1 kits (10 Vials)
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▎ Bayanin Retatrutid
Retatrutid sabon maganin peptide ne. A matsayin agonist mai karɓa sau uku, yana aiki akan glucagon-kamar peptide-1 (GLP-1), glucose-dependent insulinotropic polypeptide (GIP), da masu karɓar glucagon lokaci guda. Yana taimaka wa mutane su rasa nauyi ta hanyar daidaita tsarin ci, haɓaka koshi, danne yunwa, da ƙara kashe kuzari.
Bugu da ƙari, Retatrutid kuma yana iya inganta alamun haɗari na cardiometabolic da yawa, irin su hawan jini, haemoglobin glycated, glucose jini mai azumi, insulin, jimlar cholesterol, ƙananan ƙwayar lipoprotein cholesterol, da triglycerides. Har ila yau, yana da tasiri mai kyau ga marasa lafiya tare da cututtukan hanta maras-giya, yana ba da damar abun ciki na hanta na yawancin mahalarta don komawa al'ada.
Idan aka kwatanta da guda ɗaya ko biyu agonists, Retatrutid yana daidaita glucose na jini, nauyin jiki, da sauransu daga maɗaukaki masu yawa ta hanyar kunna masu karɓa guda uku na GLP-1, GIP, da glucagon (GCG). A ka'ida, yana iya ƙara haɓaka rikice-rikice na rayuwa kuma yana da fa'idodi na musamman a cikin fannoni kamar asarar nauyi, raguwar steatosis na hanta, da daidaita matakan glucose na jini.
Ayyukan daidaitawa na masu karɓa na Retatrutid da yawa yana sa ya fi tasiri fiye da GLP-1 agonists masu karɓa ko dual agonists masu karɓa a cikin daidaita tsarin metabolism da sarrafa nauyin jiki, samar da sababbin zaɓuɓɓukan magani ga marasa lafiya masu kiba da nau'in ciwon sukari na 2.
▎ Binciken Retatrutid
Menene asalin bincike na Retatrutid?
Kiba ya zama ɗaya daga cikin fitattun ƙalubalen lafiyar jama'a a cikin al'umma ta zamani. Yana iya haifar da matsalolin kiwon lafiya da yawa kamar nau'in ciwon sukari na 2, cututtukan zuciya, hauhawar jini, dyslipidemia, da cututtukan hanta mai ƙiba mara-giya. Tare da ci gaba da karuwa a cikin abubuwan da ke faruwa na kiba, ana ƙara buƙatar gaggawa don sababbin hanyoyin kwantar da hankali wanda zai iya sarrafa nauyin jiki yadda ya kamata da inganta yanayin kiwon lafiya [1] . Ko da yake sauye-sauyen salon rayuwa, irin su ƙara yawan motsa jiki da sarrafa abinci, sune ainihin matakan sarrafa nauyi, yana da matukar wahala ga yawancin manya masu kiba su kula da asarar nauyi na dogon lokaci.
Retatrutid, a matsayin sabon agonist mai karɓar mai karɓa sau uku, na iya yin aiki akan mai karɓar glucagon-kamar peptide-1.
GLP-1R), mai karɓar mai karɓar insulinotropic polypeptide mai dogara da glucose (GIPR), da mai karɓar glucagon (GCGR). Wannan tsarin aikin mai karɓa da yawa yana ba shi babban fa'ida a fagen asarar nauyi. Idan aka kwatanta da magungunan asarar nauyi waɗanda ke aiki akan mai karɓa ɗaya kawai, Retatrutid na iya ƙarin daidaita tsarin tafiyar da rayuwa ta jiki [1] . Retatrutid yana samun asarar nauyi ta hanyar daidaita masu karɓar maganin hormone da yawa, ba wai kawai yana nuna ingantaccen tasiri ba har ma yana da ƙarancin sakamako masu illa. Bugu da kari, a matsayin agonist mai karɓar mai sau uku, Retatrutid yana da tasirin asarar nauyi mai ƙarfi da fa'ida na yawan jama'a idan aka kwatanta da sauran sabbin magungunan asarar nauyi.
Menene Retatrutid?
Retatrutid labari ne mai dogon aiki mai glucagon-kamar peptide-1 (GLP-1) agonist mai karɓa. An gyara shi kuma an inganta shi bisa tsarin GLP-1 na halitta, kuma yana iya ɗaure musamman da kunna mai karɓar GLP-1, yana aiwatar da ayyukan physiological kama da na GLP-1 na halitta, kamar inganta haɓakar insulin, hana ƙwayar glucagon, jinkirta zubar da ciki, rage ci, da sauransu.
Menene tsarin aikin Retatrutid?
