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Research library — page 119

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RPEP-13677 · 2025

GLP-1 drugs reduce intracranial pressure and headache burden in idiopathic intracranial hypertension

GLP-1/GIP agonists significantly reduced: intracranial pressure, headache burden (frequency + severity), BMI. Evidence of both weight-dependent and weight-independent mechanisms. CSF secretion reduction demonstrated.

Stefanou, Maria-Ioanna; Chatziralli, Irini; Lambadiari, Vaia; Mengel, Annerose; Foska, Aikaterini; Chondrogianni, Maria; Bakola, Eleni; Tsalouchidou, Panagiota-Eleni; Mitsikostas, Dimos D; Siasos, Gerasimos; Ziemann, Ulf; Tsivgoulis, Georgios ·

RPEP-13678 · 2025

Enzymatic absorption promoters could enable oral delivery of peptide drugs like semaglutide and insulin

Three categories of enzymatic promoters: protease inhibitors (prevent degradation), mucolytic enzymes (clear mucus barrier), tight junction openers (enable paracellular transport). Applicable to oral, nasal, pulmonary peptide delivery.

Steiger, Marilena Bohley; Steinauer, Angela; Gao, Daniel; Cerrejon, David Klein; Krupke, Hanna; Heussi, Miguel; Merkl, Padryk; Klipp, Alexander; Burger, Michael; Martin-Olmos, Cristina; Leroux, Jean-Christophe ·

RPEP-13679 · 2025

Splenectomy patients tolerate PRRT better with 3x less leukocyte decline at 24 months

Leukocyte decline at 24 months: 12.8% (splenectomized) vs 47.2% (non-splenectomized), p significant. Lower leukopenia rates. Better lymphocyte/neutrophil preservation. 34 matched pairs. 2009-2022.

Steinhelfer, Lisa; Jungmann, Friederike; Endroes, Lukas; Lanzafame, Helena; Hermann, Ken; Pfob, Christian H; Lapa, Constantin; Hartrampf, Philipp E; Dörrler, Anna-Lena; Buck, Andreas K; Götze, Katharina; Wenzel, Patrick; Geisler, Fabian; Walter, Robert; Haneder, Eva; Lohöfer, Fabian; Haller, Bernhard; Braren, Rickmer; Eiber, Matthias ·

RPEP-13680 · 2025

Urinary collagen degradation marker may predict kidney function decline during peptide radionuclide therapy

uC3M significantly lower in kidney-decline patients after 1st treatment (74 vs 135 ng/mg) and 3 months post-EOT (56 vs 118 ng/mg). 43% (6/14) had >25% kidney function decline. Median follow-up 12 months. Other fibrosis markers (PRO-C3, PRO-C6) not significantly different.

Stemann Lau, Tobias; Bossen, Lars; Rasmussen, Daniel Guldager Kring; Genovese, Federica; Karsdal, Morten; Arveschoug, Anne Kirstine; Grønbæk, Henning; Dam, Gitte ·

RPEP-13681 · 2025

Modern diabetes drugs protect the heart and vessels through antioxidant and anti-inflammatory mechanisms beyond glucose control

All three drug classes: antioxidant, anti-inflammatory, endothelial protective. GLP-1RAs + SGLT2i: reduce CV mortality, protect against ischemia/reperfusion, slow HF progression. Mechanisms: oxidative stress reduction, inflammation suppression, NO signaling improvement, epigenetic/microbiotic pathway modulation.

Steven, Sebastian; Kuntic, Marin; Münzel, Thomas; Daiber, Andreas ·

RPEP-13684 · 2025

Tirzepatide achieves 12% weight loss in post-bariatric patients with 100% achieving ≥5% loss at 6 months

TWL: 12.0% ± 3.4% (p<0.001). ≥5% loss: 100%; ≥10%: 76.5%; ≥15%: 23.5%. Significant reductions: BMI, waist circumference, body fat %, HbA1c. Similar across sexes and surgery types. Predictors: baseline BMI nadir, weight regain, body composition, CRP.

