If you have been reading about PT-141 and want a single page that covers the useful parts, this is it: definitions, context, how it is studied, and the questions that come up repeatedly.
Last reviewed on 2026-05-18. Where a claim depends on a specific study, the study is described rather than over-claimed.
Early research on PT-141 grew out of work on melanotan II, a related cyclic peptide studied for pigmentation. Investigators observed that centrally acting melanocortin agonists also influenced sexual behaviour in animal models, and the programme shifted toward that endpoint. A nasal formulation was evaluated in clinical trials but showed inconsistent absorption, and later studies used subcutaneous administration instead. Regulatory approval in the United States followed in 2019 for a defined population of premenopausal women with acquired, generalised hypoactive sexual desire disorder. That approval was specific to that group rather than a broad indication.
Bremelanotide acts as a non-selective agonist at melanocortin receptors, with reported activity at MC1R, MC3R, MC4R and MC5R. The proposed basis for its central effects is activation of MC4R populations in the hypothalamus, a region associated with appetite and reproductive signalling. Because the peptide carries a net positive charge and polar side chains, it does not cross biological membranes freely, which is one reason oral administration is not the standard route. Effects generally appear within an hour of parenteral administration and are described as centrally mediated rather than peripheral.
Bremelanotide, developed under the code PT-141, is a synthetic cyclic heptapeptide analogue of alpha-melanocyte-stimulating hormone. Its structure is Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-OH, with a lactam bridge joining the aspartate and lysine side chains. The molecule has the formula C50H68N14O10 and a monoisotopic mass near 1025 daltons. It is commonly prepared as the acetate salt and appears as a white to off-white lyophilised powder in solid form. The free acid is the pharmacologically relevant species, while the counter-ion improves handling and dissolution.
Published discussion sits at the intersection of peptide chemistry, neuroendocrinology and sexual medicine. Trial reports emphasise change scores on validated instruments, while mechanistic papers focus on hypothalamic circuits and receptor selectivity. Because placebo response in this field is large, effect sizes are usually reported with confidence intervals rather than as isolated averages. Reviews note that female and male data sets are not interchangeable and should be read separately. Diagnostic terminology has been revised over time, which complicates comparison between older and newer studies.
Bremelanotide is a synthetic cyclic heptapeptide that acts on a family of G-protein-coupled receptors. It was designed as a structural analogue of alpha-melanocyte-stimulating hormone, the endogenous peptide associated with pigmentation and several central signalling pathways. A lactam bridge constrains the ring and slows enzymatic breakdown, which distinguishes it from the linear parent molecule. Research interest moved over time from pigment biology toward central nervous system effects, particularly circuits connected to sexual desire. Parenteral delivery is used because oral bioavailability is poor.
| Property | Value | Notes |
|---|---|---|
| Chemical class | Cyclic heptapeptide | Synthetic analogue of alpha-MSH |
| Molecular formula | C50H68N14O10 | Acetate salt form commonly reported |
| Molecular mass | ~1025 Da | Monoisotopic value near 1025.2 |
| Key structural motif | Lactam bridge | Asp side chain to Lys side chain |
| Solid appearance | White to off-white powder | Lyophilised and hygroscopic |
Compared with melanotan II, bremelanotide is a smaller cyclic peptide with a more constrained backbone, which affects receptor selectivity and metabolic stability. Published descriptions give a plasma half-life on the order of a few hours after subcutaneous administration, with elimination through hepatic and renal routes and limited plasma protein binding. Central access is inferred from effects observed in animal models, although direct measurement in humans is limited. Handling and storage requirements follow from the peptide backbone, which is susceptible to hydrolysis and oxidation.
The melanocortin system comprises five G protein-coupled receptors, designated MC1 through MC5, that signal mainly through cyclic AMP accumulation. MC1R and MC2R are associated with pigmentation and adrenal steroid production, while MC3R and MC4R are expressed in the central nervous system and influence energy balance and behavior. MC5R appears in exocrine tissues. Natural agonists include alpha-melanocyte-stimulating hormone and adrenocorticotropic hormone, and endogenous antagonists such as agouti-related protein modulate the same sites. This receptor family provides the framework within which bremelanotide activity is described.
=== Pituitary surgery === Transsphenoidal cryohypophysectomy is a difficult procedure that is only offered at specialised clinics. Few case reports of pituitary surgery in cats with hypersomatotropism have been published. In one case the procedure resulted in a 95% decrease to insulin requirement following the surgery and diabetic remission 3 weeks later. A follow up 18 months later showed normal growth hormone and IGF-1 levels. In another case there was a decreased insulin requirement, well-managed diabetes mellitus, and no acromegalic signs during an 18-month period of observation following the surgery. These cases and others with similar results showcase that beta cells have a potential to recover in hypersomatotropic cats with appropriate treatment.