Tsarin aikin Retatrutid ya samo asali ne daga tasirinsa na agonist akan masu karɓa da yawa. Da fari dai, tasirinsa na agonist akan mai karɓar glucagon-kamar peptide-1 (GLP-1R) na iya ƙara haɓakar ƙwayar insulin, hana ƙwayar glucagon, ƙananan matakan glucose na jini, kuma a lokaci guda yana jinkirta ɓarnawar ciki, ƙara satiety, da rage cin abinci [2] . Abu na biyu, tasirinsa na agonist akan mai karɓar insulinotropic polypeptide mai karɓa (GIPR) mai dogaro da glucose na iya haɓaka haɓakar insulin, haɓaka amfani da glucose, kuma yana shafar metabolism na mai, hana lipolysis da haɓaka haɓakar mai [2] . Haka kuma, tasirin agonist na Retatrutid akan mai karɓar glucagon (GCGR) yawanci yana haɓaka glycogenolysis da gluconeogenesis a cikin hanta, yana haɓaka matakan glucose na jini. Koyaya, a ƙarƙashin aikin Retatrutid, wannan tasirin haɓakar glucose yana raguwa ta hanyar tasirin sauran masu karɓa guda biyu, yayin haɓaka lipolysis da rage yawan kitse [2] . Wannan yanayin aiki mai yawan manufa na iya zama mafi inganci wajen magance kiba fiye da agonists masu karɓa ɗaya.
Ta hanyar kunna waɗannan masu karɓa guda uku a lokaci guda, Retatrutid na iya yin tasiri iri-iri na tsarin rayuwa da kuma haifar da tasirin warkewa akan kiba da cututtukan da ke da alaƙa. Dangane da daidaita matakan glucose na jini, tunda kunna GLP-1R da GIPR suna haɓaka haɓakar insulin kuma yana hana ɓoyewar glucagon, kuma kunna GCGR yana kashewa ta hanyar tasirin sauran masu karɓa guda biyu, Retatrutid na iya daidaita matakan glucose na jini yadda yakamata, wanda yake da mahimmanci ga kula da nau'in ciwon sukari na 22 . Dangane da rage yawan kitse, kunna GCGR yana haɓaka lipolysis kuma yana rage yawan kitse, yayin da kunna GLP-1R yana ƙara yawan gamsuwa da rage cin abinci, yana ƙara rage haɓakar mai [1] . Bugu da ƙari, Retatrutid kuma yana da ingantaccen tasiri akan cututtukan hanta maras-giya. Yana iya rage kitsen da ke cikin hanta da inganta aikin hanta.


HbA1c, nauyin jiki, hawan jini, da lipids Bayanai sune mafi ƙanƙanta ma'anar murabba'i (tare da sandunan kuskure suna nuna SEs) daga saitin bincike na inganci, sai dai in an lura.
Source:PubMed [4]
A waɗanne bangarori ne Retatrutid ke nuna tasirin sa?
Retatrutid yana nuna tasiri mai mahimmanci a bangarori da yawa
Mahimmancin tasiri na asarar nauyi: Retatrutid ya nuna tasirin asarar nauyi a cikin gwaje-gwajen asibiti da yawa. Misali, a cikin binciken asibiti da ya shafi manya 338 (Jastreboff AMM, 2023), marasa lafiya da aka yi wa magani tare da allurai daban-daban na Retatrutid sun sami babban asarar nauyi a makonni 48. Daga cikin su, marasa lafiya a cikin rukunin kashi na 12mg sun rasa 24.2% na nauyin jikinsu, kuma yawancin marasa lafiya sun sami asarar nauyi zuwa digiri daban-daban. Misali, tsakanin marasa lafiya da ke karbar 4mg, 8mg, da 12mg allurai, 92%, 100%, da 100% na marasa lafiya, bi da bi, sun rasa 5% ko fiye na nauyin jikinsu. A cikin wani binciken [3] , gwaje-gwajen da aka sarrafa guda biyu da suka shafi marasa lafiya 353 tare da nau'in ciwon sukari na 2 sun nuna cewa idan aka kwatanta da placebo, Retatrutid zai iya rage nauyin jikin marasa lafiya da 11.89kg sosai, kuma ya rage glycated haemoglobin (HbA1C). Bugu da ƙari, a cikin gwaji na tsofaffi marasa lafiya tare da kiba ba tare da ciwon sukari ba, Retatrutid ya haifar da asarar nauyi na 24.2% a cikin marasa lafiya, kuma 83% na marasa lafiya sun rasa 15% ko fiye na nauyin jikinsu a makonni 48. Wadannan sakamakon sun nuna cewa Retatrutid yana da babban tasiri a cikin asarar nauyi.