Stoll, Fabian; Kantowski, Tobias; Laaser, Jonas; Kloiber, Ulrike; Plitzko, Gabriel; Mann, Oliver; Aberle, Jens; Lautenbach, Anne ·

RPEP-13685 · 2025

Oral semaglutide improves heart function and blood flow in a pig model of coronary artery disease through AMPK pathway

Improved LVEF at rest and during pacing (both p significant). Increased myocardial perfusion to ischemic segments (p=0.008). Increased capillary density (p=0.008). AMPK pathway activation (p=0.005). eNOS upregulation (p=0.014). 8 treated vs 9 control pigs.

Stone, Christopher; Harris, Dwight D; Broadwin, Mark; Kanuparthy, Meghamsh; Nho, Ju-Woo; Yalamanchili, Keertana; Hamze, Jad; Abid, M Ruhul; Sellke, Frank W ·

RPEP-13686 · 2025

Anti-CGRP migraine drugs mildly increase infection risk with NNH of 287, mainly galcanezumab and eptinezumab

Overall: RR 1.08 (1.01-1.14, p=0.016), NNH=287. Galcanezumab: RR 1.13 (p=0.024), NNH=77. Eptinezumab higher doses: RR 1.23 (p=0.015), NNH=24. Fremanezumab: fewest SAEs. Erenumab: most SAEs. 37 RCTs, 22,518 patients.

Straburzyński, Marcin; Kopyt, Daria; Marschollek, Karol; Błaszczyk, Bartłomiej; Kuca-Warnawin, Ewa; Kurowska, Weronika; Misiak, Błażej; Peng, Kuan-Po; Waliszewska-Prosół, Marta; May, Arne ·

RPEP-13690 · 2025

Ectopic GHRH from neuroendocrine tumors causes acromegaly that may require lifelong monitoring

Ectopic GHRH from NETs: clinically indistinguishable from pituitary acromegaly. Clues: pituitary hyperplasia (not adenoma), elevated serum GHRH, extra-pituitary tumor. Treatment: tumor resection + somatostatin analogs. Risk: persistent hyperplasia/adenoma from prolonged GHRH exposure. MEN1 testing recommended.

Stumpf, Matheo A M; Santana, Nathalie Oliveira; Machado, Marcio Carlos; Duarte, Felipe H; Glezer, Andrea; Raverot, Gérald; Raverot, Véronique; Jallad, Raquel S ·

RPEP-13691 · 2025

Peripheral NOP receptor activation reduces CGRP-induced migraine pain as effectively as brain-penetrant treatment

UFP-112 (peripheral) = AT-403 (brain-penetrant) for reducing CGRP-evoked PMA. N/OFQ internalized NOP and recruited Gαi at membrane + endosomes. N/OFQ attenuated CGRP-induced cAMP in human Schwann cells. NOP knockout: no baseline difference in CGRP sensitivity.

Sturaro, Chiara; Pola, Pietro; Argentieri, Michela; Frezza, Alessia; Marini, Matilde; De Logu, Francesco; Albanese, Valentina; Soukupova, Marie; Malfacini, Davide; Zaveri, Nurulain T; Nassini, Romina; Jensen, Dane D; Geppetti, Pierangelo; Calò, Girolamo; Ruzza, Chiara ·

RPEP-13692 · 2025

CGRP-expressing stem cells improve osteoarthritis while substance P-expressing cells worsen joint damage

αCGRP-BMSCs: reduced lateral cartilage OARSI scores, improved mobility, bell-shaped inflammation curve, increased adiponectin. SP-BMSCs: earlier osteophytes (8 weeks), more subchondral bone changes, decreased mobility, rising pain/inflammation markers. Plain BMSCs: general cartilage/bone benefit.

Stöckl, Sabine; Taheri, Shahed; Maier, Verena; Asid, Amir; Toelge, Martina; Clausen-Schaumann, Hauke; Schilling, Arndt; Grässel, Susanne ·

RPEP-13697 · 2025

Oral liraglutide nanomicelle achieves 5x higher bioavailability with superior metabolic benefits over injection

LDD-NM: 75.9 nm particles; permeability +1347%; oral bioavailability 5.14% vs 1.11% (4.63x). 12-week oral: superior to SC for HOMA-IR, HbA1c, BAT activation, anti-inflammatory genes, lipid metabolism. Absorption: clathrin endocytosis + macropinocytosis + ASBT pathway.

