Everything below concerns Incretin hormone. We keep the language plain, cite what the science says, and separate well-supported claims from open questions.
Last reviewed on 2026-07-25. Where a claim depends on a specific study, the study is described rather than over-claimed.
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.
The compound first appeared in the scientific literature as an investigational agent for type 2 diabetes. Clinical development proceeded through phase 1, phase 2, and phase 3 programs that measured glycemic control as a primary endpoint while recording body weight as a secondary outcome. Regulatory approval in the United States followed in 2022 for glycemic control, and a separate indication for chronic weight management was added later. Subsequent trials have examined cardiovascular outcomes in adults with elevated cardiovascular risk. Debates continue over how much of the observed effect derives from each receptor arm.
Structural work on the molecule centers on a C20 fatty diacid moiety attached through a linker to the peptide backbone. This side chain promotes reversible binding to serum albumin, which slows renal clearance and supports a prolonged action profile. The peptide backbone incorporates aminoisobutyric acid substitutions that limit recognition by digestive enzymes. Together these modifications produce a molecule that is stable enough for subcutaneous delivery but still dependent on careful manufacturing control. Analytical characterization of the active pharmaceutical ingredient typically follows the conventions used for other synthetic peptides.
Tirzepatide is a synthetic peptide composed of 39 amino acids. It acts as a dual agonist at two incretin receptors, the glucose-dependent insulinotropic polypeptide receptor and the glucagon-like peptide-1 receptor. The molecule was designed by modifying the native sequence of glucose-dependent insulinotropic polypeptide to improve metabolic stability and extend its circulation time. Its structure includes several non-natural amino acid residues and a fatty acid side chain. These features distinguish it from earlier single-receptor incretin analogs studied in the same period.
| Property | Value | Notes |
|---|---|---|
| Molecular formula | C225H348N48O68 | 39-residue synthetic peptide |
| Average molecular mass | About 4813.5 Da | Free base form |
| Appearance | White to off-white powder | Solid after lyophilization |
| Solubility class | Freely soluble in water | Also soluble in neutral aqueous buffers |
| Typical storage | At or below -20 °C, desiccated | Protect from light and moisture |
An extended fatty diacid moiety promotes binding to serum albumin, which slows renal clearance and extends the circulating half-life to roughly five days. That property supports once-weekly administration and largely explains the dosing interval described in clinical reports. Published data come mainly from large randomised programmes that evaluated glycaemic control and body weight over periods of many months. Long-term outcomes beyond those trial windows, including what happens after treatment stops, remain an active area of investigation.
Tirzepatide is a synthetic peptide built from thirty-nine amino acids. Its sequence is derived from native glucose-dependent insulinotropic polypeptide, or GIP, with several non-natural residues and a fatty diacid side chain attached through a linker. The molecule behaves as a dual agonist at two incretin receptors, GIP and GLP-1, instead of targeting a single receptor. This dual engagement separates it from earlier single-receptor incretin compounds and underpins most of its reported pharmacological activity.
Tirzepatide activates both the glucose-dependent insulinotropic polypeptide receptor and the glucagon-like peptide-1 receptor, making it a dual agonist rather than a selective agent. Engagement of the GLP-1 receptor is linked to glucose-dependent insulin release, slower gastric emptying, and reduced appetite signalling. The relative contribution of the GIP arm remains an active research question; proposed roles include improved insulin sensitivity and altered adipose tissue handling. Receptor occupancy studies suggest the molecule interacts with both targets at circulating concentrations achieved during therapy.
Development began in the 2010s, when researchers modified a GIP-based scaffold to add GLP-1 activity and then attached the fatty diacid to lengthen its half-life. Clinical evaluation proceeded through large phase 3 programmes in type 2 diabetes and in obesity, and regulators in the United States cleared the compound for type 2 diabetes in 2022 and for chronic weight management in 2023. Several cardiovascular and metabolic outcome studies are still reporting, so the picture of long-term benefit and risk is incomplete. Approvals in other regions followed on different timelines.
Structure-activity work shows that fatty acid length, linker chemistry and the position of acylation all influence albumin affinity and receptor potency. Plasma protein binding exceeds 99 percent, which restricts distribution and slows renal clearance. Degradation proceeds largely through general proteolysis and fatty acid oxidation rather than cytochrome P450 metabolism, so exposure to common oxidative drug interactions is limited. Whether these clearance routes vary meaningfully between individuals is not fully established.