Jiyya na nau'in ciwon sukari na 2: Retatrutid kuma yana nuna wasu yuwuwar maganin ciwon sukari na 2. A wasu gwaje-gwajen asibiti, Retatrutid ya nuna raguwar haemoglobin glycated (HbA1c) da asarar nauyi mai dogaro da kashi. Misali, a cikin binciken daya, a cikin marasa lafiya da ke da nau'in ciwon sukari na 2, Retatrutid ya nuna tasirin sarrafa glucose na jini. Idan aka kwatanta da placebo, haemoglobin glycated ya ragu da 1.64% [3] . Bugu da ƙari, a cikin bazuwar, makafi biyu, placebo da aiki-sarrafa nau'i-nau'i-nau'i-nau'i 2 gwaji, nau'in dabba da nau'in ciwon sukari na 2, bayan karbar magani na Retatrutid, ya nuna raguwa mai yawa a cikin matakan haemoglobin glycated, kuma nauyin jikin su kuma ya ragu ta hanyar dogara ga kashi [4] . Ana iya danganta wannan ga cikakken tasirin maganin akan GLP-1, GCGR, da GIPR, waɗanda ke haɓaka metabolism na glucose da ma'aunin kuzari.
Haɓaka abubuwan haɗari na zuciya: Retatrutid ba zai iya rage nauyin jiki kawai ba amma kuma yana inganta abubuwan haɗari na zuciya, kamar bayanin martabar lipid na jini da matakan haemoglobin glycated. Wannan yana nuna kusancin haɗin gwiwar pathophysiological tsakanin kiba da cututtukan zuciya, kuma Retatrutid na iya inganta lafiyar cututtukan zuciya na marasa lafiya masu kiba ta hanyoyi da yawa. Misali, rage marasa HDL-C, apoB, da LDLP matakan na iya rage haɗarin atherosclerosis; Rage matakan haemoglobin glycated na iya inganta sarrafa glucose na jini a cikin marasa lafiya masu ciwon sukari, ta haka rage haɗarin rikice-rikice na zuciya [3, 5, 6]..
Jiyya na cututtukan hanta maras barasa (NAFLD): Retatrutid sabon sabon abu ne mai karɓar agonist peptide mai karɓa sau uku wanda ke kaiwa mai karɓar mai karɓar glucagon (GCGR), mai karɓar insulinotropic polypeptide mai dogaro da glucose (GIPR), da glucagon-like peptide-1 receptor (GLP-1R). Nazarin ya nuna cewa Retatrutid yana da yuwuwar magance cututtukan hanta maras-giya. A cikin binciken daya, an gudanar da gwajin bazuwar, makafi sau biyu, gwajin sarrafa wuribo don makonni 48 akan mahalarta tare da cututtukan hanta mai rauni mai alaƙa da ƙwayar hanta mai abun ciki na ≥10%. Sakamakon ya nuna cewa a cikin makonni 24, matsakaicin dangi na canje-canje a cikin kitsen hanta daga asali a cikin mahalarta da aka bi da su tare da nau'i-nau'i daban-daban na Retatrutid (1mg, 4mg, 8mg, da 12mg) sune -42.9%, -57.0%, -81.4%, da -82.4%, bi da bi, yayin da a cikin rukunin placebo ya kasance + 7.3 % . Wannan yana nuna cewa Retatrutid na iya samun tasiri mai mahimmanci na warkewa akan cututtukan hanta maras-giya.
A ƙarshe, a matsayin sabon agonist mai karɓar mai karɓa sau uku, Retatrutid yana nuna babban tasiri a cikin maganin kiba da cututtukan da ke da alaƙa. Yana iya daidaita metabolism na ɗan adam daga nau'o'i da yawa ta hanyar kunna mai karɓar glucagon, mai karɓar insulinotropic polypeptide mai dogaro da glucose, da mai karɓar glucagon-kamar peptide-1, inganta sarrafa glucose na jini, rage nauyin jiki, da daidaita metabolism na lipid. Bayyanar Retatrutid ya kawo sabon zaɓin magani ga marasa lafiya tare da kiba, nau'in ciwon sukari na 2, da sauransu. Ana tsammanin za a keta iyakokin magungunan agonist na gargajiya guda ɗaya, samar da makami mafi ƙarfi don magance matsalolin matsalolin kiba da cututtukan rayuwa, haɓaka haɓakar ci gaban filayen kiwon lafiya masu alaƙa, haɓaka ingancin rayuwar marasa lafiya, da rage nauyin likitancin zamantakewa.
Game da Marubuci
Abubuwan da aka ambata a sama duk bincike ne, gyara su kuma Cocer Peptides ne suka haɗa su.