Subedi, Laxman; Bamjan, Arjun Dhwoj; Phuyal, Susmita; Shim, Jung-Hyun; Cho, Seung-Sik; Seo, Jong Bae; Chang, Kwan-Young; Byun, Youngro; Kweon, Seho; Park, Jin Woo ·

RPEP-13700 · 2025

Semaglutide outperforms dulaglutide for reducing proteinuria in diabetic kidney disease

eGFR: similar decline in both groups (NS). UACR: dulaglutide significantly higher increases vs semaglutide (p significant). Semaglutide superior for UACR in: higher BMI, higher HbA1c, older patients. 747 semaglutide vs 268 dulaglutide, 12 months.

Sue, Yuh-Mou; Lu, De-En; Chang, Te-I; Chen, Chun-You; Chen, Cheng-Hsien; Hsu, Shih-Chang; Chu, Yen-Ling; Huang, Nai-Jen; Chen, Tso-Hsiao; Lin, Feng-Yen; Shih, Chun-Ming; Huang, Po-Hsun; Hsieh, Hui-Ling; Liu, Chung-Te ·

RPEP-13701 · 2025

Resmetirom and semaglutide treat fatty liver through different mechanisms: energy expenditure vs appetite suppression

Both: improved liver hydroxyproline, total fat. Resmetirom: ↑O2 consumption, significantly improved steatosis. Semaglutide: ↓energy expenditure, ↓lean mass, significantly reduced fibrosis. Different mechanisms confirmed. First head-to-head comparison.

Sugawara, Takumi; Hitaka, Kosuke; Matsumoto, Mitsuharu; Nakamura, Sayuri; Kobayashi, Ryosuke; Kandori, Hitoshi; Nio, Yasunori ·

RPEP-13702 · 2025

Semaglutide improves blood vessel function in Japanese T2DM patients independently of weight, glucose, or cholesterol changes

RHI: 1.62±0.19 → 2.04±0.60 (p<0.01). BW, HbA1c, LDL-cho also improved (all p<0.01). hsCRP trended down (NS). No correlation between metabolic changes and RHI improvement. 24 patients, mean age 55, 83% male.

Sugiyama, Seigo; Yoshida, Akira; Kurinami, Noboru; Hieshima, Kunio; Jinnouchi, Katsunori; Suzuki, Tomoko; Miyamoto, Fumio; Kajiwara, Keizo; Jinnouchi, Hideaki ·

RPEP-13703 · 2025

Bacterial actifensin kills by binding lipid II like eukaryotic defensins, revealing a shared evolutionary mechanism

Actifensin binds lipid II (Kd=30 nM) and lipid I (Kd=24 nM). No membrane disruption. Cell death via cell wall weakening. No hemolysis or cytotoxicity up to 128 µg/ml. No immunogenicity (LDH, TLR signaling). GXGCP motif conserved trans-kingdom.

Sugrue, Ivan; Ade, Carolin; O'Connor, Paula M; Daniel, Jan-Martin; Innocenti, Paolo; Kirsch, Nico; Martin, Nathaniel I; Weindl, Günther; Hill, Colin; Schneider, Tanja; Paul Ross, R ·

RPEP-13704 · 2025

Semaglutide improves 1-year survival and liver outcomes in nearly 20,000 MASLD patients in real-world analysis

38,224 matched patients (19,112 each). BMI reduction ~1 point. Significantly improved: 1-year survival, cardiovascular parameters, liver-related outcomes, advanced liver disease markers, synthetic function. 34 matching variables. TriNetX platform.

Suki, Mohamad; Amer, Johnny; Milgrom, Yael; Massarwa, Muhammad; Hazou, Wadi; Tiram, Yariv; Perzon, Ofer; Sharif, Yousra; Sackran, Joseph; Alon, Revital; Lourie, Nachum Emil Eliezer; Raz, Itamar; Imam, Ashraf; Khalaileh, Abed; Safadi, Rifaat ·

RPEP-13712 · 2025

Plant-derived anticancer peptides offer tumor-selective killing with less toxicity than conventional chemotherapy

Sources: legumes, cereals, medicinal plants. Mechanisms: apoptosis (mitochondrial), cell cycle arrest, anti-angiogenesis (VEGF), membrane disruption, metastasis inhibition. Advantages vs chemo: tumor selectivity, reduced toxicity, less resistance. Challenges: stability, delivery, production.

