In an in vitro study, tirzepatide elicited a cAMP response in a human pancreatic -cell line that was significantly higher than that observed for either GLP-1 or GIP alone, indicating a synergistic or additive activation of signaling in pancreatic -cells by GIP and GLP-1 (63)
The mechanism likely involves correction of oxidative stress and modulation of glutamate signaling via the cystine-glutamate antiporter (system Xc-) [73][74]
Differences among treatment means were determined using the StudentNewmanKeuls (SNK) multiple comparison test
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The two correlation coefficients were significantly different (two-tailed Fisher test, z = 2.341, p = 0.021)
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