=== Legal history === In 1997, three men from the Chicago area sued Hooters after being denied employment at an Orland Park, Illinois, restaurant. Each of them was awarded $19,100. Four men who filed a similar lawsuit in Maryland received $10,350 each. The settlement allows Hooters to continue gender-restricted hiring in its wait staff; the chain agreed to create other support jobs, like bartenders and hosts, that must be filled without regard to gender. In 2000, a federal jury ordered Hooters to pay $275,000 to former waitress Sara Steinhoff, who claimed in her lawsuit that she was the target of unwanted sexual advances, demeaning behavior and recrimination from managers while she worked at the Hooters in Newport, Kentucky, between October 1996 and October 1997. In 2001, a jury determined Hooters of Augusta Inc. willfully violated the Telephone Consumer Protection Act by sending unsolicited advertising faxes. The class-action lawsuit, brought in June 1995 by Sam Nicholson, included 1,320 others who said they received the advertising faxes from Hooters. Atlanta-based Hooters of America Inc., the local restaurant's parent company, paid out $11 million. The jury determined that six faxes were sent to each plaintiff. With a $500 fine for each, that amounts to a $3,000 award per plaintiff. Also in 2001, Jodee Berry, a waitress at a Hooters in Panama City Beach, Florida, won a beer sales contest, for which the promised prize was a new Toyota automobile. However, the manager awarded her a "toy Yoda" instead, claiming the contest was an April Fool's Day joke.
Biosecurity and Nanoscience Laboratory. Researchers apply advances in nanoscience to develop novel technologies for the detection, identification, and characterization of harmful biological pathogens (viruses, spores, and bacteria) and chemical toxins. Center for Accelerator Mass Spectrometry: LLNL's Center for Accelerator Mass Spectrometry (CAMS) develops and applies a wide range of isotopic and ion-beam analytical tools used in basic research and technology development, addressing a spectrum of scientific needs important to the Laboratory, the university community, and the nation. CAMS is the world's most versatile and productive accelerator mass spectrometry facility, performing more than 25,000 AMS measurement operations per year. High Explosives Applications Facility and Energetic Materials Center: At HEAF, teams of scientists, engineers, and technicians address nearly all aspects of high explosives: research, development and testing, material characterization, and performance and safety tests. HEAF activities support the Laboratory's Energetic Materials Center, a national resource for research and development of explosives, pyrotechnics, and propellants. National Atmospheric Release Advisory Center: NARAC is a national support and resource center for planning, real-time assessment, emergency response, and detailed studies of incidents involving a wide variety of hazards, including nuclear, radiological, chemical, biological, and natural atmospheric emissions.
Cilengitide, a cyclic pentapeptide (RGDfV), is an investigational drug intended to block the growth of new blood vessels in tumors by interfering with the activation of integrin αVβ3. This integrin is upregulated in tumor and activated endothelial cells. This and other anti-angiogenic therapies depend on cutting off the blood supply to the tumor micro-environment, leading to hypoxia and necrosis. Cilengitide has been evaluated for the treatment of glioblastoma, but, as is the case for other anti-angiogenic therapies, has not been shown to alter progression or improve survival either alone or in combination with standard treatments. CEND-1, also known as iRGD, is a cyclic peptide that homes to tumors via binding to integrin alpha V receptors. It also binds and activates neuropilin-1, leading to a temporary opening of the tumor and an enhanced delivery of anti-cancer agents into the tumor tissue. It is currently being tested in clinical trials in solid tumor patients.
Actinium is found only in traces in uranium ores – one tonne of uranium in ore contains about 0.2 milligrams of 227Ac – and in thorium ores, which contain about 5 nanograms of 228Ac per one tonne of thorium. The actinium isotope 227Ac is a transient member of the uranium-actinium series decay chain, which begins with the parent isotope 235U (or 239Pu) and ends with the stable lead isotope 207Pb. The isotope 228Ac is a transient member of the thorium series decay chain, which begins with the parent isotope 232Th and ends with the stable lead isotope 208Pb. Another actinium isotope (225Ac) is transiently present in the neptunium series decay chain, beginning with 237Np (or 233U) and ending with thallium (205Tl) and near-stable bismuth (209Bi); even though all primordial 237Np has decayed away, it is continuously produced by neutron knock-out reactions on natural 238U. The low natural concentration and the close similarity of physical and chemical properties to those of lanthanum and other lanthanides, which are always abundant in actinium-bearing ores, render separation of actinium from the ore impractical. The most concentrated actinium sample prepared from raw material consisted of 7 micrograms of 227Ac in less than 0.1 milligrams of La2O3, and complete separation was never achieved. Instead, actinium is prepared, in milligram amounts, by the neutron irradiation of 226Ra in a nuclear reactor.
