ACTH(4-10) comes up often in conversation and rarely with the context attached. Here we lay out the basics in order, then work through the practical considerations.
Updated 2025-09-04. Numbers and descriptions here follow the published literature rather than marketing material.
Pharmacokinetic accounts emphasize rapid breakdown. After intravenous dosing the intact peptide disappears from blood within minutes, and nasal delivery produces low but measurable concentrations. Metabolites rather than the parent molecule may account for part of the observed activity, although the relative contribution is unresolved. Dosing in the literature varies widely and no optimal schedule has been agreed. These gaps are regularly cited as a reason the findings have not produced broad clinical adoption beyond the original research setting.
Proposed mechanisms center on neurotrophic signaling rather than on classical melanocortin receptor activation. Rodent experiments have reported shifts in the expression of brain-derived neurotrophic factor and nerve growth factor after administration, together with changes in the associated receptor systems. Several authors argue that the peptide acts largely through its degradation products and their interaction with peptidergic pathways, but this remains a hypothesis rather than a settled finding. No single molecular target has been identified in a way that the field broadly accepts.
Published research covers ischemic stroke, traumatic brain injury, cognitive impairment, optic nerve conditions and attention-related measures. Much of the human evidence comes from small trials conducted in one country, which limits how far the results generalize. Animal models supply the larger share of the data, and effects seen in rodents do not transfer automatically to people. Reviews have noted that methodological reporting is often incomplete, making it difficult to pool results or compare treatment schedules across studies.
Reported pharmacological work centers on neurotrophic signaling, including changes in BDNF and NGF expression in hippocampal tissue in animal models. Human data come largely from studies conducted in Russia, and how well those results generalize to other populations remains an open question. Regulatory status differs sharply by jurisdiction: Semax is a registered prescription medicine in Russia, while it holds no approved marketing status in the United States or the European Union. Outside such jurisdictions it is generally handled as a research chemical, which affects both documentation and quality expectations.
Semax is a synthetic heptapeptide whose sequence is Met-Glu-His-Phe-Pro-Gly-Pro. It was developed as a fragment analog of adrenocorticotropic hormone, modeled specifically on the ACTH(4-10) region. The first four residues reproduce that fragment, while a Pro-Gly-Pro tripeptide is appended at the C-terminus. Work on the compound originated in Russia, where it entered clinical use as an intranasal preparation. Its sequence places it among short regulatory peptides studied for effects on the central nervous system rather than on the adrenal axis.
| Property | Value | Notes |
|---|---|---|
| Primary research models | Rodent studies | Largest share of published data |
| Reported markers | BDNF and NGF expression | Measured mainly in animal tissue |
| Common administration | Intranasal | Matches the registered formulation |
| Blood residence time | Minutes | Rapid enzymatic degradation |
| Evidence quality | Small trials, limited replication | Noted repeatedly in reviews |
Quality documentation for research-grade peptide usually includes a certificate of analysis stating purity, identity, and residual counterion content. Batch-to-batch variation in purity and salt form is a recognized issue, and comparisons across suppliers require attention to the exact counterion, for example acetate versus trifluoroacetate. Sequence verification by tandem mass spectrometry provides stronger evidence than a single mass measurement. For any study reporting biological results, the analytical method and the measured purity should be stated explicitly. Independent verification of supplier claims is considered good practice.
Semax is supplied as a lyophilized powder that appears white to off-white. It dissolves readily in water, phosphate-buffered saline, and other aqueous media, which simplifies preparation of working solutions for laboratory use. The nasal products registered in Russia are dilute aqueous solutions, typically around 0.1 percent peptide by weight. Organic solvents are rarely necessary and can complicate handling. Because the peptide is hygroscopic, weighing should be performed quickly and with minimal exposure to ambient humidity.
Solid material is normally kept at minus 20 degrees Celsius in a sealed, desiccated container. Reconstituted solutions are less stable and are usually divided into single-use aliquots before freezing. Repeated freeze-thaw cycles are avoided because they promote aggregation and loss of activity. Light exposure is minimized by using amber glassware or foil wrapping. Published stability data for this peptide are sparse, so recommended storage conditions rest mainly on general practice for short synthetic peptides rather than on dedicated study.
