If you have been reading about incretin and want a single page that covers the useful parts, this is it: definitions, context, how it is studied, and the questions that come up repeatedly.
Updated 2026-03-29. Numbers and descriptions here follow the published literature rather than marketing material.
Receptor activation raises intracellular cyclic AMP through Gs coupling, which promotes glucose-dependent insulin release and suppresses glucagon secretion when blood glucose is elevated. Effects outside the pancreas include slower gastric emptying and altered appetite signalling in the hypothalamus and hindbrain. The relative contribution of each tissue to overall metabolic outcomes remains an area of active investigation. Central mechanisms in particular are inferred mainly from animal models and indirect human measures rather than direct observation.
Serum protein binding dominates the pharmacokinetic profile. The attached chain associates strongly with albumin, shielding the peptide from enzymatic attack and slowing filtration by the kidney. This interaction extends the circulation half-life to roughly one week in humans, which supports weekly administration intervals. An oral version pairs the peptide with an absorption enhancer that transiently alters gastric epithelium, permitting limited uptake; bioavailability by that route is substantially lower than by injection.
Semaglutide belongs to the glucagon-like peptide-1 receptor agonist class, a group of synthetic peptides that imitate an incretin hormone released by intestinal L cells after food intake. Native GLP-1 circulates for only a few minutes because dipeptidyl peptidase-4 cleaves it rapidly. The hormone acts on pancreatic islets, the gastrointestinal tract, and several brain regions. Because the natural peptide is short-lived, development work concentrated on analogues that keep receptor activity while resisting enzymatic breakdown and renal clearance.
Receptor activation follows the canonical Gs pathway: binding increases intracellular cyclic AMP, which promotes protein kinase A activity. In pancreatic beta cells this amplifies glucose-dependent insulin release, so secretion rises when blood glucose is high and changes little when it is low. The same signalling suppresses glucagon release from alpha cells and slows gastric emptying. Receptors in the hypothalamus and brainstem are thought to contribute to reduced appetite and lower energy intake. Which of these effects dominates clinical outcomes remains an area of active study.
Semaglutide is a synthetic peptide analogue of glucagon-like peptide-1, a gut hormone released by intestinal L cells after food intake. The natural hormone acts on pancreatic and central receptors but is degraded within minutes by dipeptidyl peptidase-4 and other peptidases. Semaglutide belongs to the class of long-acting GLP-1 receptor agonists, a group distinguished by structural changes that slow breakdown and extend circulation time. Its development followed earlier short-acting analogues and reflects a general strategy in peptide drug design: preserve receptor activity while blocking proteolytic clearance.
Three structural changes define the molecule. At position 8 an alpha-aminoisobutyric acid residue replaces alanine, which blocks dipeptidyl peptidase-4 cleavage. At position 34 arginine replaces lysine, and at position 26 a lysine carries a C18 fatty diacid attached through a short linker. The fatty chain binds serum albumin, and this albumin association reduces renal filtration and enzymatic attack. The unchanged backbone retains the receptor contacts that produce signalling. The free base has the formula C187H291N45O59 and a molecular weight near 4114 daltons.
| Property | Value | Notes |
|---|---|---|
| Molecular class | Synthetic peptide, GLP-1 receptor agonist | 31 amino acid residues |
| Molecular formula | C187H291N45O59 | free peptide, no counter-ion |
| Approximate mass | 4114 Da | matches theoretical value |
| Receptor target | Glucagon-like peptide-1 receptor | Gs-coupled, cyclic AMP pathway |
| Circulation half-life | About one week in humans | extended by albumin association |
Large randomised trials in adults with type 2 diabetes and in adults with obesity have reported reductions in body weight and improvements in several cardiovascular risk markers. One outcome trial found a lower incidence of major adverse cardiovascular events in participants with diabetes and established cardiovascular disease. Gastrointestinal effects such as nausea and vomiting are the most frequently reported adverse events and often diminish over time. Changes in lean body mass during weight loss are an area of ongoing investigation. Effects in adolescents and in pregnancy are less well characterised, and current labelling advises against use during pregnancy.
Semaglutide is a synthetic peptide analogue of glucagon-like peptide-1, a gut hormone released after nutrient intake. The molecule contains 31 amino acid residues and differs from the native sequence at several positions. A non-natural residue at position eight resists the enzyme that normally truncates the hormone, while a lysine-linked fatty diacid side chain promotes binding to serum albumin. These two modifications extend the circulating half-life from minutes to roughly one week. The peptide is produced by solid-phase synthesis followed by selective acylation, and its identity and purity are confirmed by spectrometric and chromatographic techniques.