Sources: en.wikipedia.org
=== December === 6 December Scientists, for the first time, report a recently discovered area on the current planet Earth, particularly in the Puna de Atacama territory of South America, which may be similar to ancient Earth, and the related environment of the first life forms on Earth – as well as – similar to possibly hospitable conditions on the planet Mars during earlier Martian times. Google DeepMind announces its Gemini multimodal language model, which it claims has advanced "reasoning capabilities" and can outperform GPT-4 on a variety of tasks. 7 December A gene therapy based on three transcription factors, Oct4, Sox2, and Klf4 (OSK), is shown to provide sustained vision recovery in mice affected by glaucoma. Physicists report future proposed plans for the next ten years. These proposals are intended to help better understand some of the current concerns of particle physics, including challenges to the Standard Model, and involve studies primarily dealing with gravity, black holes, dark matter, dark energy, Higgs boson, muons, neutrinos, and more. Quantum entanglement of molecules is achieved for the first time. A comprehensive review of ancient carbon dioxide levels and corresponding temperatures is published by a consortium of more than 80 researchers from 16 nations. Their study finds that current levels of atmospheric carbon dioxide are the highest in at least 14 million years, much longer ago than some existing assessments indicate.
=== Oxidative stress === Arsenic can cause oxidative stress through the formation of reactive oxygen species (ROS), and reactive nitrogen species (RNS). Reactive oxygen species are produced by the enzyme NADPH oxidase, which transfers electrons from NADPH to oxygen, synthesizing a superoxide, which is a reactive free radical. This superoxide can react to form hydrogen peroxide and a reactive oxygen species. The enzyme NADPH oxidase is able to generate more reactive oxygen species in the presence of arsenic, due to the subunit p22phox, which is responsible for the electron transfer, being upregulated by arsenic. The reactive oxygen species are capable of stressing the endoplasmic reticulum, which increases the amount of the unfolded protein response signals. This leads to inflammation, cell proliferation, and eventually to cell death. Another mechanism in which reactive oxygen species cause cell death would be through the cytoskeleton rearrangement, which affects the contractile proteins. The reactive nitrogen species arise once the reactive oxygen species destroy the mitochondria. This leads to the formation of the reactive nitrogen species, which are responsible for damaging DNA in arsenic poisoning. Mitochondrial damage is known to cause the release of reactive nitrogen species, due to the reaction between superoxides and nitric oxide (NO). Nitric oxide (NO) is a part of cell regulation, including cellular metabolism, growth, division and death. Nitric oxide (NO) reacts with reactive oxygen species to form peroxynitrite.
=== Other biosynthetic pathways === Carbamoyl phosphate is a carbamate mixed anhydride that is an intermediate in the urea cycle and the biosynthesis of pyrimidines. 5-carboxyamino-1-(5-phospho-D-ribosyl)imidazole (N5-CAIR), a carbamate derivative of aminoimidazole, is an intermediate in the biosynthesis of inosine. Both carbamates are produced via reaction of −NH2 groups with carboxyphosphate (HO−C(O)−OPO2−3).
== Discovery == By the mid-1960s, it had become apparent from pharmacologic studies that opioids were likely to exert their actions at specific receptor sites, and that there were likely to be multiple such sites. Early studies had indicated that opiates appeared to accumulate in the brain. The receptors were first identified as specific molecules through the use of binding studies, in which opiates that had been labeled with radioisotopes were found to bind to brain membrane homogenates. The first such study was published in 1971, using 3H-levorphanol. In 1973, Candace Pert and Solomon H. Snyder published the first detailed binding study of what would turn out to be the μ opioid receptor, using 3H-naloxone. That study has been widely credited as the first definitive finding of an opioid receptor, although two other studies followed shortly after.
=== In high-temperature processes === PVDF is used as piping, sheet, and internal coatings in high-temperature, hot acid, radiation environment applications due to PVDF's resistance characteristics and upper temperature thresholds. As piping, PVDF is rated up to 248 °F (120 °C). Examples of PVDF uses include nuclear reactor waste handling, chemical synthesis and production, (sulfuric acid, common), air plenums, and boiler service pipe.