Mawallafin Jaridar Kimiyya
Rosenstock J kwararre ne mai matukar tasiri a fannin likitanci, yana hada gwiwa da cibiyoyi kamar Jami'ar Texas Southwestern Medical Center da Jami'ar Texas Dallas. Hakanan yana gudanar da bincike a cibiyoyi kamar Cibiyar VIGOR ta Kanada da Veloc Clin Res Ctr Med City.
Bincikensa ya shafi ilimin endocrinology da metabolism, tsarin zuciya da jijiyoyin jini da ilimin zuciya, ilimin harhada magunguna, da magungunan gwaji, tare da mai da hankali kan ciwon sukari, kiba, da jiyya masu alaƙa da haɓakar ƙwayoyi. J Rosenstock ya sami nasara mai mahimmanci a cikin maganin asibiti, ana kiransa da mai bincike mai mahimmanci daga 2017 zuwa 2024. Wannan yana nuna babban tasiri da kuma fahimtar aikinsa. Ta hanyar haɗin gwiwa tare da cibiyoyin bincike da yawa, ya sami nasarar fassara sakamakon bincike na asali a cikin aikace-aikacen asibiti, yana amfanar marasa lafiya da cututtuka na rayuwa da na zuciya da jijiyoyin jini da kuma ci gaba da ilimin likitanci. An jera Rosenstock J a cikin ambaton ambaton [4].
▎ Abubuwan da suka dace
[1] Kaur M, Misra S. Binciken wani retatrutide na bincike na bincike, wakilin agonist mai sau uku don maganin kiba[J]. Jaridar Turai na Clinical Pharmacology, 2024,80 (5): 669-676.DOI: 10.1007 / s00228-024-03646-0.
[2] Jastreboff AM, Kaplan LM, Frias JP, et al. Triple-Hormone-Receptor Agonist Retatrutid don Kiba - Gwajin Mataki na 2 [J]. New England Journal of Medicine, 2023,389 (6): 514-526.DOI: 10.1056/NEJMoa2301972.
[3] Lopez DC, Pajimna JT, Milan MD, et al. 7792 Ingancin Retatrutid don Rage Nauyin Nauyi da Tasirinsa na Cardiometabolic Tsakanin Manya: Binciken Tsare-tsare da Meta-Analysis[J]. Jaridar Endocrine Society, 2024,8 (1): 163-749.DOI: 10.1210/jendso/bvae163.749.
[4] Rosenstock J, Frias J, Jastreboff AM, et al. Retatrutid, GIP, GLP-1 da glucagon agonist mai karɓa, ga mutanen da ke da nau'in ciwon sukari na 2: bazuwar, makafi biyu, placebo da sarrafawa mai aiki, rukuni-rukuni, gwajin lokaci na 2 da aka gudanar a cikin Amurka [J]. Lancet, 2023,402(10401):529-544.DOI:10.1016/S0140-6736(23)01053-X.
[5] Nicholls S, Pirro V, Lin Y, et al. Mai karɓar agonist sau uku-hormone retatrutide yana inganta haɓakar lipoprotein da bayanan apolipoprotein a cikin mahalarta masu kiba ko kiba [J]. Jaridar Zuciya ta Turai, 2024,45.DOI:10.1093/eurheartj/ehae666.1501.
[6] Ray A. Retatrutid: mai sau uku incretin agonist mai karɓa don sarrafa kiba[J]. Ra'ayin Kwararru Akan Magungunan Bincike, 2023,32(11):1003-1008.DOI:10.1080/13543784.2023.2276754.
[7] Sanyal AJ, Kaplan LM, Frias JP, et al. Mai karɓar mai karɓar mai karɓar hormone sau uku retatrutide don cututtukan hanta da ke da alaƙa da rashin aiki na rayuwa: gwajin lokaci na 2a bazuwar [J]. Magungunan yanayi, 2024,30 (7):2037-2048.DOI:10.1038/s41591-024-03018-2.
DUKKANIN LABARI DA BAYANIN KYAUTATAWA DA AKE BAYAR A WANNAN SHAFIN KAWAI DOMIN WATSA BAYANI NE DA MANUFOFIN ILIMI.
Kayayyakin da aka bayar akan wannan gidan yanar gizon an yi niyya ne kawai don binciken in vitro. Binciken in vitro (Latin: *a cikin gilashi*, ma'ana a cikin gilashin gilashi) ana gudanar da shi a wajen jikin mutum. Waɗannan samfuran ba magunguna ba ne, Hukumar Abinci da Magunguna ta Amurka (FDA) ba ta amince da su ba, kuma dole ne a yi amfani da su don hanawa, magani, ko warkar da duk wani yanayi na likita, cuta, ko cuta. Doka ta haramta shigar da waɗannan samfuran cikin jikin mutum ko dabba ta kowace hanya.