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.
Last reviewed on 2026-05-04. Where a claim depends on a specific study, the study is described rather than over-claimed.
GLP-1 receptors are expressed on pancreatic beta cells, in the gut, and in several brain regions. Receptor activation raises cyclic AMP, enhances glucose-dependent insulin secretion, and suppresses glucagon release when blood glucose is high. Effects on gastric emptying and on hypothalamic appetite circuits reduce energy intake. Because insulin release remains glucose-dependent, the risk of hypoglycemia is low when the drug is used alone. The precise contribution of each pathway to body weight change in humans remains an area of active investigation.
Clinical studies of semaglutide generally measure glycated hemoglobin, fasting plasma glucose, body weight, and composite cardiovascular endpoints. The SUSTAIN program enrolled adults with type 2 diabetes, while the STEP program focused on obesity without diabetes. Administration follows a stepwise escalation schedule designed to limit gastrointestinal effects during the first weeks. Reported outcomes include mean percentage weight change, the proportion of participants reaching defined weight-loss thresholds, and rates of nausea, vomiting, and diarrhea. Long-term data on durability after treatment stops are still limited and remain a topic of ongoing research.
Semaglutide is a synthetic peptide of thirty-one amino acids that shares roughly ninety-four percent sequence identity with human glucagon-like peptide-1. Two substitutions resist enzymatic cleavage by dipeptidyl peptidase-4, and a fatty diacid side chain attached through a linker promotes binding to serum albumin. That albumin binding slows renal clearance and extends the circulating half-life from minutes to approximately one week. The structural changes are well established in the published literature. Whether the same modifications affect receptor signalling bias in ways that matter clinically remains an open question.
Pharmacological activity arises from agonism at the glucagon-like peptide-1 receptor, a G protein-coupled receptor expressed in the pancreas, the gastrointestinal tract, and the brainstem. Receptor activation raises intracellular cyclic adenosine monophosphate and enhances insulin release in a glucose-dependent manner, an effect that diminishes when blood glucose concentration is low. Other effects include slowed gastric emptying and hypothalamic satiety signalling. These pathways are described well. Receptor desensitisation rates across tissues, relative to the endogenous hormone, are still under investigation, and reported findings differ between laboratories.
| Property | Value | Notes |
|---|---|---|
| Molecular formula | C187H291N45O59 | Peptide backbone with a C18 fatty diacid side chain |
| Molecular weight | Approximately 4113 Da | Consistent with a 31-residue peptide plus linker |
| Appearance | White to off-white powder | Lyophilized solid; hygroscopic if left open |
| Solubility class | Sparingly soluble to soluble in water | Varies with pH and ionic strength |
| Typical analytical method | Reversed-phase HPLC with UV detection | Often paired with mass spectrometry for identity |
==== Evolution of animal synthesis ==== Ascorbic acid is a common enzymatic cofactor in mammals used in the synthesis of collagen, as well as a powerful reducing agent capable of rapidly scavenging a number of reactive oxygen species (ROS). Given that ascorbate has these important functions, it is surprising that the ability to synthesize this molecule has not always been conserved. In fact, anthropoid primates, Cavia porcellus (guinea pigs), teleost fishes, most bats, and some passerine birds have all independently lost the ability to internally synthesize vitamin C in either the kidney or the liver. In all of the cases where genomic analysis was done on an ascorbic acid auxotroph, the origin of the change was found to be a result of loss-of-function mutations in the gene that encodes L-gulono-γ-lactone oxidase, the enzyme that catalyzes the last step of the ascorbic acid pathway outlined above. One explanation for the repeated loss of the ability to synthesize vitamin C is that it was the result of genetic drift; assuming that the diet was rich in vitamin C, natural selection would not act to preserve it.
VWF is named after Erik Adolf von Willebrand, a Finnish physician who in 1926 first described a hereditary bleeding disorder in families from Åland. Although von Willebrand did not identify the definite cause, he distinguished von Willebrand disease (vWD) from hemophilia and other forms of bleeding diathesis. In the 1950s, vWD was shown to be caused by a plasma factor deficiency (instead of being caused by platelet disorders), and, in the 1970s, the VWF protein was purified. Harvey J. Weiss and coworkers developed a quantitative assay for VWF function that remains a mainstay of laboratory evaluation for VWD to this day.