Sources: en.wikipedia.org
Professor Richard Hilary Templer. Lately Director of Innovation, Grantham Institute, Imperial College London. For services to Climate Innovation. Dr. Gillian Romaine Tett. Editorial Board, Financial Times. For services to Economic Journalism. Usha Ladwa-Thomas. Race Adviser, Welsh Government. For services to Black, Asian and Minority Ethnic Communities. Margaret Ann Throup, MP. Member of Parliament for Erewash. For Political and Public Service. Jane Elizabeth Toogood. Co-Chair, Hydrogen Delivery Council. For services to the Low Carbon Hydrogen Sector. Sara Louise Tough. Executive Director, Children's Services, Norfolk County Council. For services to Education and Children's Social Care. John Henry Trayner. Lately Managing Director, Go-Ahead London. For services to Transport, to Skills and to Education in London. Marcus Edward Trescothick. Mental Health Ambassador, Professional Cricketers' Association. For services to Mental Ill Health. Professor Joyce Ann Tyldesley. Professor of Egyptology, University of Manchester. For services to Egyptology and Heritage. Nicola Madeline van der Drift. Chief Executive, International Bomber Command Centre. For services to Heritage. Louise van der Straeten. Senior Lawyer, Serious Fraud Office. For services to the Administration of Justice. Vinaichandra Guduguntla Venkatesham. Chief Executive Officer, Arsenal Football Club. For services to Sport. Ewan Andrew Venters. Chief Executive, Hauser & Wirth and Chair, GREAT Private Sector Council. For services to International Trade. Robert Iain Wainwright. Founder, Doddie Aid.
Clinical pathologists may assist physicians in interpreting complex tests such as platelet aggregometry, hemoglobin or serum protein electrophoresis, or coagulation profiles. If interfering substances are suspected, they may recommend alternate test methods. For example, hemolysis, icterus, lipemia, or heterophile antibodies may confound results obtained by traditional methods such as ion-selective electrodes, enzymatic assays or immunoassays. Alternate methods such as blood gas analysers, point-of-care testing or mass spectrometry may help resolve the clinical question.
== Chemistry == LAAM, or levomethadyl acetate, is the levo isomer of acetylmethadol, or α-methadyl acetate. The dextro isomer, d-alphacetylmethadol (d-α-acetylmethadol), is more potent but shorter acting. The levo isomer is also less toxic with an LD50 in mice of 110 mg/kg s.c. and 172.8 mg/kg orally as opposed to LD50s of 61 mg/kg s.c. and 118.3 mg/kg orally for dl-α-methadyl acetate. It has a melting point of 215 °C and a molecular weight of 353.50. β-methadyl acetate also exists, but is more toxic and less active than α-methadyl acetate and has no current medical use.
=== Food safety === For food safety, the CDC recommends proper fruit handling and preparation to reduce the risk of food contamination and foodborne illness. Fresh fruits and vegetables should be carefully selected; at the store, they should not be damaged or bruised; and precut pieces should be refrigerated or surrounded by ice. All fruits and vegetables should be rinsed before eating. This recommendation applies even to produce with rinds or skins that are not eaten. It should be done just before preparing or eating to avoid premature spoilage. Fruits and vegetables should be kept separate from raw foods like meat, poultry, and seafood, as well as from utensils that have come in contact with raw foods. Fruits and vegetables that are not going to be cooked should be thrown away if they have touched raw meat, poultry, seafood, or eggs. All cut, peeled, or cooked fruits and vegetables should be refrigerated within two hours. After a certain time, harmful bacteria may grow on them and increase the risk of foodborne illness.
Bank served with various Office of Strategic Services (OSS) units, including Jedburgh teams advising and leading French Resistance units before the Battle of Normandy ("D-Day" invasion) of 6 June 1944. LTC Martin was a mustang, having enlisted at age 17; he was promoted to second lieutenant during WWII. Before being commissioned he was the US VIIth Army's Boxing Champion for his weight class. He served as a company commander with the 82 Airborne and saw action in North Africa, Sicily, Market Garden, and the Battle of the Bulge. He received his third combat jump star in Korea while serving with the 187th Regimental Combat Team. He retired as an LTC at age 37 while serving in Bad Tölz with the 10th Special Forces Group. The 10th SFG deployed to Bad Tölz, Germany the following September. The remaining cadre at Fort Bragg, North Carolina formed the 77th Special Forces Group, which in May 1960 became 7th Special Forces Group. The Special Forces branch was established as a basic branch of the United States Army on 9 April 1987, by Army General Order No. 35.
Sources: en.wikipedia.org
PT-141 was the development code used for bremelanotide during its preclinical and early clinical programme. The peptide is now generally referred to by its international nonproprietary name.
The two compounds share the same cyclic core and are both non-selective melanocortin agonists. They differ chiefly at the C-terminus, where bremelanotide carries a free carboxylic acid and melanotan II a terminal amide.
Receptor binding profiles are well characterised in vitro, but the downstream pathway linking MC4R activation to behavioural effects is not fully mapped. Several intermediate neural circuits have been proposed without definitive confirmation.
It is a synthetic cyclic peptide that activates melanocortin receptors. It is given by injection and was approved in the United States in 2019 for a specific low-desire diagnosis in premenopausal women. It is not a hormonal therapy.