The molecule is a synthetic 39-amino-acid peptide whose backbone derives from the sequence of human glucose-dependent insulinotropic polypeptide, with several substitutions that raise metabolic stability and shift receptor preference. A C20 fatty diacid is attached through a short linker to a lysine side chain, a modification that increases binding to serum albumin. The reported monoisotopic mass is approximately 4813 Da. Near neutral pH the peptide carries a net negative charge, and the lipid tail makes the molecule markedly more hydrophobic than the unmodified parent sequence.
They granted a worldwide sublicense of the technology to a small (less than $100M in sales), innovative company well known for its cutting-edge column technology: Phenomenex. This was a superior strategic move for two reasons. As mentioned above, Merck is not well known for its column manufacturing. Furthermore, having more than one silica monolith manufacturer serves to better validate the technology. Having sublicensed the technology from Merck, Phenomenex introduced its Onyx product line in January 2005. On the other side of monolith technologies are the polymerics. Unlike the inorganic silica columns, the polymer monoliths are made of an organic polymer base. Dionex, traditionally known for its ion chromatography capabilities, has led this side of the field. In the 1990s, Dionex first acquired a license for the polymeric monolith technology developed by leading monolithic chromatography researcher Frantisec Svec while he was at Cornell University. In 2000, they acquired LC Packings, whose competencies were in LC column packings. LC Packings/Dionex revealed their first monolithic capillary column at the Montreux LC-MS Conference. Earlier that year, another company, Isco, introduced a polystyrene divinylbenzene (PS-DVB) monolith column under the brand SWIFT. In January 2005, Dionex was sold the rights to Teledyne Isco's SWIFT media products, intellectual property, technology, and related assets.
49 Squadron RAF in October 1956 in Operation Buffalo at Maralinga; Project Dazzle and its research on re-entry vehicles enabled the Mercury-Atlas 6 launch to happen in February 1962; the Australian government built four launch pads for the Blue Streak in 1959, but it was cancelled in 1960, the redesignated satellite launcher Blue Streak first launched on 5 June 1964, and satellites would be launched by 1966, but only WRESAT was launched in November 1967, on a Redstone rocket instead; Woomera launched over 4000 missiles and cost the Australian government £900m; the site was demolished by the Australian government at the end of the 1960s; part of the former site is now the secret Joint Defense Facility Nurrungar 17 September Not in the Stars, making mathematical models for predictions; Robert May, Baron May of Oxford of Imperial College; William Phillips and his 1949 MONIAC economic model; a British Airways 747 flight simulator; computer models of epidemics - the R number, and vaccination policies; the UK fishing industry had quotas imposed in 1983, due to mathematical models of fish stocks; John Shepherd of the Centre for Environment, Fisheries and Aquaculture Science (CEFAS) laboratory in Lowestoft; computer models of warfare were developed by the Defence Operational Analysis Establishment in West Byfleet with deputy director David Faddy, which closed six years later, superseded in function by CORDA (UK); Irving Mintzer of the World Resources Institute; the NASA Goddard Space Flight Center had developed computer models of the Earth's atmosphere, such as rainfall; the hole in the Ozone layer and phytoplankton, with Norman Myers; Ian Riley of the Economist Intelligence Unit. Narrated by Bob Peck. Written, produced and directed by Chris Haws, made by InCA 24 September Race for the Top, CERN versus Fermilab; in 1983 CERN discovered the W and Z bosons, it and Fermilab were looking for the top quark; Leon M. Lederman, director of Fermilab; Andy Parker of CERN; CERN had 80 scientists led by Luigi Di Lella on its UA2 experiment, and Fermilab had its Collider Detector at Fermilab (CDF); Roy Schwitters; Fermilab had discovered the bottom quark in 1977; John Ellis of CERN; each team prepared for an annual physics conference at La Thuile, Aosta Valley in north-west Italy; UA2 had a meeting in July 1989 in Cambridge; the top quark would be discovered in 1995 with 175 GeV by Fermilab. Narrated by Carole Boyd, known for playing Lynda Snell in The Archers, joint production InCA and WGBH 1 October Walk on Wheels, a half-million disabled people have a wheelchair in the UK; NHS wheelchairs were made by Carter's; the quick-release axle was developed in World War II, for releasing munitions; the residential Treloar School in Alton, Hampshire, which was funded by individual LEAs, with charity funding as well; Bill Walmsley of the Department of Health's wheelchair research centre in Blackpool, now