Sun, Mao-Cheng; Yu, Shi-Qi; Zhao, Changhui; Lee, Chi-Ching; Suttikhana, Itthanan; Ashaolu, Tolulope Joshua ·

RPEP-13714 · 2025

GLP-1 drug lixisenatide blocks alpha-synuclein spread in Parkinson's disease through LAG3 receptor mechanism

Lixisenatide: ↓α-synuclein phosphorylation, aggregation, propagation. ↓Mitochondrial dysfunction and apoptosis in cells. 20-week mouse treatment: improved motor function, protected dopaminergic neurons. Mechanism: inhibited LAG3-mediated neuron-to-neuron α-synuclein seeding.

Sun, Shangqi; Huang, Liqin; Jiang, Gege; Xie, Guanfeng; Li, Xiaoyi; Wang, Xiufeng; Guo, Hongxiu; Wang, Cailin; Zheng, Siyi; Li, Gang; Xiong, Jing ·

RPEP-13715 · 2025

Tirzepatide restores leptin sensitivity in obese brains, with combination therapy producing synergistic weight loss

Clinical: baseline leptin correlated with tirzepatide weight loss. Mouse: TZP+Lep synergistic weight loss, ↑hepatic insulin sensitivity, ↑BAT thermogenesis, ↓food intake + ↑energy expenditure under thermoneutrality. Mechanism: sensitized POMC and GLP-1R neurons to leptin. Increased POMC firing by reducing inhibitory inputs.

Sun, Xun; Yin, Yuexi; Song, Min; Droz, Brian A; Lin, Yanzhu; Beaty, Kristen N; Zhou, Baohua; Roh, Hyun Cheol; Wilson, Jonathan M; Cain, Paul F; Samms, Ricardo J; Sheets, Patrick L; Ai, Minrong; Ren, Hongxia ·

RPEP-13716 · 2025

Liraglutide eye drops protect the lacrimal gland and increase tear production in diabetic mice

First: GLP-1R identified in lacrimal gland. GLP-1R downregulated in diabetes. Diabetes: lacrimal inflammation, fibrosis, atrophy, ↓tear secretion. Topical liraglutide: ↓inflammation, ↓fibrosis, ↑autophagy, ↑tear production. RNA-seq: inflammatory pathways enriched.

Sun, Yan; Zhang, Yue; Shi, Fan; Li, Ye; Wang, Congyao; Yu, Fenfen; Chen, Tingting; Dong, Xia; Xu, Yuqi; Zhao, Yu; Wan, Pengxia ·

RPEP-13719 · 2025

Engineered frog antimicrobial peptide achieves 56-fold improved therapeutic index through hinge structure modification

D-amino acid hinge modification: 8x ↑Gram-negative activity, ↓hemolysis, 56x ↑therapeutic index (0.47→26.6). Mechanism switch: membrane disruption → cell-penetrating mode (depolarization + ATP disruption). In vivo: effective in larval infection models. LPS neutralization confirmed.

Sun, Zhengze; Zhao, Ruixin; Zhang, Yueao; Ma, Xiaonan; Jiang, Yangyang; Wang, Tao; Chen, Xiaoling; Ma, Chengbang; Chen, Tianbao; Shaw, Chris; Zhou, Mei; Wang, Lei ·

RPEP-13722 · 2025

Ultra-rapid 32-minute CGRP blood test for migraine diagnosis using mimotope-based immunoassay

Analysis time: 32 minutes. LOD: 8.8 pg/mL (fremanezumab mimotope F1), 9.4 pg/mL (galcanezumab mimotope G7). LOQ: 125.9 and 84.7 pg/mL. Successfully distinguished 57 migraine patients from 18 controls. Consistent with conventional CGRP assay.

Sung, Jeong Soo; Jung, Jaeyong; Kwon, Soonil; Bae, Hyung Eun; Kang, Min-Jung; Jose, Joachim; Lee, Misu; Cho, Soomi; Chu, Min Kyung; Pyun, Jae-Chul ·