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Research library — page 121

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RPEP-13778 · 2025

First multi-receptor antagonist peptide simultaneously blocks both CGRP and PACAP migraine pathways

Three multi-receptor antagonists created by click chemistry. Maintained potency vs parental antagonists at all receptors (CGRP-R, AMY1, PAC1, VPAC1, VPAC2). Position 38 linkage: enhanced CGRP antagonism. Validated in Cos7 cells AND spinal cord cultures (endogenous receptors).

Tasma, Zoe; Siow, Andrew; Harris, Paul W R; Brimble, Margaret A; Hay, Debbie L; Walker, Christopher S ·

RPEP-13779 · 2025

Biased signaling at class B GPCRs opens door to safer, more effective peptide drug design

Class B GPCRs: 15 peptide hormone receptors. Recent approvals: migraine (CGRP), diabetes (GLP-1), obesity. Biased signaling enables pathway-selective drugs. Designer drugs: enhanced efficacy, reduced side effects. Applicable to GLP-1R, CGRP-R, PACAP receptors, and others.

Tasma, Zoe; Garelja, Michael L; Jamaluddin, Aqfan; Alexander, Tyla I; Rees, Tayla A ·

RPEP-13782 · 2025

Liraglutide produces 7.9% weight loss in real-world Portuguese obesity patients across 18 months

Liraglutide: mean 7.9% TBWL at 18 months. Metabolic improvements. Lower than clinical trial efficacy (8-12%). Portuguese real-world cohort. >50% population overweight/obese in Portugal.

Tavares Bello, Carlos; Redondo Carvalho, Inês; Martins, Anabela; Martins, Ana F; Wessling, Ana; Macedo, Daniel; Martins, Diana; Fernandes, Carlos; Sobral DO Rosário, Francisco ·

RPEP-13783 · 2025

GLP-1 drugs may improve fertility and prevent pregnancy loss through immune, vascular, and metabolic mechanisms

GLP-1RAs improve fertility through: macrophage M2 polarization, ↓pro-inflammatory cytokines, ↑Treg activity, improved vascularization, ↓oxidative stress. Weight loss enhances insulin sensitivity and endocrine balance. Contraindicated during pregnancy. Preconception protocols promising.

Tavares, Ana Clara Muniz; Martins, Maria Yzadora Moura; de Souza, Giselle Ferreira; Lima, Eduarda Maia; Rocha, Camila Alves; de Souza, Larissa Cruz; Simões, Júlia Machado Luz; de Araújo, Nicole Oliveira; Cavalcante, Marcelo Borges ·

RPEP-13784 · 2025

Tirzepatide linked to complicated diverticulitis with liver abscesses after 25 kg rapid weight loss

Age 53; pre-existing asymptomatic diverticular disease. Tirzepatide → 25 kg rapid weight loss → sigmoid stricture, obstructive diverticulitis, hepatic abscesses, severe sepsis, multi-organ dysfunction. Proposed: ↓colonic motility, altered bile, microbiota changes, bacterial translocation.

Taylor, Bethany; Farley-Hills, Edward; Yang, Wah; Pouwels, Sjaak; Whiteley, Graham; Wilkinson, Danielle; Agarwal, Anurag; Al-Ardah, Mahmoud; Beamish, Andrew; Hammoda, Mohammed; Hoffmann, Rebecca V; Ahmed, Ahmed; Ahmad, Suhaib ·

RPEP-13785 · 2025

Tirzepatide produces 23-26% weight loss regardless of menopausal status in women

SURMOUNT-1 tirzepatide vs placebo: premenopause -26% vs -2%, perimenopause -23% vs -3%, postmenopause -23% vs -3% (all p significant). Significant WC and WHtR improvements. ~50% with baseline BMI ≥40 reached WHtR ≤0.49. Consistent across SURMOUNT-3 and -4.

Tchang, Beverly G; Mihai, Andreea Ciudin; Stefanski, Adam; García-Pérez, Luis-Emilio; Mojdami, Donna; Jouravskaya, Irina; Gurbuz, Sirel; Taylor, Rebecca; Karanikas, Chrisanthi A; Dunn, Julia P ·

RPEP-13786 · 2025

Semaglutide 2.4 mg reduces the need for blood pressure and cholesterol medications in pooled STEP trial analysis

Semaglutide 2.4 mg vs placebo: more treatment intensity reduction + more treatment discontinuation for both antihypertensives and lipid-lowering drugs. Less treatment intensification. Greater weight loss correlated with medication changes. Two pooled populations: with and without T2DM.

