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By activating both incretin pathways simultaneously, tirzepatide promotes satiety, slows gastric emptying, enhances insulin signalling, and appears to independently influence adipose tissue metabolism, producing effects on body weight and glucose handling that have consistently outperformed single-receptor approaches in published studies
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Other proteins that bind KEAP1 and interfere with KEAP1-NRF2 interaction, promoting NRF2 accumulation and function in the nucleus, include: phosphoglycerate mutase 5 (PGAM5, a serine/threonine phosphatase related to the phosphoglycerate mutase family), which has been reported to be associated with mitochondria, so its interaction with KEAP1 may be regulated by mitochondrial signalling processes [187, 188]