Regulatory status differs sharply between jurisdictions. In Russia the peptide is registered as a prescription nasal preparation, while agencies such as the United States Food and Drug Administration have not approved it for any indication. Products sold elsewhere are typically labeled for laboratory research only, and such labels shift responsibility for safe handling to the purchaser. Because the same name covers pharmaceutical-grade nasal drops and bulk research powder, identity and purity documentation becomes the main practical concern when comparing sources.
Semax is a synthetic seven-amino-acid peptide whose sequence extends the ACTH(4-10) fragment with a C-terminal proline-glycine-proline tripeptide. The commonly cited sequence is Met-Glu-His-Phe-Pro-Gly-Pro, giving a molecular formula near C37H51N9O10S and a molecular weight close to 813.9 g/mol. It belongs to the broader class of synthetic ACTH fragments studied for central nervous system effects rather than for adrenal steroid stimulation. In practice the material appears as a lyophilized white powder for laboratory work or as a dilute saline solution in clinical settings.
Development is attributed to researchers at the Institute of Molecular Genetics in Moscow during the early 1980s, building on earlier Soviet work with ACTH fragments. Russian regulatory approval followed for intranasal use, and the compound has remained commercially available there for decades. Most published human data originate from Russian and, later, some Eastern European clinical reports, which are not always accessible in English translation. Outside that region the material is generally handled as a research chemical rather than a licensed medicine.
Mapping is possible for select species only: "there are many valid examples of confined distribution patterns." For example, Clathromorphum is an arctic genus and is not mapped far south of there. However, scientists regard the overall data as insufficient due to the "difficulties of undertaking such studies."
== hCG forms == Three major forms of hCG are produced by humans, with each having distinct physiological roles. These include regular hCG, hyperglycosylated hCG, and the free beta-subunit of hCG. Degradation products of hCG have also been detected, including nicked hCG, hCG missing the C-terminal peptide from the beta-subunit, and free alpha-subunit, which has no known biological function. Some hCG is also made by the pituitary gland with a pattern of glycosylation that differs from placental forms of hCG. Regular hCG is the main form of hCG associated with the majority of pregnancy and in non-invasive molar pregnancies. This is produced in the trophoblast cells of the placental tissue. Hyperglycosylated hCG is the main form of hCG during the implantation phase of pregnancy, with invasive molar pregnancies, and with choriocarcinoma. Gonadotropin preparations of hCG can be produced for pharmaceutical use from animal or synthetic sources.
Circumcision is a surgical procedure that removes the foreskin from the human penis. In the procedure's most common form, the foreskin is extended with forceps, then a circumcision device may be placed, after which the foreskin is excised. Topical or locally injected anesthesia is generally used to reduce pain and physiologic stress. Circumcision is undertaken for religious, cultural, social, and medical reasons. It may be medically necessary in cases of phimosis, chronic urinary tract infections (UTIs), and other pathologies of the penis that do not resolve with other treatments. The procedure is contraindicated in cases of certain genital structure abnormalities or poor general health. The procedure is associated with reduced rates of urinary tract infections and sexually transmitted infections including incidence of cancer-causing forms of human papillomavirus (HPV), and is known to reduce HIV transmission among heterosexual men in high-risk populations by up to 60%; its prophylactic efficacy against HIV transmission in the developed world or among men who have sex with men is debated. Neonatal circumcision decreases the risk of penile cancer. Complication rates increase significantly with age. Bleeding, infection, and the removal of either too much or too little foreskin are the most common acute complications, while meatal stenosis is the most common long-term. There are various cultural, social, legal, and ethical views on circumcision. Major medical organizations hold differing views on circumcision's prophylactic efficacy in developed countries.
Promoting appropriate transfusion practices in line with local, national, or international guidelines through education +/or policy and procedure development Education about using single-unit transfusion, where safe to do so (add reference to Choosing wisely) and auditing practice Promoting practices that reduce the risk of iatrogenic anaemia Working with a multidisciplinary group to assess the need for introducing pre-operative anaemia management pathways and/or anaemia clinics Encouraging the use of electronic decision-making and prescribing tools where feasible. The broad reach of the TP allows them to develop constructive working relationships with the many clinical users of blood products and assists with the implementation of PBM programmes.