part of the Disability and Carers Service at DWP Peel Park at the end of the M55 motorway, on the A5230 in Westby-with-Plumptons. Narrated by John Hedges, produced by Jeremy Llewellyn-Jones, made by Chrysalis Television (North One Television) 8 October Invasion of the Body Scanners, a reference to the 1956 film Invasion of the Body Snatchers; X-rays were introduced in the 1890s, but it took fifty years to vastly improve the early crude techniques; CT was invented in the late 1960s - its inventor with Prince Philip, Duke of Edinburgh; Ian McDougall at a magnet technology company, who designed the first magnet, cooled with liquid helium in 1979; X-ray scans were a fairly crude process, but other types required computer image processing; Michael Boswell of GE Medical Systems; scans were taken in the coronal plane and sagittal plane; by 1989 the NHS only had four of these scanners - one was at Frenchay Hospital, made by GEC Medical (Picker International) - there were around 25 scanners in the whole UK; the Brockton Hospital; there were 1500 scanners in the US, with 39 in Massachusetts; Donald Longmore of the National Heart and Chest Hospitals, who performed the UK's first heart transplant on 3 May 1968; CT scanning had been performed for neuroradiology since the mid-1970s; radiology at Middlesex Hospital; medical ultrasound was a much safer technique than X-rays, and a new type deployed the Doppler effect, but medical ultrasound lacked cast-iron image definition; but scanners were hideously expensive, due to the convoluted enormous magnets that were required. Narrated by John Benson, produced by Mike Johnstone, directed by Ed Newstead, made by VATV (Video Arts) 15 October Wheels of War, about the early 1990s Leyland 4-tonne truck and defence procurement; James Adams, journalist; military historian Correlli Barnett; general service (GS) cargo vehicles, and a RE vehicle carrying a Medium Girder Bridge; a youthful-looking Mark Francois; the Austin Champ, designed in the 1950s; the British Aerospace Nimrod AEW3 was cancelled in 1986 at a cost of £860m; cost-plus contracts were replaced by competitive; Sir Peter Levine was brought in as Chief of Defence Procurement; the Leyland 4-tonne truck would replace the Bedford MK, made by Bedford Vehicles; journalist John Parsons; each vehicle would cost around £23,000 each; the Leyland 5-tonne was developed from its Comet and Roadrunner vehicles (developed into the DAF LF) under project director Stuart Hayes; the equivalent German vehicle, the MAN KAT1, had cost £75,000 each; the Panavia Tornado; Leyland design engineer Colin Ingram; the three vehicle prototypes were punishingly tested at the Royal Armament Research and Development Establishment (RARDE). Narrated by Anthony Valentine, produced by Patrick Uden made by Uden Associates 22 October Three Score Years and Then? 29 October Robotopia, advances of robotics in Japan, and bizarre contraptions; Frederik L. Schodt, author of the 1988 book Inside the Robot Kingdom - for hundreds of years until 1853, Japan was a fairly backward country; Joseph Engelberger, who developed the first industrial robot, Unimate, made by his company Unimation from 1961 - there were around 200,000 industrial robots, with around 130,000 of those in Japan; Japanese robot artist Hajime Sorayama, who drew lurid female robots; automated mannequins; nineteen universities in Japan were developing ungainly humanoid robots, notably Ichiro Kato at Waseda University; Seiuemon Inaba of FANUC, produced by Mike Wallington, made by Kai Productions 5 November Fly-by-wire, the new Airbus 320; software engineer Mike Hennell of the University of Liverpool; Roger Beteille, managing director of Airbus from 1967–85, and Henri Ziegler; John Knight of the University of Virginia; software engineer Bev Littlewood of City University; the A320 was the first fly-by-wire airliner; Blind Landing Experimental Unit testing at RAE Bedford in the 1960s, and developing the automatic pilot with a Vickers Valetta; testing Concorde in a wind tunnel; the Apollo project had depended on computers - it couldn't be done otherwise; Paul Ceruzzi of the Air and Space Museum; Philip Felleman of the Draper Laboratory; testing the F-16 in the early 1970s; Joe Sutter, head of Boeing from 1981–86; Boeing introduced flight management systems, so not needing a flight engineer; David Learmount of Flight International, and how Airbus had more commercial need to be innovative; the A300 was the first two-engined wide body aircraft; the A310 had electrical hydraulics and electronic control of some flight surfaces; John Cullyer of the University of Warwick; the A320 had five master computers; Gordon Corps, the Airbus test pilot, later to fly on Thai Airways International Flight 311 in 1992; Gilles Pichon, chief engineer of the A320; Jacques Troyes, head of Flight Control at Airbus; there was emergency mechanical control to the rudder and tail