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TitleStructural and dynamic features of cagrilintide binding to calcitonin and amylin receptors.
Journal, issue, pagesNat Commun, Vol. 16, Issue 1, Page 3389, Year 2025
Publish dateApr 10, 2025
AuthorsJianjun Cao / Matthew J Belousoff / Rachel M Johnson / Peter Keov / Zamara Mariam / Giuseppe Deganutti / George Christopoulos / Caroline A Hick / Steffen Reedtz-Runge / Tine Glendorf / Borja Ballarín-González / Kirsten Raun / Charles Bayly-Jones / Denise Wootten / Patrick M Sexton /
PubMed AbstractObesity is a major and increasingly prevalent chronic metabolic disease with numerous comorbidities. While recent incretin-based therapies have provided pharmaceutical inroads into treatment of ...Obesity is a major and increasingly prevalent chronic metabolic disease with numerous comorbidities. While recent incretin-based therapies have provided pharmaceutical inroads into treatment of obesity, there remains an ongoing need for additional medicines with distinct modes of action as independent or complementary therapeutics. Among the most promising candidates, supported by phase 1 and 2 clinical trials, is cagrilintide, a long-acting amylin and calcitonin receptor agonist. As such, understanding how cagrilintide functionally engages target receptors is critical for future development of this target class. Here, we determine structures of cagrilintide bound to Gs-coupled, active, amylin receptors (AMYR, AMYR, AMYR) and calcitonin receptor (CTR) and compare cagrilintide interactions and the dynamics of receptor complexes with previously reported structures of receptors bound to rat amylin, salmon calcitonin or recently developed amylin-based peptides. These data reveal that cagrilintide has an amylin-like binding mode but, compared to other peptides, induces distinct conformational dynamics at calcitonin-family receptors that could contribute to its clinical efficacy.
External linksNat Commun / PubMed:40204768 / PubMed Central
MethodsEM (single particle)
Resolution2.2 - 3.6 Å
Structure data

EMDB-44652, PDB-9blb:
Human Calcitonin Receptor in Complex with Gs and Cagrilintide Backbone (non-acylated) in bypass conformation
Method: EM (single particle) / Resolution: 3.2 Å

EMDB-44653, PDB-9blc:
Human Calcitonin Receptor in Complex with Gs and Cagrilintide Backbone (non-acylated) in CT-like conformation
Method: EM (single particle) / Resolution: 3.3 Å

EMDB-44678, PDB-9blw:
Human amylin1 Receptor in complex with Gs and Cagrilintide backbone (non-acylated)
Method: EM (single particle) / Resolution: 3.2 Å

EMDB-44760, PDB-9bp3:
Human Amylin1 Receptor in complex with Gs and cagrilintide
Method: EM (single particle) / Resolution: 2.2 Å

EMDB-44796, PDB-9bq3:
Human Amylin2 Receptor in Complex with Gs and Cagrilintide
Method: EM (single particle) / Resolution: 2.8 Å

EMDB-44898, PDB-9btw:
Human Amylin3 Receptor in complex with Gs and cagrilintide
Method: EM (single particle) / Resolution: 3.0 Å

EMDB-44904, PDB-9bub:
Human calcitonin Receptor in complex with Gs and cagrilintide in the bypass conformation
Method: EM (single particle) / Resolution: 2.3 Å

EMDB-44905, PDB-9buc:
Human calcitonin Receptor in complex with Gs and cagrilintide in the bypass conformation (repeat)
Method: EM (single particle) / Resolution: 3.4 Å

EMDB-44906, PDB-9bud:
Human calcitonin Receptor in complex with Gs and cagrilintide in the CT-like conformation
Method: EM (single particle) / Resolution: 2.5 Å

EMDB-44907, PDB-9bue:
Human calcitonin Receptor in complex with Gs and cagrilintide in the CT-like conformation (repeat)
Method: EM (single particle) / Resolution: 3.6 Å

Chemicals

ChemComp-NAG:
2-acetamido-2-deoxy-beta-D-glucopyranose

PDB-1b90:
BACILLUS CEREUS BETA-AMYLASE APO FORM

ChemComp-P42:
(2S)-2-{[(1R)-1-hydroxyhexadecyl]oxy}-3-{[(1R)-1-hydroxyoctadecyl]oxy}propyl 2-(trimethylammonio)ethyl phosphate / SPPC, phospholipid*YM

ChemComp-Y01:
CHOLESTEROL HEMISUCCINATE

ChemComp-HOH:
WATER

Source
  • homo sapiens (human)
  • lama glama (llama)
KeywordsMEMBRANE PROTEIN / Amylin receptor / GPCR / RAMPs / Calcitonin receptor / Cagrilintide / obesity / receptor activity-modifying protein / RAMP2

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