Main course (often referred to as "the main") Side dish Dessert or snack (often commercial candy, fortified pastry, First Strike Bar, or Soldier Fuel) Crackers or bread Cheese spread, peanut butter, or jelly Powdered beverage mix (commonly a fruit-flavored drink, cocoa, protein drink powder, instant coffee or tea, sport drink, or dairy shake) Utensils (commonly just a plastic spoon, though rarely a fork and knife may also be given) Flameless ration heater Beverage mixing bag Accessory pack: Xylitol chewing gum Water-resistant matchbook Napkin / toilet paper Moist towelette Seasonings, including salt, pepper, sugar, creamer, and/or Tabasco sauce Freeze-dried coffee powder Many items are fortified with nutrients. In addition, DoD policy requires units to augment MREs with fresh food whenever feasible, especially in training environments.
Sources: en.wikipedia.org
=== EC 2.7.1: Phosphotransferases with an alcohol group as acceptor === EC 2.7.1.1: hexokinase EC 2.7.1.2: glucokinase EC 2.7.1.3: ketohexokinase EC 2.7.1.4: fructokinase EC 2.7.1.5: rhamnulokinase EC 2.7.1.6: galactokinase EC 2.7.1.7: mannokinase EC 2.7.1.8: glucosamine kinase EC 2.7.1.9: deleted EC 2.7.1.10: phosphoglucokinase EC 2.7.1.11: 6-phosphofructokinase EC 2.7.1.12: gluconokinase EC 2.7.1.13: dehydrogluconokinase EC 2.7.1.14: sedoheptulokinase EC 2.7.1.15: ribokinase EC 2.7.1.16: ribulokinase EC 2.7.1.17: xylulokinase EC 2.7.1.18: phosphoribokinase EC 2.7.1.19: phosphoribulokinase EC 2.7.1.20: adenosine kinase EC 2.7.1.21: thymidine kinase EC 2.7.1.22: ribosylnicotinamide kinase EC 2.7.1.23: NAD+ kinase EC 2.7.1.24: dephospho-CoA kinase EC 2.7.1.25: adenylyl-sulfate kinase EC 2.7.1.26: riboflavin kinase EC 2.7.1.27: erythritol kinase (D-erythritol 4-phosphate-forming) EC 2.7.1.28: triokinase EC 2.7.1.29: glycerone kinase EC 2.7.1.30: glycerol kinase EC 2.7.1.31: glycerate kinase EC 2.7.1.32: choline kinase EC 2.7.1.33: pantothenate kinase EC 2.7.1.34: pantetheine kinase EC 2.7.1.35: pyridoxal kinase EC 2.7.1.36: mevalonate kinase EC 2.7.1.37: now divided into EC 2.7.11.1, EC 2.7.11.8, EC 2.7.11.9, EC 2.7.11.10, EC 2.7.11.11, EC 2.7.11.12, EC 2.7.11.13, EC 2.7.11.21, EC 2.7.11.22, EC 2.7.11.24, EC 2.7.11.25, EC 2.7.11.30 and EC 2.7.12.1 EC 2.7.1.38: now EC 2.7.11.19, phosphorylase kinase EC 2.7.1.39: homoserine kinase EC 2.7.1.40: pyruvate kinase EC 2.7.1.41: glucose-1-phosphate phosphodismutase EC 2.7.1.42: riboflavin phosphotransferase EC 2.7.1.43: glucuronokinase EC 2.7.1.44: galacturonokinase EC 2.7.1.45: 2-dehydro-3-deoxygluconokinase EC 2.7.1.46: L-arabinokinase EC 2.7.1.47: D-ribulokinase EC 2.7.1.48: uridine kinase EC 2.7.1.49: hydroxymethylpyrimidine kinase EC 2.7.1.50: hydroxyethylthiazole kinase EC 2.7.1.51: L-fuculokinase EC 2.7.1.52: fucokinase EC 2.7.1.53: L-xylulokinase EC 2.7.1.54: D-arabinokinase EC 2.7.1.55: allose kinase EC 2.7.1.56: 1-phosphofructokinase EC 2.7.1.57: deleted EC 2.7.1.58: 2-dehydro-3-deoxygalactonokinase EC 2.7.1.59: N-acetylglucosamine kinase EC 2.7.1.60: N-acylmannosamine kinase EC 2.7.1.61: acyl-phosphate—hexose phosphotransferase EC 2.7.1.62: Phosphoramidate-hexose phosphotransferase EC 2.7.1.63: polyphosphate—glucose phosphotransferase EC 2.7.1.64: inositol 3-kinase EC 2.7.1.65: scyllo-inosamine 4-kinase EC 2.7.1.66: undecaprenol kinase EC 2.7.1.67: 1-phosphatidylinositol 4-kinase EC 2.7.1.68: 1-phosphatidylinositol-4-phosphate 5-kinase EC 2.7.1.69: now covered by EC 2.7.1.191, EC 2.7.1.192, EC 2.7.1.193, EC 2.7.1.194, EC 2.7.1.195, EC 2.7.1.196, EC 2.7.1.197, EC 2.7.1.198, EC 2.7.1.199, EC 2.7.1.200 EC 2.7.1.20, EC 2.7.1.202, EC 2.7.1.203, EC 2.7.1.204, EC 2.7.1.205, EC 2.7.1.206, EC 2.7.1.207 and EC 2.7.1.208 EC 2.7.1.70: Now included in EC 2.7.11.1, non-specific serine/threonine protein kinase EC 2.7.1.71: shikimate kinase EC 2.7.1.72: streptomycin 6-kinase EC 2.7.1.73: inosine kinase EC 2.7.1.74: deoxycytidine kinase EC 2.7.1.75: Now EC 2.7.1.21 thymidine kinase EC 2.7.1.76: deoxyadenosine kinase EC 2.7.1.77: nucleoside phosphotransferase EC 2.7.1.78: polynucleotide 5′-hydroxyl-kinase EC 2.7.1.79: diphosphate—glycerol phosphotransferase EC 2.7.1.80: diphosphate—serine phosphotransferase EC 2.7.1.81: hydroxylysine kinase EC 2.7.1.82: ethanolamine kinase EC 2.7.1.83: pseudouridine kinase EC 2.7.1.84: alkylglycerone kinase EC 2.7.1.85: β-glucoside kinase EC 2.7.1.86: NADH kinase EC 2.7.1.87: streptomycin 3′′-kinase EC 2.7.1.88: dihydrostreptomycin-6-phosphate 3′α-kinase EC 2.7.1.89: thiamine kinase EC 2.7.1.90: diphosphate—fructose-6-phosphate 1-phosphotransferase EC 2.7.1.91: sphinganine kinase EC 2.7.1.92: 5-dehydro-2-deoxygluconokinase EC 2.7.1.93: alkylglycerol kinase EC 2.7.1.94: acylglycerol kinase EC 2.7.1.95: kanamycin kinase EC 2.7.1.96: deleted, Now included with EC 2.7.1.86 NADH kinase EC 2.7.1.97: deleted, Identical with EC 2.7.11.14, rhodopsin kinase EC 2.7.1.98: deleted EC 2.7.1.99: Now EC 2.7.11.2, [pyruvate dehydrogenase (acetyl-transferring)] kinase EC 2.7.1.100: S-methyl-5-thioribose kinase EC 2.7.1.101: tagatose kinase EC 2.7.1.102: hamamelose kinase EC 2.7.1.103: viomycin kinase EC 2.7.1.104: Now EC 2.7.99.1, triphosphate—protein phosphotransferase EC 2.7.1.105: 6-phosphofructo-2-kinase EC 2.7.1.106: glucose-1,6-bisphosphate synthase EC 2.7.1.107: diacylglycerol kinase EC 2.7.1.108: dolichol kinase EC 2.7.1.109: Now EC 2.7.11.31, [hydroxymethylglutaryl-CoA reductase (NADPH)] kinase EC 2.7.1.110: Now EC 2.7.11.3, dephospho-(reductase kinase) kinase EC 2.7.1.111: Now listed as EC 2.7.11.27, [acetyl-CoA carboxylase] kinase EC 2.7.1.112: Now EC 2.7.10.2, non-specific protein-tyrosine kinase EC 2.7.1.113: deoxyguanosine kinase EC 2.7.1.114: AMP—thymidine kinase EC 2.7.1.115: Now EC 2.7.11.4, (3-methyl-2-oxobutanoate dehydrogenase (acetyl-transferring)) kinase EC 2.7.1.116: Now EC 2.7.11.5, [isocitrate dehydrogenase (NADP+)] kinase EC 2.7.1.117: Now EC 2.7.11.18, myosin-light-chain kinase EC 2.7.1.118: ADP—thymidine kinase EC 2.7.1.119: hygromycin-B 7′′-O-kinase EC 2.7.1.120: Now EC 2.7.11.17, Ca2+/calmodulin-dependent protein kinase EC 2.7.1.121: phosphoenolpyruvate—glycerone phosphotransferase EC 2.7.1.122: xylitol kinase EC 2.7.1.123: Now EC 2.7.11.17, Ca2+/calmodulin-dependent protein kinase EC 2.7.1.124: Now EC 2.7.11.6, [tyrosine 3-monooxygenase] kinase EC 2.7.1.125: