouped in military and trading communities on the open steppe, and began to migrate into the area of the Don.
Magnesium metal and its alloys can be explosive hazards; they are highly flammable in their pure form when molten or in powder or ribbon form. Burning or molten magnesium reacts violently with water. When working with powdered magnesium, safety glasses with eye protection and UV filters (such as welders use) are employed because burning magnesium produces ultraviolet light that can permanently damage the retina of a human eye. Magnesium is capable of reducing water and releasing highly flammable hydrogen gas:
Sources: en.wikipedia.org
=== Brand names === Other brand names include Zadex (Hungary), Rheutrop (Austria), Acemetadoc, Acephlogont, Azeat, Rantudil (Germany, Hungary, Mexico, Poland, Portugal, Turkey), Gamespir (Greece), Oldan, Reudol (Spain), Tilur (Switzerland), ACEO (Taiwan), Ost-map (Egypt).
Microphase separation is a situation similar to that of oil and water. Oil and water are immiscible (i.e., they can phase separate). Due to the incompatibility between the blocks, block copolymers undergo a similar phase separation. Since the blocks are covalently bonded to each other, they cannot demix macroscopically like water and oil. In "microphase separation," the blocks form nanometer-sized structures. Depending on the relative lengths of each block, several morphologies can be obtained. In diblock copolymers, sufficiently different block lengths lead to nanometer-sized spheres of one block in a matrix of the second (e.g., PMMA in polystyrene). Using less different block lengths, a "hexagonally packed cylinder" geometry can be obtained. Blocks of similar length form layers (often called lamellae in the technical literature). Between the cylindrical and lamellar phase is the gyroid phase. The nanoscale structures created from block copolymers can potentially be used to create devices for computer memory, nanoscale-templating, and nanoscale separations. Block copolymers are sometimes used as a replacement for phospholipids in model lipid bilayers and liposomes for their superior stability and tunability. Polymer scientists use thermodynamics to describe how the different blocks interact. The product of the degree of polymerization, n, and the Flory-Huggins interaction parameter,
Sandbuster Sand-Resistant Oil SPF 2 Tropical Deluxe SPF 4 Mega-Tan SPF 4 Mademoiselle (SPF 4, SPF 8, and SPF 15) All Day (SPF 4, SPF 8, SPF 15, SPF 30, Kids SPF 30, and Gentle Block SPF 30) SPF + Color (SPF 8, SPF 15, SPF 20) - line renamed to "Sunless Tanning Creme with Sunblock" Sunless (Light, Dark, Deep Dark, Tanning Spray Dark, and Tanning Spray Deep Dark) Apres Soleil After Sun Revitalizing Aloe Mist Apres Soleil After Sun Moisture Replenishing Lotion Orange Gelee (SPF 4, SPF 8, SPF 15, and SPF 30) Ecran Solaire (SPF 15 and SPF 30 Kids) - Canada Product development scientists at Pfizer CHCG were John A. Scott (group manager), Alice Scheiner (after sun and high-SPF products), Eric M. Stroud (sunless products), Judy Meyer, Andrew Ortega, and Mary Williams (packaging). Two innovations in 1,3-dihydroxyacetone stability were invented during this time. The entire brand was eventually divested on October 7, 1999, to Schering-Plough.
=== Pharmacokinetics === Like many nucleoside analogues, FIAU is not active right away, it first needs to be converted inside liver cells to become active. In the liver FIAU is converted to its triphosphate form, which is the form that can be used by polymerases. FIAU is the de-aminated product of fiacitabine (FIAC). Upon the entering of FIAC into the cell, cytosine nucleoside deaminase de-aminates FIAC to FIAU.
Sources: en.wikipedia.org
It is a dual GIP and GLP-1 receptor agonist, frequently grouped with incretin-based peptide therapeutics. It is a peptide rather than a small molecule and is given by subcutaneous injection.
Selective agents engage only the GLP-1 receptor, whereas tirzepatide activates GIP and GLP-1 receptors simultaneously. This difference in receptor coverage is the principal pharmacological distinction emphasised in comparative reviews.
Downstream signalling is partly characterised, but the quantitative contribution of GIP versus GLP-1 receptor activation to metabolic outcomes is not settled. Review articles commonly flag this as an unresolved question rather than a settled finding.
建议在低温、避光、干燥环境中密封保存，常见条件为 2 至 8 摄氏度，长期存放可置于更低温度。应避免反复冻融，并尽量减少容器开启次数。