Treatment coordinately improved mitochondrial abundance through isoform 1 and muscle mass through isoform 4 of the myocyte-specific PGC1, which was required for the treatment-driven increase in carbon shuttling from glucose oxidation to amino acid biogenesis
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10.1056/NEJMoa2404881 64 MarsoS
Furthermore, butyrate inhibits HDAC activity, promoting the expression of genes crucial for mitochondrial biogenesis, including peroxisome proliferator-activated receptor-gamma coactivator 1-alpha (PGC-1) and nuclear respiratory factor 1 (NRF1)
Graphs were created in GraphPad Prism 9 and figures were edited in Adobe Illustrator (Adobe Systems)
At 2.5 mg, most women tolerate tirzepatide without significant gastrointestinal discomfort