This is a working overview of receptor targets, written for readers who want more than a one-paragraph summary but less than a textbook.
This page was last updated on 2025-12-11 and is reviewed periodically as new material appears.
瑞他鲁肽是一种在研合成肽，同时作用于胰高血糖素样肽-1、葡萄糖依赖性促胰岛素多肽和胰高血糖素受体。该分子属于多受体激动剂类别，尚未获得任何监管机构的上市批准。当前临床开发主要针对肥胖和2型糖尿病，研究代号为LY3437943。已确立的信息包括受体靶点和部分中期试验结果；最终疗效、长期安全性和适用人群仍属开放问题。
开发进程从早期单次和多次给药研究推进至大规模后期试验。公开报告显示，参与者在体重和相关代谢指标上出现变化，但完整数据需经同行评审并接受独立复核。试验设计通常包括随机、双盲和对照设置，以区分药物效应与行为干预。监管提交和标签范围尚未确定；长期维持效果与心血管结局仍是开放问题。
Mechanistic proposals link each receptor to a different physiological role. Activation of the glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptors is associated with reduced appetite, slower gastric emptying, and glucose-dependent insulin release. Glucagon receptor signaling, by contrast, is associated with increased energy expenditure and altered lipid handling, though it can also raise blood glucose. The design intent is to balance these contributions so that weight reduction is enhanced without unacceptable glycemic trade-offs. How well that balance holds across individuals is not fully resolved.
Published information places retatrutide in clinical development rather than on the market as an approved therapy. Early-stage and mid-stage trials have examined tolerability and changes in body weight, and larger studies continue to report results over time. Open questions include the durability of effects after treatment stops, the composition of weight lost, and cardiovascular outcomes over long periods. Statements about definitive benefit should therefore be treated as provisional. Regulatory status varies by jurisdiction and changes as applications are reviewed.
| Property | Value | Notes |
|---|---|---|
| 研究代号 | LY3437943 | 文献中常用的实验标识 |
| 药物类别 | 三重受体激动剂 | 靶向GLP-1、GIP与胰高血糖素受体 |
| 开发状态 | 后期临床研究 | 尚未获批上市 |
| 主要研究人群 | 肥胖与2型糖尿病 | 入组条件依试验方案而定 |
| 常见同义词 | 瑞他鲁肽；LY3437943 | 名称拼写可能因语言和出版物而异 |
Clinical development has advanced through phase 2 trials in adults with obesity and type 2 diabetes. Reported phase 2 results described substantial average weight reduction over roughly forty-eight weeks of weekly dosing. A phase 3 program is ongoing to confirm efficacy and assess long-term safety. Because the compound has not received regulatory approval, it is not available as a prescription product. Public discussion of retatrutide often conflates trial findings with marketed status, an important distinction when interpreting coverage of the topic.
Retatrutide is a synthetic peptide developed as a single molecule that activates three distinct hormone receptors: GLP-1, GIP, and glucagon. The compound carries the internal designation LY3437943 and was engineered by modifying the backbone of glucose-dependent insulinotropic polypeptide. Its sequence incorporates non-natural amino acids and a fatty acid side chain that extends circulation time. The triple-agonist design aims to combine appetite suppression, improved insulin response, and increased energy expenditure in one agent. Published reports describe it as an investigational product rather than an approved medicine.
Each receptor contributes a different physiological effect. Activation of the GLP-1 receptor slows gastric emptying and reduces appetite signaling in the brain. GIP receptor activity influences insulin secretion and lipid handling, while glucagon receptor stimulation raises energy use and fat oxidation. Combining these pathways is intended to produce weight loss beyond what single- or dual-receptor agonists achieve. Researchers attribute the observed potency to simultaneous engagement of all three targets, though the exact contribution of each receptor to overall effect remains under investigation.
Peptides in this class degrade mainly through hydrolysis, oxidation, and aggregation. The lipid modification improves plasma residence time but can also promote self-association in aqueous solution at higher concentrations. Oxidation of methionine and deamidation of asparagine residues are common chemical liabilities that accumulate during storage. Stability studies therefore track purity loss, aggregate formation, and changes in receptor-binding potency over time under defined temperature and humidity conditions.
Solid peptide is generally held as a lyophilised powder at low temperature to slow degradation, with desiccant to limit moisture uptake. Reconstituted solutions are less stable and are usually kept refrigerated and protected from light for short periods. Repeated freeze-thaw cycles are avoided because they encourage aggregation. Laboratory handling includes work in a fume hood or laminar flow cabinet to limit inhalation and contamination. Weighing and transfer steps are performed with antistatic tools to reduce static-driven loss of fine powder.
The expectation to experience rejection can become an important stressor for transgender and gender non-conforming individuals. Mental health problems among trans people are related to higher rates of self-harm, drug usage, and suicidal ideations and attempts.
== Research == A meta-analysis concluded that it was effective and well-tolerated, especially for avoiding weight gain or sexual side effects. Bupropion has been studied limitedly in the treatment of social anxiety disorder.