Tchang, Beverly G; Knight, Michael G; Adelborg, Kasper; Clements, Jennifer N; Iversen, Aske Thorn; Traina, Andrea ·

RPEP-13787 · 2025

Semaglutide works through PACAP-expressing brainstem neurons that promote fat loss over muscle loss

Semaglutide activates AP/NTS Adcyap1+ neurons. Reactivation mimics drug effects (↓food intake, ↓weight, ↑fat utilization, CTA). Ablation reverses drug effects in lean + obese mice. Adcyap1+ neurons: promote fat > lean mass loss. Modest CTA contribution. AP GLP-1R neurons → NTS Adcyap1+ neurons → downstream satiety.

Teixidor-Deulofeu, Júlia; Blid Sköldheden, Sebastian; Font-Gironès, Ferran; Feješ, Andrej; Ruud, Johan; Engström Ruud, Linda ·

RPEP-13791 · 2025

AAV gene therapy delivering NPY and Y2 receptor to hippocampus reduces seizures in rodents and reaches baboon brain

SPK100.NPY-Y2R: ↓neuronal activity in cultures + slices. ↓Seizure progression/duration (rat kindling). ↓Spontaneous seizures (genetic mouse model). MRI-guided delivery → successful baboon hippocampus transduction. No adverse events. Non-human primate step completed.

Terzic, Barbara; Melin, Esbjörn; Fagergren, Pernilla; Dobry, David; Cattaneo, Stefano; Giupponi, Iris; Bettegazzi, Barbara; Simonato, Michele; Agerman, Karin; Kokaia, Merab; Moon, Lawrence; Ramsburg, Elizabeth ·

RPEP-13794 · 2025

Tarantula venom peptide Tl1a inhibits pain-channel NaV1.8 with 8-fold selectivity over other sodium channels

Tl1a: 36 amino acids from T. longicolli. NaV1.8 IC50=210 nM. 8x selective over NaV1.4 (1769 nM), NaV1.1 (2201 nM). 6x over NaV1.7 (1278 nM). Similar at NaV1.5 (282 nM), KV2.1 (156 nM). Loop 4 hydrophobicity critical. Domain IV S3-S4 interaction site.

Thapa, Ashvriya; Tran, Hue; Ragnarsson, Lotten; Keramidas, Angelo; Herzig, Volker; Brinkwirth, Nina; Deuis, Jennifer R; Vetter, Irina ·

RPEP-13795 · 2025

GLP-1 drugs are safe and effective for weight loss in adults with congenital heart disease

70 ACHD patients; 85.7% moderate/severe complexity. >5% weight loss: 42.9%. BMI≥35: 66.7% achieved >5% loss (p=0.027). Younger age: better response (p=0.014). HbA1c: -0.6%. GI side effects: 20%. Discontinuation: 11.4%. NYHA + eGFR: stable. Mean 21 months.

Thapa, Rashmi; Lara-Breitinger, Kyla M; Lopez-Jimenez, Francisco; Shama, Nishat; Egbe, Alexander C; Miranda, William R; Connolly, Heidi M; Jain, C Charles; Jokhadar, Maan; Kosec, Angela M; Alm, Svea; Burchill, Luke J ·

RPEP-13797 · 2025

State-of-the-art review: semaglutide reduces cardiovascular events in both diabetic and non-diabetic patients with heart and kidney disease

ASCVD: MACE reduction in T2DM + non-T2DM. HFpEF: improved symptoms, function, NPs, echo, ↓HF hospitalization. SELECT HF subanalysis: ↓CV mortality + HF hospitalization. FLOW: renal + CV benefits in diabetic nephropathy independent of BMI. Evidence gaps: HF without ASCVD, non-obese HF.

Theodorakis, Nikolaos; Kreouzi, Magdalini; Nikolaou, Maria ·

RPEP-13799 · 2025

DPP-4 and GLP-1 drugs reduced COVID-19 hospitalizations by 21% in 26,000 older diabetic Canadians

COVID-19 infection: RR 0.99 (NS). Hospitalization: RR 0.79 (p<0.001), RD -6.72%. Major CV events: RR 0.73 (borderline p=0.05). 26,485 DPP4i/GLP-1RA vs 14,487 SGLT2i/SU. Age ≥66. 2020-2021.