Now EC 2.7.11.14, rhodopsin kinase EC 2.7.1.126: Now EC 2.7.11.15, β-adrenergic-receptor kinase EC 2.7.1.127: inositol-trisphosphate 3-kinase EC 2.7.1.128: Now EC 2.7.11.27, [acetyl-CoA carboxylase] kinase EC 2.7.1.129: Now EC 2.7.11.7, myosin-heavy-chain kinase EC 2.7.1.130: tetraacyldisaccharide 4′-kinase EC 2.7.1.131: Now EC 2.7.11.29, low-density-lipoprotein receptor kinase EC 2.7.1.132: Now EC 2.7.11.28, tropomyosin kinase EC 2.7.1.133: Now included with EC 2.7.1.134, inositol-tetrakisphosphate 1-kinase EC 2.7.1.134: inositol-tetrakisphosphate 1-kinase EC 2.7.1.135: Now EC 2.7.11.26, tau-protein kinase EC 2.7.1.136: macrolide 2′-kinase EC 2.7.1.137: phosphatidylinositol 3-kinase EC 2.7.1.138: ceramide kinase EC 2.7.1.139: Now included with EC 2.7.1.134, inositol-tetrakisphosphate 1-kinase EC 2.7.1.140: inositol-tetrakisphosphate 5-kinase EC 2.7.1.141: Now EC 2.7.11.23, [RNA-polymerase]-subunit kinase EC 2.7.1.142: glycerol-3-phosphate—glucose phosphotransferase EC 2.7.1.143: diphosphate-purine nucleoside kinase EC 2.7.1.144: tagatose-6-phosphate kinase EC 2.7.1.145: deoxynucleoside kinase EC 2.7.1.146: ADP-dependent phosphofructokinase EC 2.7.1.147: ADP-dependent glucokinase EC 2.7.1.148: 4-(cytidine 5′-diphospho)-2-C-methyl-D-erythritol kinase EC 2.7.1.149: 1-phosphatidylinositol-5-phosphate 4-kinase EC 2.7.1.150: 1-phosphatidylinositol-3-phosphate 5-kinase EC 2.7.1.151: inositol-polyphosphate multikinase EC 2.7.1.152: Now EC 2.7.4.21, inositol-hexakisphosphate kinase EC 2.7.1.153: phosphatidylinositol-4,5-bisphosphate 3-kinase EC 2.7.1.154: phosphatidylinositol-4-phosphate 3-kinase EC 2.7.1.155: Now EC 2.7.4.24, diphosphoinositol-pentakisphosphate kinase EC 2.7.1.156: adenosylcobinamide kinase EC 2.7.1.157: N-acetylgalactosamine kinase EC 2.7.1.158: inositol-pentakisphosphate 2-kinase EC 2.7.1.159: inositol-1,3,4-trisphosphate 5/6-kinase EC 2.7.1.160: 2′-phosphotransferase EC 2.7.1.161: CTP-dependent riboflavin kinase EC 2.7.1.162: N-acetylhexosamine 1-kinase EC 2.7.1.163: hygromycin B 4-O-kinase EC 2.7.1.164: O-phosphoseryl-tRNASec kinase EC 2.7.1.165: glycerate 2-kinase EC 2.7.1.166: 3-deoxy-D-manno-octulosonic acid kinase EC 2.7.1.167: D-glycero-β-D-manno-heptose-7-phosphate kinase EC 2.7.1.168: D-glycero-α-D-manno-heptose-7-phosphate kinase EC 2.7.1.169: pantoate kinase EC 2.7.1.170: anhydro-N-acetylmuramic acid kinase EC 2.7.1.171: protein-fructosamine 3-kinase EC 2.7.1.172: protein-ribulosamine 3-kinase EC 2.7.1.173: nicotinate riboside kinase EC 2.7.1.174: diacylglycerol kinase (CTP dependent) EC 2.7.1.175: maltokinase EC 2.7.1.176: UDP-N-acetylglucosamine kinase EC 2.7.1.177: L-threonine kinase EC 2.7.1.178: 2-dehydro-3-deoxyglucono/galactono-kinase EC 2.7.1.179: kanosamine kinase EC 2.7.1.180: FAD:protein FMN transferase EC 2.7.1.181: polymannosyl GlcNAc-diphospho-ditrans,octacis-undecaprenol kinase EC 2.7.1.182: phytol kinase EC 2.7.1.183: glycoprotein-mannosyl O6-kinase EC 2.7.1.184: sulfofructose kinase EC 2.7.1.185: mevalonate 3-kinase EC 2.7.1.186: mevalonate-3-phosphate 5-kinase EC 2.7.1.187: acarbose 7IV-phosphotransferase EC 2.7.1.188: 2-epi-5-epi-valiolone 7-kinase EC 