Woods held the view that Biko had filled the vacuum within the country's African nationalist movement that arose in the late 1960s following the imprisonment of Nelson Mandela and the banning of Sobukwe. Following Biko's death, the Black Consciousness Movement declined in influence as the ANC emerged as a resurgent force in anti-apartheid politics. This brought about a shift in focus from the BCM's community organising to wider mass mobilisation, including attempts to follow Tambo's call to make South Africa "ungovernable", which involved increasing violence and clashes between rival anti-apartheid groups. Followers of Biko's ideas re-organised as the Azanian People's Organisation (AZAPO), which subsequently split into the Socialist Party of Azania and the Black People's Convention. Several figures associated with the ANC denigrated Biko during the 1980s. For instance, members of the ANC-affiliated United Democratic Front assembled outside Biko's Ginsberg home shouting U-Steve Biko, I-CIA!, an allegation that Biko was a spy for the United States' Central Intelligence Agency (CIA). These demonstrations resulted in clashes with Biko supporters from AZAPO. A year after Biko's death, his "Frank Talk" writings were published as an edited collection, I Write What I Like. The defence that Biko provided for arrested SASO activists was used as the basis for the 1978 book The Testimony of Steve Biko, edited by Millard Arnold.
==== Live delivery systems ==== Live delivery systems, also known as vectors, are cells modified with ligands or antigens to improve the immunogenicity of recombinant subunits via altering antigen presentation, biodistribution and trafficking. Subunits may either be inserted within the carrier or genetically engineered to be expressed on the surface of the vectors for efficient presentation to the mucosal immune system.
Sources: en.wikipedia.org
San Juan Bautista was built in 1613 by Date Masamune, the daimyō of Sendai in northern Japan, in Tsuki-No-Ura harbour (Ishinomaki, Miyagi Prefecture). The project had been approved by the Bakufu, the shōgun's government in Edo. The shōgun already had two smaller ships (80 and 120 tons) built for him by the English pilot William Adams. The larger, the San Buena Ventura, was given to Spanish shipwrecked sailors to return to New Spain in 1610. The shōgun also issued numerous permits for Red seal ships, destined for Asian trade and incorporating many elements of Western ship design. San Juan Bautista is reported to have required 45 days' work, with the participation of technical experts from the Bakufu, 800 shipwrights, 700 smiths, and 3000 carpenters. Two Spanish men also participated to the endeavour: the friar Luis Sotelo, and the Spanish captain Sebastián Vizcaíno. These efforts were seen with disapproval by the Spanish government in Manila, and Los Rios Coronel suggested that Luis Sotelo should not be allowed into Japan any further (C. R. Boxer).
Aromatic polyimides are synthesized by the reaction of dianhydrides with diamines, such as pyromellitic anhydride with p-phenylenediamine. It can also be accomplished using diisocyanates in place of diamines. Solubility considerations sometimes suggest use of the half acid-half ester of the dianhydride, instead of the dianhydride itself. Polymerization is accomplished by a two-stage process due to the insolubility of polyimides. The first stage forms a soluble and fusible high-molecular-weight poly(amic acid) in a polar aprotic solvent such as NMP or N,N-dimethylacetamide. The poly(amic aicd) can then be processed into the desired physical form of the final polymer product (e.g., film, fiber, laminate, coating) which is insoluble and infusible.
The third and final mission's crew, Skylab 4, set a human endurance record (at the time) with 84 days in orbit when the mission ended on February 8, 1974. Skylab stayed in orbit another five years before reentering the Earth's atmosphere over the Indian Ocean and Western Australia on July 11, 1979. Salyut 4 broke Skylab's occupation record at 92 days. Salyut 6 and Salyut 7 were second-generation stations designed for long duration, and were occupied for 683 and 816 days. Salyut 7 improved upon earlier designs by allowing long-duration crewed missions and more complex experiments. These stations, with their expanded crew capacity and amenities for long term stay, carrying electric stoves, a refrigerator, and constant hot water.
=== Acute === Acute poisoning is exposure to a poison on one occasion or during a short period of time. Symptoms develop in close relation to the exposure. Absorption of a poison is necessary for systemic poisoning. Furthermore, many common household medications are not labeled with skull and crossbones, although they can cause severe illness or even death. Poisoning can be caused by excessive consumption of generally safe substances, as in the case of water intoxication. Agents that act on the nervous system can paralyze in seconds or less, and include both biologically derived neurotoxins and so-called nerve gases, which may be synthesized for warfare or industry. Inhaled or ingested cyanide, used as a method of execution in gas chambers, or as a suicide method, almost instantly starves the body of energy by inhibiting the enzymes in mitochondria that make ATP. Intravenous injection of an unnaturally high concentration of potassium chloride, such as in the execution of prisoners in parts of the United States, quickly stops the heart by eliminating the cell potential necessary for muscle contraction. Most biocides, including pesticides, are created to act as acute poisons to target organisms, although acute or less observable chronic poisoning can also occur in non-target organisms (secondary poisoning), including the humans who apply the biocides and other beneficial organisms. For example, the herbicide 2,4-D imitates the action of a plant hormone, which makes its lethal toxicity specific to plants. Indeed, 2,4-D is not a poison, but classified as "harmful" (EU).