Thompson, Wade; Yu, Bing; Porter, Joan; Fang, Jiming; Ferreira-Legere, Laura E; Austin, Peter C; Jackevicius, Cynthia A; Ross, Heather; Lee, Douglas S; Weisman, Alanna; Farkouh, Michael E; Gershon, Andrea S; Atzema, Clare L; Kwong, Jeffrey C; Ha, Andrew; Džavík, Vladimír; Udell, Jacob A ·

RPEP-13801 · 2025

NLRP3 anti-inflammatory drug enhances semaglutide weight loss and prevents rebound in obese mice

NT-0796 + low-dose semaglutide > either monotherapy for weight loss. NT-0796 monotherapy sharply limited weight regain post-semaglutide. Normalized hypothalamic astrogliosis + peripheral inflammation. Enhanced effect with PUFA diet. NLRP3 inhibition: effective weight loss strategy alone.

Thornton, Peter; Reader, Valérie; Digby, Zsofia; Doedens, John; Lindsay, Nicola; Clarke, Nicholas; Watt, Alan P ·

RPEP-13802 · 2025

Semaglutide's rise does not threaten bariatric surgery—complementary roles for different patient populations

Semaglutide: effective but does not replace bariatric surgery for severe obesity. Complementary roles: pre-op weight loss, post-op regain rescue, weight maintenance. Surgery: still superior for severe obesity, diabetes remission, mechanical benefits.

Tian, Jane; Bhatia, Shubham; Sneed, Christina; Kiarie, Patrick; Fuchs, Mikayla; Miele, Andrew; Shah, Darshak; Khan, Noman; Louis, Martine A ·

RPEP-13803 · 2025

Adding probiotics to dulaglutide doubles HbA1c improvement and eliminates new hypertension and dyslipidemia in T2DM

Combo vs dulaglutide alone: HbA1c -1.06% vs -0.35% (p=0.028). FPG more improved (p=0.010). TNF-α: -43.6% vs -33.3% (p<0.001). HOMA-β: +34.7% vs +23.1% (p=0.034). Lactobacillus: +2.1 vs +1.3 ×10⁶ CFU/g (p<0.001). New HTN: 0% vs 13.3% (p=0.038). New dyslipidemia: 0% vs 16.7% (p=0.020).

Tian, Jinxia; Yang, Yanfei; Yu, Zijuan; Gao, Yang; Zong, Xiaochun; Wu, Qiaojuan; Su, Haiyan; Cao, Wenjuan; Xu, Dandan ·

RPEP-13807 · 2025

Semaglutide protects diabetic kidneys by activating β-Klotho to inhibit ferroptosis via cAMP-PKA-CREB signaling

Semaglutide → cAMP-PKA-CREB → ↑KLB (β-Klotho) → AMPK activation → ↓ferroptosis (↓iron, ↓fatty acid synthesis, ↑antioxidant). Result: ↓renal inflammation, ↓fibrosis. Validated in patients, animals, HK-2 cells. KLB identified by transcriptome sequencing.

Tian, Shasha; Zhou, Saijun; Wu, Weixi; Lin, Yao; Wang, Tongdan; Sun, Haizhen; A-Ni-Wan, A-Shan-Jiang; Li, Yaru; Wang, Chongyang; Li, Xiaogang; Yu, Pei; Zhao, Yanjun ·

RPEP-13808 · 2025

Tirzepatide normalizes diabetic kidney disease through PI3K/AKT antioxidant signaling at 1/3 semaglutide dose

Tirzepatide 1/3 dose = semaglutide for: ↓glucose, ↓weight, ↓UACR. Insulin: could not restore UACR. RNA-seq: PI3K-AKT enriched. Tirzepatide: regulated oxidative stress via PI3K-AKT in podocytes. PI3K inhibitor: reversed antioxidative effect. DN treatment advantage over insulin.

Tian, Yan; Tian, Ruixue; Juan, He; Guo, Yafan; Yan, Pan; Cheng, Yao; Li, Rongshan; Wang, Baodong ·

RPEP-13816 · 2025

Pancreatic cancer diabetes differs from type 2 diabetes in GLP-1 and GIP responses, guiding diagnostic distinction

PDAC-DM vs T2DM: different GLP-1 and GIP responses; altered insulin/glucagon dynamics; distinct glucose homeostasis patterns; potential for earlier cancer detection if distinguished from T2DM.

