This is a working overview of triple agonist, written for readers who want more than a one-paragraph summary but less than a textbook.
Reviewed 2025-12-13. Anything still debated is marked as such rather than presented as settled.
Retatrutide is an investigational peptide developed by a pharmaceutical company as a multi-receptor agonist for treating obesity and type 2 diabetes. The compound emerged from research into gut-hormone analogues that act on several receptors simultaneously rather than on a single target. Early preclinical work examined how combined activity at three distinct receptors might produce greater metabolic effects than single-receptor compounds. Published phase 2 results have described substantial reductions in body weight among participants, although the compound remains unapproved in most jurisdictions as of the mid-2020s.
Pharmacologically, retatrutide acts as a triple agonist at the glucagon-like peptide-1 receptor, the glucose-dependent insulinotropic polypeptide receptor, and the glucagon receptor. Activation of the first two receptors is associated with improved insulin secretion and reduced appetite. The glucagon receptor component is thought to increase energy expenditure, a mechanism that distinguishes this molecule from dual-agonist compounds. Researchers continue to investigate how the three activities interact and whether the combined profile offers advantages that justify additional clinical testing.
化学修饰延长了分子在体内的停留时间，使较低频次的给药安排成为可能。脂肪酸侧链通过与白蛋白结合延缓清除，非天然氨基酸则降低酶解速率。这些修饰同时改变分子的溶解性与稳定性，需要在制剂设计和储存条件中一并考虑。修饰引入的免疫原性风险也属于开发过程中需要评估的项目。
该化合物处于临床试验阶段，尚未在多数地区取得上市许可。公开信息主要来自企业公告、学术会议摘要与试验注册平台记录，完整数据仍在逐步披露。关于长期疗效与安全性的判断，需要等待规模更大、随访更久的研究结果，目前不宜对最终结论作出预判。
| Property | Value | Notes |
|---|---|---|
| Molecular class | Synthetic peptide | Contains non-natural residues |
| Receptor targets | GLP-1, GIP, glucagon | Triple agonist profile |
| Route of administration | Subcutaneous injection | In clinical trial settings |
| Development status | Investigational | Not approved in major markets |
| Approximate molecular mass | About 4.7 kDa | Peptide-scale molecule |
The values do not agree with those now known for 255No, although they do agree with those now known for 257No, and while this isotope probably played a part in this experiment, its discovery was inconclusive. Work on element 102 also continued in Dubna, and in 1964, experiments were carried out there to detect alpha-decay daughters of element 102 isotopes by synthesizing element 102 from the reaction of a 238U target with neon ions. The products were carried along a silver catcher foil and purified chemically, and the isotopes 250Fm and 252Fm were detected. The yield of 252Fm was interpreted as evidence that its parent 256No was also synthesized: as it was noted that 252Fm could also be produced directly in this reaction by the simultaneous emission of an alpha particle with the excess neutrons, steps were taken to ensure that 252Fm could not go directly to the catcher foil. The half-life detected for 256No was 8 s, which is much higher than the more modern 1967 value of (3.2 ± 0.2) s. Further experiments were conducted in 1966 for 254No, using the reactions 243Am(15N,4n)254No and 238U(22Ne,6n)254No, finding a half-life of (50 ± 10) s: at that time the discrepancy between this value and the earlier Berkeley value was not understood, although later work proved that the formation of the isomer 250mFm was less likely in the Dubna experiments than at the Berkeley ones. In hindsight, the Dubna results on 254No were probably correct and can be now considered a conclusive detection of element 102.
=== August === 1 August Global warming: The world's oceans reach a new record high temperature of 20.96 °C, exceeding the previous record in 2016. July is also confirmed as having been the hottest month on record for globally averaged surface air temperatures by a considerable margin. Astrobiologists theorise that low-oxygen planets would be unlikely to produce advanced civilisations, as the discovery of fire requires easy access to open-air combustion, which is only possible when oxygen partial pressure is above 18%. Researchers list and correct common misconceptions about the human microbiome. 2 August A small star called TOI-4860 is found to host an unusually large gas giant, named TOI-4860 b. Astronomers believe this pair to be the lowest-mass star hosting such a high-mass planet, challenging theories of planetary formation. Scientists report the discovery of an up to now unknown ancient human hominin that may have lived 300,000 years ago in China. Whale Perucetus colossus of the Eocene is shown to potentially be Earth's heaviest-ever animal with 85–340 t.
According to 2023 V-Dem Democracy indices Ghana is ranked 67th electoral democracy worldwide and 10th electoral democracy in Africa. Ghana is a country in West Africa that is known for its cultural diversity, democratic government, and growing economy. The country has more than 30 million people and is home to many ethnic groups, languages, and traditions. Ghana is one of the world's leading producers of cocoa and is also rich on natural resources such as oil and gold. Besides economic importance, Ghana is recognized for its peaceful elections, historic landmarks, national parks and contributions to regional development in West Africa.
