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TitleStructural insights into multiplexed pharmacological actions of tirzepatide and peptide 20 at the GIP, GLP-1 or glucagon receptors.
Journal, issue, pagesNat Commun, Vol. 13, Issue 1, Page 1057, Year 2022
Publish dateFeb 25, 2022
AuthorsFenghui Zhao / Qingtong Zhou / Zhaotong Cong / Kaini Hang / Xinyu Zou / Chao Zhang / Yan Chen / Antao Dai / Anyi Liang / Qianqian Ming / Mu Wang / Li-Nan Chen / Peiyu Xu / Rulve Chang / Wenbo Feng / Tian Xia / Yan Zhang / Beili Wu / Dehua Yang / Lihua Zhao / H Eric Xu / Ming-Wei Wang /
PubMed AbstractGlucose homeostasis, regulated by glucose-dependent insulinotropic polypeptide (GIP), glucagon-like peptide-1 (GLP-1) and glucagon (GCG) is critical to human health. Several multi-targeting agonists ...Glucose homeostasis, regulated by glucose-dependent insulinotropic polypeptide (GIP), glucagon-like peptide-1 (GLP-1) and glucagon (GCG) is critical to human health. Several multi-targeting agonists at GIPR, GLP-1R or GCGR, developed to maximize metabolic benefits with reduced side-effects, are in clinical trials to treat type 2 diabetes and obesity. To elucidate the molecular mechanisms by which tirzepatide, a GIPR/GLP-1R dual agonist, and peptide 20, a GIPR/GLP-1R/GCGR triagonist, manifest their multiplexed pharmacological actions over monoagonists such as semaglutide, we determine cryo-electron microscopy structures of tirzepatide-bound GIPR and GLP-1R as well as peptide 20-bound GIPR, GLP-1R and GCGR. The structures reveal both common and unique features for the dual and triple agonism by illustrating key interactions of clinical relevance at the near-atomic level. Retention of glucagon function is required to achieve such an advantage over GLP-1 monotherapy. Our findings provide valuable insights into the structural basis of functional versatility of tirzepatide and peptide 20.
External linksNat Commun / PubMed:35217653 / PubMed Central
MethodsEM (single particle)
Resolution3.0 - 3.5 Å
Structure data

EMDB-31603, PDB-7fim:
Cryo-EM structure of the tirzepatide (LY3298176)-bound human GLP-1R-Gs complex
Method: EM (single particle) / Resolution: 3.4 Å

EMDB-31604, PDB-7fin:
Cryo-EM structure of the GIPR/GLP-1R/GCGR triagonist peptide 20-bound human GIPR-Gs complex
Method: EM (single particle) / Resolution: 3.1 Å

EMDB-31606, PDB-7fiy:
Cryo-EM structure of the tirzepatide-bound human GIPR-Gs complex
Method: EM (single particle) / Resolution: 3.4 Å

EMDB-31676, PDB-7v35:
Cryo-EM structure of the GIPR/GLP-1R/GCGR triagonist peptide 20-bound human GCGR-Gs complex
Method: EM (single particle) / Resolution: 3.5 Å

EMDB-31836, PDB-7vab:
Cryo-EM structure of the non-acylated tirzepatide (LY3298176)-bound human GIPR-Gs complex
Method: EM (single particle) / Resolution: 3.2 Å

EMDB-31879, PDB-7vbh:
Cryo-EM structure of the GIPR/GLP-1R/GCGR triagonist peptide 20-bound human GLP-1R-Gs complex
Method: EM (single particle) / Resolution: 3.0 Å

EMDB-31880, PDB-7vbi:
Cryo-EM structure of the non-acylated tirzepatide (LY3298176)-bound human GLP-1R-Gs complex
Method: EM (single particle) / Resolution: 3.0 Å

Chemicals

ChemComp-CLR:
CHOLESTEROL

ChemComp-GGL:
GAMMA-L-GLUTAMIC ACID

ChemComp-D6M:
N-hexadecanoyl-L-glutamic acid

Source
  • homo sapiens (human)
  • synthetic construct (others)
  • rattus norvegicus (Norway rat)
  • bos taurus (cattle)
  • escherichia coli (E. coli)
KeywordsSTRUCTURAL PROTEIN / Cryo-electron microscopy; G protein-coupled receptor; ligand recognition; receptor activation; unimolecular agonist

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