Storage at minus 20 degrees Celsius or lower in a desiccated container preserves the peptide for extended periods, while working solutions are commonly held at two to eight degrees Celsius for short intervals. Light exposure and repeated freeze-thaw cycles accelerate degradation, so dividing material into single-use aliquots is generally recommended. Adsorption to glass and plastic surfaces can lower the measured concentration of dilute solutions, particularly below one milligram per millilitre. The degradation routes most often reported for GLP-1 analogues are deamidation, methionine oxidation, and backbone hydrolysis. Relative rates under specific conditions are frequently described only for individual formulations.
Reverse-phase high-performance liquid chromatography with ultraviolet detection near 214 or 280 nanometres is widely used to assess purity and to resolve related impurities. Liquid chromatography coupled to mass spectrometry confirms identity through the protonated molecular ion and fragment ions formed in tandem experiments. Capillary electrophoresis and peptide mapping after enzymatic digestion supply complementary information on charge variants and modification sites. Circular dichroism and nuclear magnetic resonance can report on secondary structure in solution. Absolute quantification usually depends on an external standard, and reported purity depends on the detection wavelength and integration parameters chosen.
Lyophilised material appears as a white to off-white cake or powder that is hygroscopic, and containers are usually equilibrated to room temperature before opening to limit condensation. Dissolution is performed in water, phosphate-buffered saline, or a mildly alkaline buffer, since solubility rises above neutral pH. Gentle inversion or low-speed mixing is preferred, because vigorous vortexing can promote surface denaturation and aggregation. Complete dissolution may require several minutes, and brief sonication is sometimes applied. Passing the solution through a 0.22 micrometre membrane removes particulates but does not by itself sterilise the liquid.
Lyophilized semaglutide is typically stored at temperatures between minus 20 and minus 80 degrees Celsius for long-term preservation. Short-term storage at 2 to 8 degrees Celsius is common for working aliquots. Repeated freeze-thaw cycles can degrade the peptide and are usually avoided. The molecule is hygroscopic in its solid form, so containers should remain sealed with desiccant. Solutions are less stable than powders and are generally prepared fresh. Light exposure is limited because aromatic residues can undergo photo-oxidation.
Semaglutide dissolves readily in water and in aqueous buffers near neutral pH. Solubility decreases near the isoelectric point, where net charge is minimal. Common laboratory solvents include phosphate-buffered saline and dilute ammonium bicarbonate. Strongly acidic or basic conditions may accelerate hydrolysis. Working concentrations are usually prepared by diluting a concentrated stock. Vial surfaces can adsorb small amounts of peptide at low concentrations, so carrier proteins or low-binding tubes are sometimes used.
As a matter of continuous policy, the Russian autocracy kept assailing Polish national core values of language, religion and culture. In consequence, despite the limited liberalization measures allowed in Congress Poland under the rule of Tsar Alexander II of Russia, a renewal of popular liberation activities took place in 1860–1861. During large-scale demonstrations in Warsaw, Russian forces inflicted numerous casualties on the civilian participants. The "Red", or left-wing faction of Polish activists, which promoted peasant enfranchisement and cooperated with Russian revolutionaries, became involved in immediate preparations for a national uprising. The "White", or right-wing faction, was inclined to cooperate with the Russian authorities and countered with partial reform proposals. In order to cripple the manpower potential of the Reds, Aleksander Wielopolski, the conservative leader of the government of Congress Poland, arranged for a partial selective conscription of young Poles for the Russian army in the years 1862 and 1863. This action hastened the outbreak of hostilities. The January Uprising, joined and led after the initial period by the Whites, was fought by partisan units against an overwhelmingly advantaged enemy. The uprising lasted from January 1863 to the spring of 1864, when Romuald Traugutt, the last supreme commander of the insurgency, was captured by the tsarist police.
Epimedium, also known as barrenwort, bishop's hat, fairy wings, horny goat weed, or yin yang huo (Chinese: 淫羊藿; pinyin: Yínyánghùo; Wade–Giles: Yin²-yang²-huo⁴), is a genus of flowering plants in the family Berberidaceae. The majority of the species are endemic to China, with smaller numbers elsewhere in Asia and a few in the Mediterranean region. Epimedium species are deciduous or evergreen hardy perennials. The majority have four-parted "spider-like" flowers in spring. The species used as a dietary supplement is Epimedium grandiflorum. It contains icariin, which is a weak PDE5 inhibitor, in vitro. Its clinical effects are unknown. While there is little clinical evidence to date, as sildenafil, vardenafil, and tadalafil–sold under the brand names Viagra, Levitra and Cialis–are all based on (stronger) PDE5 inhibitory action, it is thought to have erectogenic properties and is found in some men's sexual health supplements.