=== Environmental impacts === Biopolymers can be sustainable, carbon neutral and are always renewable, because they are made from plant or animal materials which can be grown indefinitely. Since these materials come from agricultural crops, their use could create a sustainable industry. In contrast, the feedstocks for polymers derived from petrochemicals will eventually deplete. In addition, biopolymers have the potential to cut carbon emissions and reduce CO2 quantities in the atmosphere: this is because the CO2 released when they degrade can be reabsorbed by crops grown to replace them: this makes them close to carbon neutral. Almost all biopolymers are biodegradable in the natural environment: they are broken down into CO2 and water by microorganisms. These biodegradable biopolymers are also compostable: they can be put into an industrial composting process and will break down by 90% within six months. Biopolymers that do this can be marked with a 'compostable' symbol, under European Standard EN 13432 (2000). Packaging marked with this symbol can be put into industrial composting processes and will break down within six months or less. An example of a compostable polymer is PLA film under 20μm thick: films which are thicker than that do not qualify as compostable, even though they are "biodegradable". In Europe there is a home composting standard and associated logo that enables consumers to identify and dispose of packaging in their compost heap.
Sources: en.wikipedia.org
In May 2023, Peña announced the intention to move the Paraguayan embassy in Israel from Tel Aviv to Jerusalem. That measure had previously been taken by Horacio Cartes in 2018, but reversed by Mario Abdo Benítez later that same year, causing Israel to close its embassy in Asunción. According to Paraguayan foreign minister Rubén Ramírez Lezcano, the Israeli embassy in Paraguay was expected to reopen in July 2024. After the outbreak of the war between Israel and Gaza in October 2023, Peña's government adopted a strongly pro-Israel stance, with Paraguay abstaining or voting against several United Nations resolutions calling for a cessation of hostilities between Israel and Hamas, including a vote recognizing Palestine as a legitimate state, in which Paraguay abstained. Likewise, Paraguay opposed the South African case before the International Court of Justice against Israel, in which the former accused the latter of committing genocide in the Gaza Strip, and also opposed the intention of Karim Khan, chief prosecutor of the International Criminal Court, to issue international arrest warrants against Israeli prime minister Benjamin Netanyahu and his defense minister Yoav Gallant, calling it "incorrect". In public statements, Peña has argued that support for Israel goes beyond his personal view and represents, in his words, "a message from the entire Paraguayan nation", appealing to a historical and political affinity between the two countries.
In the mid-19th century, oil wells developed quickly in various parts of the world, though the title of the "first oil well" depends on the criteria. In 1846, a group of Russian Imperial engineers directed by Major Alexeyev of the Bakinskii Corps of Mining Engineers accidentally struck oil while hand-drilling with a primitive percussion rig in Bibi-Heybat, near Baku (now Azerbaijan), though they were not specifically searching for oil. In 1853, Ignacy Łukasiewicz, who discovered how to distill kerosene from seep crude oil and invented the modern kerosene lamp, hand-dug the first intentional well for commercial oil extraction in Bóbrka, Poland, to supply fuel for lighting (still operational as of 2025). A hand-dug well and another refinery followed in 1857 near Ploiești, Romania. Romania (then a vassal of the Ottoman Empire) was the first country in the world to have its annual crude oil output officially recorded in international statistics – 275 tonnes for 1857. In 1858, Georg Christian Konrad Hunäus found a significant amount of petroleum while drilling for lignite in Wietze, Germany. Wietze later provided about 80% of German consumption in the Wilhelmine Era. The production stopped in 1963, but Wietze has hosted a petroleum museum since 1970. Oil sands have been mined since the 18th century. In Wietze, natural asphalt/bitumen has been explored since the 18th century. Both in Pechelbronn as in Wietze, the coal industry dominated the petroleum technologies.