trim; the June 1988 Air France Flight 296Q - Michel Asseline, the pilot, said the aircraft had tried to land, when he tried to raise the aircraft; Alain Monnier of the DGAC said it was pilot error; Greg Holt of the FAA and Brian Perry of the CAA; the four-engined A330 would be manufactured from 1992; a prototype fly-by-wire relaxed stability Saab JAS 39 Gripen tumbles on 2 February 1989 at Linköping/Saab Airport, piloted by Lars Rådeström. Narrated by James Bellini, produced by Ben Shephard (historian), directed by John Longley, made by Box Television with WGBH 12 November Deadly Force, aerial shots of Miami; the WINZ Miami broadcaster; the Miami SWAT response team; the 1980 Miami riots; Sgt Louis Battle, Bernie Gonzalez and the Heckler & Koch MP5; Tom Salerno and the Remington Model 870 pump action shotgun, the M1911 pistol and Beretta M9; Ted Bradley; a WSVN news broadcast with Jane Akre; two thirds of Miami's population were Latin-American, and had many exiled citizens; the 1980 Mariel boatlift, from Cuba, added to the population and much to the crime; Miami had two murders a day in the 1980s; Robert Waller; Edna Buchanan of the Miami Herald; severed limbs washed up on Miami beach; the Colt Python; the Beretta 92; the Colt AR-15 semi-automatic rifle; 80% of SWAT call-outs were connected to the drug trade; two thirds of illegal drugs went through Miami; Sgt Louis Philips and negotiation techniques; SWAT negotiator Eric Caspener; 95% of SWAT negotiations work. Produced by David Jones, directed by Catherine Bailey, made by Buffalo Pictures 19 November Faster than a Speeding Bullet, and the quest for supersonic flight, eventually resulting in Concorde. The programme features former Concorde pilot Christopher Orlebar, who wrote The Concorde Story. The history of supersonic research dates back to the 18th Century, but supersonic flight only became achievable after the development of the jet engine. Featured aircraft include: the wartime Messerschmitt Me 262; the innovative de Havilland DH 108; the Messerschmitt Me 163 Komet; the Fairey Delta 2, the Bell X1 and numerous experimental "X Planes". After the war, the world's fastest non-experimental aircraft was the Lockheed SR-71 Blackbird, which could fly at 95,000 ft at 2,300 mph. The programme interviews key figures in the development of supersonic military aircraft and second generation SST (Supersonic Transport) aircraft. Narrated by Tony Anholt, written, produced and directed by Chris Haws, made by InCA
CH3COOH → CH4 + CO2 In laboratories, clumped isotope compositions of methane generated by hydrogenotrophic methanogens, acetoclastic methanogens (biodegradation of acetate), and methylotrophic methanogens are universally out of equilibria. It has been proposed that the reversibility of methanogenic enzyme is key to the kinetic isotope effect expressed in biogenic methane.
=== Pharmacodynamics === AM-1235 is a cannabinoid receptor agonist with Ki of 1.5 nM at CB1 compared to 20.4 nM at CB2. While the 6-nitro substitution on the indole ring reduces affinity for both CB1 and CB2 relative to the unsubstituted parent compound AM-2201, CB2 affinity is reduced much more, resulting in a CB1 selectivity of around 13 times. This is in contrast to other related compounds such as AM-1221 where a 6-nitro substitution instead confers significant selectivity for CB2.
Sources: en.wikipedia.org
== Theory == The use of micelles in high performance liquid chromatography was first introduced by Armstrong and Henry in 1980. The technique is used mainly to enhance retention and selectivity of various solutes that would otherwise be inseparable or poorly resolved. Micellar liquid chromatography (MLC) has been used in a variety of applications including separation of mixtures of charged and neutral solutes, direct injection of serum and other physiological fluids, analysis of pharmaceutical compounds, separation of enantiomers, analysis of inorganic organometallics, and a host of others. One of the main drawbacks of the technique is the reduced efficiency that is caused by the micelles. Despite the sometimes poor efficiency, MLC is a better choice than ion-exchange LC or ion-pairing LC for separation of charged molecules and mixtures of charged and neutral species. Some of the aspects which will be discussed are the theoretical aspects of MLC, the use of models in predicting retentive characteristics of MLC, the effect of micelles on efficiency and selectivity, and general applications of MLC. Reverse phase high-performance liquid chromatography (RP-HPLC) involves a non-polar stationary phase, often a hydrocarbon chain, and a polar mobile or liquid phase. The mobile phase generally consists of an aqueous portion with an organic addition, such as methanol or acetonitrile. When a solution of analytes is injected into the system, the components begin to partition out of the mobile phase and interact with the stationary phase.
