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Of note is that tirzepatide was previously reported to cause biased signaling at GLP-1R in favor of cAMP response over -arrestin recruitment in the presence of 0.1% casein 39 , which was confirmed in the present study showing that non-acylated tirzepatide elicited better cAMP responses (EC 50 = 0.90 pM for 0.1% casein and 4.66 pM for 0.1% BSA) than that of tirzepatide (EC 50 = 3.05 pM for 0.1% casein and 103.10 pM for 0.1% BSA) (Supplementary Table 11) highlighting the impact of acylation on their pharmacological properties

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Curr Med Res Opin 24(1):275286 Kong F, Wu T, Dai J, Zhai Z, Cai J, Zhu Z et al (2023) Glucagon-like peptide 1 (GLP-1) receptor agonists in experimental Alzheimers disease models: a systematic review and meta-analysis of preclinical studies

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methodological differences, interindividual heterogeneity, and intraindividual variability), large, high-quality studies are needed to assess the ability of host genetic variants using MR to mimic specific GM featureswhether specific bacterial species, genera, or metabolite productsto understand causal connections with type 2 diabetes pathogenesis

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