=== British Empire Medal (BEM) === Civil Division Waim Apa. For services to the community. Alup Apita. For services to education. Trombo Ekka. For services to the community, church and government. Sen Hegame. For services to politics and the community. Sergeant Major Stephen Iboni. For services to the Royal Papua New Guinea Constabulary. Bubu Japjap. For services to the government. Mark Vevehere Kupare. For services to local government. Mauri Samson. For public service. Haukas Ateal Somolo. For services to the community. Saman Tinpis. For service to the government.
Sources: en.wikipedia.org
== Quantum theory == In quantum mechanics, the energy of a quantum system is described by a self-adjoint (or Hermitian) operator called the Hamiltonian, which acts on the Hilbert space (or a space of wave functions) of the system. If the Hamiltonian is a time-independent operator, emergence probability of the measurement result does not change in time over the evolution of the system. Thus the expectation value of energy is also time independent. The local energy conservation in quantum field theory is ensured by the quantum Noether's theorem for the energy-momentum tensor operator. Thus energy is conserved by the normal unitary evolution of a quantum system. However, when the non-unitary Born rule is applied, the system's energy is measured with an energy that can be below or above the expectation value, if the system was not in an energy eigenstate. (For macroscopic systems, this effect is usually too small to measure.) The disposition of this energy gap is not well-understood; most physicists believe that the energy is transferred to or from the macroscopic environment in the course of the measurement process, while others believe that the observable energy is only conserved "on average". No experiment has been confirmed as definitive evidence of violations of the conservation of energy principle in quantum mechanics, but that does not rule out that some newer experiments, as proposed, may find evidence of violations of the conservation of energy principle in quantum mechanics.
=== Exhaustion === T cell exhaustion is a poorly defined or ambiguous term. There are three approaches to its definition. "The first approach primarily defines as exhausted the cells that present the same cellular dysfunction (typically, the absence of an expected effector response). The second approach primarily defines as exhausted the cells that are produced by a given cause (typically, but not necessarily, chronic exposure to an antigen). Finally, the third approach primarily defines as exhausted the cells that present the same molecular markers (typically, programmed cell death protein 1 [PD-1])." Indeed, it is now starting to emerge that exhaustion might not be the only T cell dysfunctional state. In fact, tolerization, anergy, cell death, ignorance, senesence and exclusion have recently emerged as additional sources and/or states of T cell dysfunction in cancer and chronic viral infection. Dysfunctional T cells are characterized by progressive loss of function, changes in transcriptional profiles and sustained expression of inhibitory receptors. At first, cells lose their ability to produce IL-2 and TNFα, which is followed by the loss of high proliferative capacity and cytotoxic potential, and eventually leads to their deletion. Exhausted T cells typically indicate higher levels of CD43, CD69 and inhibitory receptors combined with lower expression of CD62L and CD127. Exhaustion can develop during chronic infections, sepsis and cancer. Exhausted T cells preserve their functional exhaustion even after repeated antigen exposure.
Freud was the featured lecturer, and Jung spoke and received an honorary degree. The conference was planned by the psychologist G. Stanley Hall and included 27 distinguished psychiatrists, neurologists, and psychologists. It represented a watershed in the acceptance of psychoanalysis in North America. This forged welcome links between Jung and influential Americans. Jung returned to the United States the next year for a brief visit. In 1910, Freud proposed Jung, "his adopted eldest son, his crown prince, and successor," for the position of lifetime President of the newly formed International Psychoanalytical Association. However, after forceful objections from his Viennese colleagues, it was agreed Jung would be elected to serve a two-year term of office.
Sources: en.wikipedia.org
It is given either as a once-weekly subcutaneous injection or as an oral tablet taken once daily. The two forms use different absorption strategies, so they are not interchangeable on a milligram-for-milligram basis.
Structural modifications, including a fatty acid side chain and non-natural amino acid substitutions, slow enzymatic breakdown and promote albumin binding. These changes support once-weekly dosing rather than twice-daily administration.
The pathways involving insulin, glucagon, gastric emptying, and appetite signaling are well described. How much each pathway contributes to weight reduction in a given person is not fully established.
It is a glucagon-like peptide-1 receptor agonist, often grouped with the incretin mimetics. Its backbone is modified from the human hormone to resist enzymatic degradation and to bind albumin. These two features distinguish it from the native peptide.