The use of X-rays for diagnostic purposes in dentistry was made possible by the pioneering work of C. Edmund Kells (1856-1928), a New Orleans dentist who demonstrated them to dentists in Asheville, North Carolina, in July 1896. Kells committed suicide after suffering from radiation-induced cancer for many years. He had been amputated one finger at a time, later his entire hand, followed by his forearm and then his entire arm. Otto Walkhoff (1860-1934), one of the most important German dentists in history, took X-rays of himself in 1896 and is considered a pioneer in dental radiology. He described the required exposure time of 25 minutes as an "ordeal". Braunschweig's medical community later commissioned him to set up and supervise a central X-ray facility. In 1898, the year radium was discovered, he also tested the use of radium in medicine in a self-experiment using an amount of 0.2 grams of radium bromide. Walkhoff observed that cancerous mice exposed to radium radiation died significantly later than a control group of untreated mice. He thus initiated the development of radiation research for the treatment of tumors.
== Achievements == George Kenner contributed to many areas of organic chemistry. In the 1960s, George Kenner, R.A. Gregory and Hilda Tracy were involved in the seminal discovery and synthesis of the peptide hormone gastrin at the University of Liverpool. Gastrin is involved in secretion of gastric acid (HCl) in the stomach. The first chemical synthesis of a lysozyme-like enzyme of 129 amino acids using the classical approach was attempted by Kenner and his group at the University of Liverpool in the 1970s. This would have been the largest protein molecule synthesised in a laboratory using classical peptide synthesis up to that time. He carefully planned a convergent synthesis of this lysozyme analogue, containing 129 amino acid residues joined in a rigorously defined order. The efforts of Kenner and his group led to the synthesis of the 129 amino acid peptide chain in protected form. But the dream of making a wholly synthetic lysozyme enzyme was only achieved 30 years later, in 2007. This synthesis of functionally active lysozyme was achieved by a single individual, Thomas Durek, working in Steve B. Kent's group at the University of Chicago. The value of George Kenner's contributions to the methodology of peptide chemistry had profound influence on developments in many biomedicine fields. For example it led to the synthesis of antigens of defined geometry for immunological studies.
==== Ethiopia ==== Approximately 30% of the Ethiopian population carry an extra copy of the gene CYP2D6, and are classified as codeine ultrametabolizers. These individuals metabolize codeine to morphine at a dangerously fast rate, leading to adverse events and potentially death. As a consequence the Ethiopian Food, Medicine and Health Care Administration and Control Authority has entirely banned the use of codeine as unsafe for the general population.
Phenaridine (2,5-dimethylfentanyl) is an opioid analgesic that is an analogue of fentanyl. It was developed in 1972, and is used for surgical anasthesia. Phenaridine has similar effects to fentanyl. It is slightly less potent than fentanyl in rats. Side effects of fentanyl analogs are similar to those of fentanyl itself, which include itching, nausea and potentially serious respiratory depression, which can be life-threatening. Irresponsible use of fentanyl analogues administrated in several times larger doses than recommended, have ended up in a death of hundreds of people throughout Europe and the former Soviet republics since the most recent resurgence in use began in Estonia in the early 2000s, and novel derivatives continue to appear.
Sources: en.wikipedia.org
It is a synthetic peptide and a dual agonist of two incretin receptors. It is not a small molecule, and it is not structurally related to the older single-receptor peptide agonists.
The C20 fatty diacid promotes tight binding to serum albumin. That binding reduces renal clearance and extends circulation time compared with an unmodified peptide of similar length.
It is not fully established. Studies indicate that both receptors contribute to the observed effects, but the exact split between the two signaling pathways in humans remains an open question.
It activates both the glucose-dependent insulinotropic polypeptide receptor and the glucagon-like peptide-1 receptor. This dual activity separates it from agents that act on only one of the two receptors. The relative contribution of each receptor to clinical effects remains an open area of study.