==== Major depressive disorder ==== Modafinil has been studied as an adjunctive treatment for major depressive disorder. While some individual trials have reported benefits, systematic reviews and meta-analyses have found the evidence limited, the quality of evidence low, and the results inconclusive; modafinil did not significantly improve depression in network meta-analysis, though there was some evidence for reduced fatigue and sleepiness.
=== 23 February === The RSF, the SPLM-N (al-Hilu) and allied groups signed a charter to establish the Government of Peace and Unity following a meeting in Nairobi. The SAF's Sayyad Force lifted the two-year siege of El Obeid. The SAF also recaptured El Geteina.
14 teaching awards from Harvard University, Massachusetts General Hospital and the University of Pennsylvania School of Medicine[2] Named the most influential pathologist in the United States by The Pathologist in 2015[2][6] Inducted into the Association for Diagnostics & Laboratory Medicine (ADLM) Hall of Fame[1] Champion for Innovation Award, Association for Molecular Pathology, 2025[2]
Sources: en.wikipedia.org
Opioids include opiates, an older term that refers to such drugs derived from opium, including morphine itself. Opiate is properly limited to the natural alkaloids found in the resin of the opium poppy although some include semi-synthetic derivatives. Other opioids are semi-synthetic and synthetic drugs such as hydrocodone, oxycodone, and fentanyl; antagonist drugs such as naloxone; and endogenous peptides such as endorphins. The terms opiate and narcotic are sometimes encountered as synonyms for opioid. Narcotic, derived from words meaning 'numbness' or 'sleep', originally referred to any psychoactive compound with numbing or paralyzing properties. As an American legal term, narcotic refers to cocaine and opioids, and their source materials; it is also loosely applied to any illegal or controlled psychoactive drug. In some jurisdictions all controlled drugs are legally classified as narcotics. The term can have pejorative connotations and its use is generally discouraged where that is the case.
Since precipitation from an aqueous medium, by addition of ammonium sulfate or polyethylene glycol, is often used to purify enzymes, the CLEA methodology essentially combines purification and immobilization into a single unit operation that does not require a highly pure enzyme. It could be used, for example, for the direct isolation of an enzyme, in a purified and immobilized form suitable for performing biotransformations, from a crude fermentation broth. CLEAs are very attractive biocatalysts, owing to their facile, inexpensive and effective production method. They can readily be reused and exhibit improved stability and performance. The methodology is applicable to essentially any enzyme, including cofactor dependent oxidoreductases. Application to penicillin acylase used in antibiotic synthesis showed large improvements over other type of biocatalysts. The potential applications of CLEAs are numerous and include:
Nederlands Internisten Vereniging (Dutch Internists Association) Nederlands Huisartsen Genootschap (Dutch Society of General Practitioners) Nederlands Instituut van Psychologen (Dutch Institute of Psychologists) Nederlandse Vereniging voor Kindergeneeskunde (Dutch Association for Pediatrics) Nederlandse Vereniging voor Obstetrie & Gynaecologie (Dutch Association for Obstetrics & Gynaecology) Nederlandse Vereniging voor Plastische Chirurgie (Dutch Association for Plastic Surgery) Nederlandse Vereniging voor Psychiatrie (Dutch Psychiatry Association) Transvisie (Transvision, a patient organization for transgender patients)
Grammatophyllum speciosum, also called giant orchid, tiger orchid, sugar cane orchid or queen of the orchids, is a species of orchid native to Laos, Myanmar, Thailand, Vietnam, Borneo, Indonesia (Sumatra, Java, Sulawesi) and Malaysia. It has also been recorded in the Philippines, New Guinea and the Solomon Islands.
==== Malaysia ==== The Chicken Rice Shop Sushi King Kuai Lee Gee Happy Chicken Marrybrown Pelita Nasi Kandar Rotiboy Kedai Mee Celup Cik Yue Sate Kajang Haji Samuri Ramly Restoran Shah Maju NZ Curry House SCR Pak Mat Western Secret Recipe
Sources: en.wikipedia.org
==== Drugs ==== The ability to maintain functional telomeres may be one mechanism that allows cancer cells to grow in vitro for decades. Telomerase activity is necessary to preserve many cancer types and is inactive in somatic cells, creating the possibility that telomerase inhibition could selectively repress cancer cell growth with minimal side effects. If a drug can inhibit telomerase in cancer cells, the telomeres of successive generations will progressively shorten, limiting tumor growth. Telomerase is a good biomarker for cancer detection because about 85% of human cancer cells express high levels of it. Telomerase activity can be identified by its catalytic protein domain (hTERT). hTERT is believed to be the rate-limiting step in telomerase activity, and as a consequence, increased hTERT expression is associated with elevated telomerase activity in many cancer types. Various cancer cells and fibroblasts transformed with hTERT cDNA have high telomerase activity, while somatic cells do not. Cells testing positive for hTERT have positive nuclear signals. Epithelial stem cell tissue and its early daughter cells are the only noncancerous cells in which hTERT can be detected. Since hTERT expression is dependent only on the number of tumor cells within a sample, the amount of hTERT indicates the severity of cancer. The expression of hTERT can also be used to distinguish benign tumors from malignant tumors. Malignant tumors have higher hTERT expression than benign tumors.