Clinical death is the medical term for cessation of blood circulation and breathing, the two criteria necessary to sustain the lives of human beings and of many other organisms. It occurs when the heart stops beating in a regular rhythm, a condition called cardiac arrest. The term is also sometimes used in resuscitation research. Stopped blood circulation has historically proven irreversible in most cases. Prior to the invention of cardiopulmonary resuscitation (CPR), defibrillation, epinephrine injection, and other treatments in the 20th century, the absence of blood circulation (and vital functions related to blood circulation) was historically considered the official definition of death. With the advent of these strategies, cardiac arrest came to be called clinical death rather than simply death, to reflect the possibility of post-arrest resuscitation. At the onset of clinical death, consciousness is lost within several seconds, and in dogs, measurable brain activity has been measured to stop within 20 to 40 seconds. Irregular gasping may occur during this early time period, and is sometimes mistaken by rescuers as a sign that CPR is not necessary. During clinical death, all tissues and organs in the body steadily accumulate a type of injury called ischemic injury.
Sources: en.wikipedia.org
GAVI states that "with a fast-moving pandemic, no one is safe, unless everyone is safe." In contrast to the multibillion-dollar investment in vaccine technologies and early-stage clinical research, the post-licensing supply chain for a vaccine has not received the same planning, coordination, security or investment. A major concern is that resources for vaccine distribution in low- to middle-income countries, particularly for vaccinating children, are inadequate or non-existent, but could be improved with cost efficiencies if procurement and distribution were centralized regionally or nationally. In September, the COVAX partnership included 172 countries coordinating plans to optimize the supply chain for a COVID‑19 vaccine, and the United Nations Children's Fund joined with COVAX to prepare the financing and supply chain for vaccinations of children in 92 developing countries. As of 2023, more than 1.6 billion COVAX doses have been provided to poor nations, assisting in the vaccination of 52% of their population, compared to a global average of 64%.
Sideways gives an accurate depiction of depression. Depression (major depressive disorder) is characterized as a mood disorder that causes severe feelings of sadness and disinterest. One of the movie's main characters, Miles Raymond, is shown to exhibit several signs of depression, some of which include using substances (alcohol) in an attempt to cope with the failures and losses in his life, not having hope for his future, and having a consistently depressed mood. Julien Donkey Boy gives an accurate depiction of schizophrenia. Schizophrenia is one of the most commonly misunderstood mental illnesses, yet over 2 million people suffer from this illness within the U.S. The term schizophrenia comes from Eugen Bleuler and translates to "split psyche," as the psyche is split into many disorganized parts. Symptoms include, but are not limited to, delusions, hallucinations, and disturbances in thoughts and emotions. These symptoms prohibit those suffering from this illness from leading a normal life, causing social and occupational dysfunction, often necessitating hospitalization. The movie features a man named Julien, who exhibits several signs of schizophrenia. One of these signs includes having conversations with people who are not there in reality. Silver Linings Playbook gives an accurate depiction of bipolar disorder. Bipolar disorder is a mental illness characterized by a dysregulation of mood, often accompanied by depressive and manic episodes, anxiety, hyperactivity, irregular sleep, aggressiveness, and irritability.
==== Degradation of materials ==== One of the biggest concerns of the modern day textile industry is that synthetic textiles do not biodegrade over time. Approximately 700,000 tons of dyes are being used in the textile industry every year. 10 to 15 percent of the dyes that are used during clothing production remain unfixed dyes. These dyes and pigments contaminate wastewater and discharge into local water bodies. Approximately 20 percent of wastewater produced globally is from the textile industry. Textile dyes degrade the aesthetic quality of these local water bodies and prevent sunlight from penetrating through the surface water. These dyes harm aquatic ecosystems since water pollution impairs photosynthesis and leads to a hypoxic environment unable to support life. Textile dyes contamination also harm humans since the toxins within these dyes can bioaccumulate and biomagnify throughout the food chain, causing health concerns to species at the top of the food chain such as humans. The application of bacterial isolates offers a promising solution to improve water quality in dye contaminated marine environments. Bacterial isolates degrade and remove textile dyes from wastewater through several methods, including biodegradation and biosorption of dyes. They have the ability to biodegrade complex dye molecules into simple one through enzymatic reactions. Bacterial isolates break down the dye molecules by reducing their color and toxicity, which improves ecosystems.
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.
Provisioning for sea was crucial in the 19th century due to the lack of modern conveniences such as refrigeration, freeze-drying and canning. Most foodstuffs and liquids such as spirits, molasses, vinegar, and water, were shipped in casks, the balance in wooden crates and other suitable packing materials. It was also commonplace to carry live chickens, both for their eggs and meat, and some small livestock such as sheep, which were butchered when their feed ran out, providing fresh meat before barreled stores such as beef and salt pork were consumed. The fare for officers and rations for the crew were distinct, as were dining accommodations, with each reflecting their relative stations in society and the navy. Due to the inability to maintain water fresh for extended periods of time prior to the advent of modern hygiene, shipboard plumbing, and disinfectants, it was common to ship large quantities of beer to provide both hydration and nourishment in times when water aboard fouled. The beer's alcoholic content served as a preservative. In contrast, grog, a mix of rum and water, was provided and consumed daily (with officers provided their rum straight). The rum allotment per man was retained in the United States Navy until the latter part of the 19th century, and all the way until 1970 in the British Royal Navy.