2.7.1.189: autoinducer-2 kinase EC 2.7.1.190: aminoglycoside 2′′-phosphotransferase EC 2.7.1.191: protein-N π-phosphohistidine—D-mannose phosphotransferase EC 2.7.1.192: protein-N π-phosphohistidine—N-acetylmuramate phosphotransferase EC 2.7.1.193: protein-N π-phosphohistidine—N-acetyl-D-glucosamine phosphotransferase EC 2.7.1.194: protein-N π-phosphohistidine—L-ascorbate phosphotransferase EC 2.7.1.195: protein-N π-phosphohistidine—2-O-α-mannosyl-D-glycerate phosphotransferase EC 2.7.1.196: protein-N π-phosphohistidine—N,N′-diacetylchitobiose phosphotransferase EC 2.7.1.197: protein-Nπ'-phosphohistidine—D-mannitol phosphotransferase EC 2.7.1.198: protein-N π-phosphohistidine—D-sorbitol phosphotransferase EC 2.7.1.199: protein-N π-phosphohistidine—D-glucose phosphotransferase EC 2.7.1.200: protein-N π-phosphohistidine—galactitol phosphotransferase EC 2.7.1.201: protein-N π-phosphohistidine—trehalose phosphotransferase EC 2.7.1.202: protein-N π-phosphohistidine—D-fructose phosphotransferase EC 2.7.1.203: protein-N π-phosphohistidine—D-glucosaminate phosphotransferase EC 2.7.1.204: protein-N π-phosphohistidine—D-galactose phosphotransferase EC 2.7.1.205: protein-N π-phosphohistidine—cellobiose phosphotransferase EC 2.7.1.206: protein-N π-phosphohistidine—L-sorbose phosphotransferase EC 2.7.1.207: protein-N π-phosphohistidine—lactose phosphotransferase EC 2.7.1.208: protein-N π-phosphohistidine—maltose phosphotransferase EC 2.7.1.209: L-erythrulose 1-kinase EC 2.7.1.210: D-erythrulose 4-kinase EC 2.7.1.211: protein-N π-phosphohistidine—sucrose phosphotransferase EC 2.7.1.212: α-D-ribose-1-phosphate 5-kinase (ADP) EC 2.7.1.213: cytidine kinase EC 2.7.1.214: C7-cyclitol 7-kinase EC 2.7.1.215: erythritol kinase (D-erythritol 1-phosphate-forming) EC 2.7.1.216: farnesol kinase EC 2.7.1.217: 3-dehydrotetronate 4-kinase EC 2.7.1.218: fructoselysine 6-kinase EC 2.7.1.219: D-threonate 4-kinase EC 2.7.1.220: D-erythronate 4-kinase EC 2.7.1.221: N-acetylmuramate 1-kinase EC 2.7.1.222: 4-hydroxytryptamine kinase EC 2.7.1.223: aminoimidazole riboside kinase EC 2.7.1.224: cytidine diphosphoramidate kinase EC 2.7.1.225: L-serine kinase (ATP) EC 2.7.1.226: L-serine kinase (ADP) EC 2.7.1.227: inositol phosphorylceramide synthase EC 2.7.1.228: mannosyl-inositol-phosphoceramide inositolphosphotransferase EC 2.7.1.229: deoxyribokinase EC 2.7.1.230: amicoumacin kinase EC 2.7.1.231: 3-oxoisoapionate kinase EC 2.7.1.232: levoglucosan kinase EC 2.7.1.233: apulose kinase
Nuclear magnetic resonance spectroscopy of proteins (usually abbreviated protein NMR) is a field of structural biology in which NMR spectroscopy is used to obtain information about the structure and dynamics of proteins, and also nucleic acids, and their complexes. The field was pioneered by Richard R. Ernst and Kurt Wüthrich at the ETH, and by Ad Bax, Marius Clore, Angela Gronenborn at the NIH, and Gerhard Wagner at Harvard University, among others. Structure determination by NMR spectroscopy usually consists of several phases, each using a separate set of highly specialized techniques. The sample is prepared, measurements are made, interpretive approaches