Toledo, Frederico G S; Li, Yisheng; Wang, Fuchenchu; Bellin, Melena D; Brand, Randall; Cusi, Kenneth; Fisher, William; Kudva, Yogish C; Park, Walter G; Saeed, Zeb I; Yadav, Dhiraj; Considine, Robert V; Graham, Sarah C; Andersen, Dana K; Serrano, Jose; Goodarzi, Mark O; Hart, Phil A ·

RPEP-13818 · 2025

Patent review of 5,000+ oral GLP-1 drug candidates reveals key structural features for future non-injectable diabetes therapy

67 patents; 5,000+ compounds analyzed; 2021-2024. SAR: carboxyl groups → high activity; bioisosteres → better ADME; privileged fragments identified; heterocycle replacements viable; piperidine modifications promising. Clinical: danuglipron/lotiglipron had issues but spawned robust pipeline.

Tolkacheva, Elena V; Saliev, Alexandr Yu; Salakhov, Tagir L; Balakin, Konstantin V; Ivanov, Roman A; Chernyshov, Vladimir V ·

RPEP-13821 · 2025

Cyclic defensin peptide RTD-1 activates interferon antiviral pathways and blocks SARS-CoV-2 infection in human cells

RTD-1 in human monocytes: ↑interferon and antiviral gene expression (RNA-seq). Mechanism: JAK-dependent STAT1 Y701 phosphorylation, IFNAR-dependent, NF-κB-independent. Antiviral: ↓VSV infection (THP-1), ↓SARS-CoV-2 spike pseudovirus (Vero E6), ↓authentic SARS-CoV-2 (Calu-3).

Tongaonkar, Prasad; Trinh, Katie K; Henley, Jill E; Sell, Philip J; Thakker, Vyoma; Ouellette, André J; Selsted, Michael E ·

RPEP-13824 · 2025

High-dose liraglutide impairs kidney function in hypertensive female rats through oxidative stress and fibrosis

High dose (0.6 mg/kg): ↑BUN, ↑BUN/Cr, ↑collagen deposition, aberrant ↑GFR, ↑nitrate, ↓nitrite, ↑urinary Na/K ratio. Low dose (0.06 mg/kg): ↓APOP (protective). Both: ↓weight, BP/glucose independent. Female SHR model, 30 days.

Tonon Firmino, Felipe; Peixoto, Pollyana; Batista, Thatiany Jardim; Escouto, Leonardo da Silva; Brasil, Girlandia Alexandre; Couto, Mariana Dos Reis; de Melo Júnior, Antonio Ferreira; Bissoli, Nazaré Souza ·

RPEP-13825 · 2025

NSAID overuse headache involves increased CGRP, HMGB1, and HIF-1α with decreased detoxification in trigeminal ganglion

↑CGRP neurons + protein. HMGB1: ↑cytoplasmic translocation (neurons + SGCs). HIF-1α: ↑nuclear localization (neurons + SGCs). SULT1A1: significantly ↓ (neurons only, not SGCs). Female rats. Piroxicam MOH model. First description of HMGB1/HIF-1α changes in MOH.

Topa, Elif Gulcicek Abbasoglu; Vuralli, Doga; Usta, Duygu Deniz; Calikusu, Aysen; Yigman, Zeynep; Bolay, Hayrunnisa ·

RPEP-13826 · 2025

GLP-1 drugs increase vestibular disorder risk with semaglutide showing higher rates than tirzepatide

Semaglutide vestibular disorders: 0.12% (6m), 0.41% (3y) vs controls 0.03%, 0.16% (all p significant). Tirzepatide: increased risk but lower than semaglutide (p significant). 419,497 semaglutide + 77,259 tirzepatide users matched.

Toraih, Eman A; Alenezy, Awwad; Hussein, Mohammad H; Hashmat, Shahmeer; Mummadi, Saitej; Alrawili, Nawaf Farhan; Abdelmaksoud, Ahmed; Fawzy, Manal S ·

RPEP-13827 · 2025

Liraglutide rescues beta-cell defects in Wolfram syndrome iPSC-derived cells through GLP-1R signaling

WS1 iPSC β-cells: ↓insulin processing (proinsulin accumulation, ↓PC1/3), dysregulated Ca²⁺ (altered CACNA1D), ↓SNAP25, ↑autophagy, ↑cytokine-induced apoptosis. Liraglutide: normalized Ca²⁺, ↑insulin processing/secretion, ↓apoptosis. Mechanism: UPR modulation. c.316-1G>A and c.757A>T mutations.

Torchio, Silvia; Siracusano, Gabriel; Cuozzo, Federica; Zamarian, Valentina; Pellegrini, Silvia; Manenti, Fabio; Bonfanti, Riccardo; Frontino, Giulio; Sordi, Valeria; Chimienti, Raniero; Piemonti, Lorenzo ·