Sources: en.wikipedia.org
Glucose tabs or gel (refer to instructions on packet) Juice containing sugar like apple, grape, or cranberry juice, 1/2 cup (~120 mL) Soda or a soft-drink, 1/2 cup (~120 mL) (not diet soda) Candy Table sugar or honey, 1 tbsp (15 mL) Improvement in blood sugar levels and symptoms are expected to occur in 15–20 minutes, at which point blood sugar should be measured again. If the repeat blood sugar level is not above 70 mg/dL (3.9 mmol/L), consume another 10–20 grams of a carbohydrate and remeasure blood sugar levels after 15–20 minutes. Repeat until blood glucose levels have returned to normal levels. After correcting blood glucose levels, people may consume a full meal within one hour to replenish glycogen stores. Among common monosaccharides and disaccharides, glucose (e.g. glucose syrup) and sucrose (table sugar, e.g. some candy) are more effective than fructose (e.g. apple concentrate, honey) in treating hypoglycemia. These two sugars have a higher glycemic index than fructose. According to a 2017 meta-analysis, glucose tablets (GT) are 12% more likely to be effective within 15 minutes compared to dietary sources of sugar. Among the other pooled analyses, GT is not statistically significantly different from sucrose in effectiveness and is 21% more likely to be effective than orange juice. The meta-analysis also catalogs a number of RCTs dealing with other sugar sources along with their carbohydrate composition.
=== Etymology === The name estrogen is derived from the Greek οἶστρος (oîstros), literally meaning "verve" or "inspiration" but figuratively sexual passion or desire, and the suffix -gen, meaning "producer of".
===== Pharmacodynamics ===== This class of drugs initially stimulates the anterior pituitary gland to secrete more GnRH, leading to a temporary surge in GnRH level in the circulation. Yet, because of the desensitization effect on the receptors upon continuous stimulation, in the long term, its secretion will be inhibited if continual medication is prescribed. Particularly, GnRH is essential for the release of gonadotropic hormones, such as LH and follicle-stimulating hormone (FSH), from the anterior pituitary-body. These hormones are responsible for the synthesis of steroid sex hormones (testosterone in men; progesterone and estrogen in women). Therefore, GnRH inhibition by these drugs, in turn, reduces the secretion of steroid sex hormones from the sex organs, eventually leading to libido suppression.
This is a timeline of the main events of the Cold War, a state of political and military tension after World War II between powers in the Western Bloc (the United States, its NATO allies, South Vietnam, South Korea, and others) and powers in the Eastern Bloc (the Soviet Union, its allies in the Warsaw Pact, China, Cuba, North Vietnam and North Korea).
== Function == YAP1 is a transcriptional co-activator and its proliferative and oncogenic activity is driven by its association with the TEAD family of transcription factors, which up-regulate genes that promote cell growth and inhibit apoptosis. Several other functional partners of YAP1 were identified, including RUNX, SMADs, p73, ErbB4, TP53BP2, LATS1/2, PTPN14, AMOTs, and ZO1/2. YAP1 and its close paralog, TAZ (WWTR1), are the main effectors of the Hippo tumor suppressor pathway. When the pathway is activated, YAP1 and TAZ are phosphorylated on a serine residue and sequestered in the cytoplasm by 14-3-3 proteins. When the Hippo pathway is not activated, YAP1/TAZ enter the nucleus and regulate gene expression. It is reported that several genes are regulated by YAP1, including Birc2, Birc5, connective tissue growth factor (CTGF), amphiregulin (AREG), Cyr61, Hoxa1 and Hoxc13. YAP/TAZ have also been shown to act as stiffness sensors, regulating mechanotransduction independently of the Hippo signalling cascade. As YAP and TAZ are transcriptional co-activators, they do not have DNA-binding domains. Instead, when inside the nucleus, they regulate gene expression through TEAD1-4 which are sequence-specific transcription factors that mediate the main transcriptional output of the Hippo pathway. The YAP/TAZ and TEAD interaction competitively inhibits and actively dissociates the TEAD/VGLL4 interaction which functions as a transcriptional repressor.
Sources: en.wikipedia.org
It is designed as a triple agonist acting on the GLP-1, GIP, and glucagon receptors. This combination is intended to influence appetite, insulin secretion, and energy expenditure. Single-receptor and dual-receptor compounds act on a narrower set of targets.
No. It remains investigational, and phase 3 results have not been fully published or reviewed by regulators. Official approval status should be confirmed through regulatory agencies rather than secondary sources.
The added glucagon receptor activity is the main difference in its mechanism. Whether that addition produces meaningful benefits in clinical outcomes is still being studied. Comparisons between compounds rest largely on indirect rather than head-to-head trial data.
指同一个分子能激活 GIP、GLP-1 和胰高血糖素三类受体。它与只激活一到两种受体的同类分子在设计思路上有所区别。这种设计的目的在于覆盖更多代谢调节通路。