are applied, and a structure is calculated and validated. NMR involves the quantum-mechanical properties of the central core ("nucleus") of the atom. These properties depend on the local molecular environment, and their measurement provides a map of how the atoms are linked chemically, how close they are in space, and how rapidly they move with respect to each other. These properties are fundamentally the same as those used in the more familiar magnetic resonance imaging (MRI), but the molecular applications use a somewhat different approach, appropriate to the change of scale from millimeters (of interest to radiologists) to nanometers (bonded atoms are typically a fraction of a nanometer apart), a factor of a million. This change of scale requires much higher sensitivity of detection and stability for long term measurement.
==== Continuous glucose monitors (CGM) ==== In 2008, Breakthrough T1D funded a clinical trial that demonstrated the efficacy of continuous glucose monitors (CGMs) in helping to manage blood sugar, with lower HbA1c levels and reduced rates of severe hypoglycemia. The research confirmed substantial benefits for T1D patients, leading to insurance coverage of CGMs and more widespread use.
== Disorders of thyroid gland (240–246) == 240 Simple and unspecified goiter 240.9 Goiter, unspec. 241 Nontoxic nodular goiter 241.0 Thyroid nodule 241.9 Goiter, unspec. nontoxic nodular 242 Thyrotoxicosis with or without goiter 242.0 Goiter toxic, diffuse 242.9 Hyperthyroidism, NOS 243 Congenital hypothyroidism 244 Acquired hypothyroidism 244.0 Hypothyroidism, post-surgical 244.1 Hypothyroidism, post-ablative 244.9 Hypothyroidism, unspec. 245 Thyroiditis 245.0 Thyroiditis, acute 245.1 Thyroiditis, subacute 245.2 Thyroiditis, chronic, Hashimoto's 246 Other disorders of thyroid 246.2 Thyroid cyst
In these cases, the smooth muscles surrounding the veins become slack and the veins fill with the majority of the blood in the body, keeping blood away from the brain and causing unconsciousness. Jet pilots wear pressurized suits to help maintain their venous return and blood pressure.
Sources: en.wikipedia.org
The main proposal is modulation of neurotrophic factors such as brain-derived neurotrophic factor, supported largely by animal experiments. Receptor-level targets have not been firmly established. Most reviews describe the mechanism as only partially characterized.
The compound is registered as a medicine in Russia, so clinical work has concentrated there. Trials elsewhere are few and generally small. This geographic concentration is a recognized limitation in evidence reviews.
Some fraction may reach the central nervous system through olfactory pathways, and this is often cited as the rationale for the nasal route. The size of that fraction in humans is not well quantified. Blood concentrations after nasal dosing are low, which complicates measurement.
The sequence is Met-Glu-His-Phe-Pro-Gly-Pro, a seven-residue peptide. The first four residues correspond to the ACTH(4-10) fragment, and Pro-Gly-Pro is added at the C-terminus. N-acetylated versions also appear in the literature and differ in mass.