=== Terminology === Thermochemistry Chemical kinetics – the study of the rates of chemical reactions and investigates how different experimental conditions can influence the speed of a chemical reaction and yield information about the reaction's mechanism and transition states, as well as the construction of mathematical models that can describe the characteristics of a chemical reaction. Exothermic – a process or reaction in which the system releases energy to its surroundings in the form of heat. They are denoted by negative heat flow. Endothermic – a process or reaction in which the system absorbs energy from its surroundings in the form of heat. They are denoted by positive heat flow. Thermochemical equation Enthalpy change – internal energy of a system plus the product of pressure and volume. Its change in a system is equal to the heat brought to the system at constant pressure. Enthalpy of reaction Temperature – an objective comparative measure of heat. Calorimeter – an object used for calorimetry, or the process of measuring the heat of chemical reactions or physical changes as well as heat capacity. Heat – A form of energy associated with the kinetic energy of atoms or molecules and capable of being transmitted through solid and fluid media by conduction, through fluid media by convection, and through empty space by radiation. Joule – a unit of energy. Calorie Specific heat Specific heat capacity Latent heat Heat of fusion Heat of vaporization Collision theory Activation energy Activated complex Reaction rate Catalyst
=== Li–Lu === Andreas Libavius (1555–1616), German doctor and alchemist who discovered how prepare hydrochloric acid, ammonium sulfate, etc. Carl Theodore Liebermann (1842–1914), German chemist, known for synthesis of alizarin Willard Libby (1908–1980), American chemist known for development of radiocarbon dating, 1960 Nobel Prize in Chemistry Justus von Liebig (1803–1873), German inventor and pioneer in agricultural and biological chemistry Karl Paul Link (1901–1978), American biochemist, discovered the anticoagulant warfarin John Wilfrid Linnett (1913–1975), British chemist at the Universities of Oxford and Cambridge, known for contributions to theoretical chemistry William Lipscomb (1919–2011), American chemist known for work in nuclear magnetic resonance, theoretical chemistry, boron chemistry, and biochemistry; 1976 Nobel Prize in Chemistry Joseph Lister, 1st Baron Lister (1827–1912), English surgeon known for recognising that putrefaction in wounds is caused by germs Arthur H. Livermore (1915–2009), American science educator and chemist who contributed to the synthesis of penicillin Mikhail Lomonosov (1711–1765), Russian scientist, anticipated the kinetic-molecular theory by 100 years H.
== Mechanism == Three main changes are seen in the mechanism of Raynaud's phenomenon: reduced blood flow, blood vessel constriction, and neurogenic, inflammatory, and immune responses. It is induced by emotional stress and coldness. In all cases, the primary cause is an underlying hyperactivation of the sympathetic nervous system, although the exact pathophysiology differs depending on the type. In the primary type, there is an increase in sensitivity due to the issues mentioned above, resulting in vasoconstriction. In the secondary type, normal activity of blood vessels is disrupted due to the same issues, causing vasoconstriction which leads to ischemia and tissue death.
Sources: en.wikipedia.org
It is a synthetic peptide of 31 amino acids, built to resemble the natural incretin hormone GLP-1. Because of its size and composition it is handled analytically like other therapeutic peptides, using chromatographic and mass spectrometric methods rather than the techniques typical of small organic drugs.
The substitution at position 8 removes the site recognised by dipeptidyl peptidase-4, the enzyme that destroys the native hormone within minutes. The linked lipophilic chain then binds circulating albumin, which further limits access by degradative enzymes and reduces renal loss. Together these features lengthen the effective circulation time considerably.
It acts at the glucagon-like peptide-1 receptor, a G protein-coupled receptor that signals mainly through cyclic AMP. Activation is glucose dependent, meaning insulin release is stimulated more strongly when blood glucose is already elevated. Other tissues carrying the same receptor respond as well, which explains effects beyond glucose control.
Native GLP-1 is a short-lived peptide cleared within one to two minutes by dipeptidyl peptidase-4 and related enzymes. Semaglutide keeps the receptor-binding backbone but adds substitutions and a lipid chain. These changes block the main cleavage site and allow reversible albumin binding, extending the half-life to roughly 165 hours.