The Pirogov Russian National Research Medical University (formerly known as the Russian State Medical University) is a medical institution of higher education in Moscow, founded in 1906. This university is fully accredited and recognized by Russia's Ministry of Education and Science, and it is under the authority of the Ministry of Health and Social Development. Named after Russian surgeon and pedagogue N.I. Pirogov (1810–1888), the university is one of the largest medical institutions in Russia, and the first in the country allowing women to complete degrees. Moscow is one of the financial centers of the Russian Federation and the Commonwealth of Independent States (CIS), and the city is known for business schools. Among these are the Financial University under the Government of the Russian Federation, the Plekhanov Russian University of Economics, the State University of Management, and the National Research University—Higher School of Economics. These schools offer undergraduate degrees in management, finance, accounting, marketing, real estate, and economic theory; in addition, the schools offer master's degrees (including Masters of Business Administration [MBAs]). Most of these schools have branches in other regions of Russia and in other countries.
Sources: en.wikipedia.org
The waves were focused (by curving the antenna) and refracted (by a prism-shaped graphene bilayer because the conductivity in the two-atom-thick prism is larger than in the surrounding one-atom-thick layer.) The plasmonic metal-graphene nanoantenna was composed by inserting a few nanometers of oxide between a dipole gold nanorod and the monolayer graphene. The used oxide layer here can reduce the quantum tunneling effect between graphene and metal antenna. With tuning the chemical potential of the graphene layer through field effect transistor architecture, the in-phase and out-phase mode coupling between graphene plasmonics and metal plasmonics is realized. The tunable properties of the plasmonic metal-graphene nanoantenna can be switched on and off via modifying the electrostatic gate-voltage on graphene.
While balloons are perhaps the best-known use of helium, they are a minor part of all helium use. Helium is used for many purposes that require some of its unique properties, such as its low boiling point, low density, low solubility, high thermal conductivity, or inertness. Of the 2014 world helium total production of about 32 million kg (180 million standard cubic meters) of helium per year, the largest use (about 32% of the total in 2014) is in cryogenic applications, most of which involves cooling the superconducting magnets in medical MRI scanners and NMR spectrometers. Other major uses were pressurizing and purging systems, welding, maintenance of controlled atmospheres, and leak detection. Other uses by category were relatively minor fractions.
A soft coup, sometimes referred to as a silent coup or a bloodless coup, is an illegal overthrow of a government that – unlike a regular coup d'état – is achieved without the use of force or violence.
Chinese civilization is one of the world's oldest civilizations, whose culture dates back thousands of years. Overseas Han Chinese maintain cultural affinities to Chinese territories outside of their host locale through ancestor worship and clan associations, which often identify famous figures from Chinese history or myth as ancestors of current members. Such patriarchs include the Yellow Emperor and the Yan Emperor, who according to legend lived thousands of years ago and gave Han people the sobriquet "Descendants of Yan and Huang Emperor" (炎黃子孫, 炎黄子孙), a phrase which has reverberative connotations in a divisive political climate, as in that of major contentions between China and Taiwan. The Han Chinese also share a distinct set of cultural practices, traditions, and beliefs that have evolved over centuries. Traditional Han customs, art, dietary habits, literature, religious beliefs, and value systems have not only deeply influenced Han culture itself, but also the cultures of its East Asian neighbors as well. Chinese art, Chinese architecture, Chinese cuisine, Chinese dance, Chinese fashion, Chinese festivals, Chinese holidays, Chinese language, Chinese literature, Chinese music, Chinese mythology, Chinese numerology, Chinese philosophy, and Chinese theatre all have undergone thousands of years of development and growth, while numerous Chinese sites, such as the Great Wall and the Terracotta Army, are World Heritage Sites.
Sources: en.wikipedia.org
尚未。它仍处于临床研究阶段，任何监管批准都取决于正在进行的试验结果和提交审评。可公开获取的信息以试验注册和会议摘要为主。
司美格鲁肽主要靶向GLP-1受体，而瑞他鲁肽同时作用于GLP-1、GIP和胰高血糖素受体。这种三重机制旨在产生不同的代谢效应，但临床差异仍需头对头研究确认。
长期心血管结局、停药后维持效果、罕见不良事件和不同人群中的获益风险比尚未完全确定。完整三期数据和监管审评将影响结论。
It is described as a single molecule that acts at three receptors: the glucose-dependent insulinotropic polypeptide receptor, the glucagon-like peptide-1 receptor, and the glucagon receptor. This triple activity distinguishes it from agents that target one or two of these pathways.