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==Introduction==
==Introduction==
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GLP-1 is an [https://en.wikipedia.org/wiki/Incretin incretin]that functions to lower blood glucose levels upon binding to its receptor. Its precursor, [https://en.wikipedia.org/wiki/Proglucagon proglucagon], was first discovered in 1983. GLP-1 was then isolated from proglucagon in 1986. GLP-1 is released from L cells in the intestine and its receptor can be found in the pancreas, GI tract, brain, and cardiovascular system. <ref name="Mayendraraj">PMID:35065096</ref> The <scene name='10/1037490/Whole_protein/12'>GLP-1R structure</scene> was discovered using electron microscopy. Upon binding to the receptor, GLP-1 stimulates insulin secretion from pancreatic 𝛽 cells, making GLP-1R agonists a viable treatment for [https://en.wikipedia.org/wiki/Type_2_diabetes Type 2 Diabetes Mellitus]. The first GLP-1R agonist for diabetes was created in 2005. GLP-1 has various other biological roles, including regulation of bone metabolism, memory, and cardiac function. <ref name=”Seino”>PMID:24843404</ref> Because GLP-1 stimulates [https://en.wikipedia.org/wiki/Insulin insulin] release, inhibits [https://en.wikipedia.org/wiki/Glucagon glucagon] secretion, and decreases food intake through promoting satiation, GLP-1R agonists are also currently being used for weight loss purposes. <ref name="Mayendraraj"/>
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GLP-1 is an [https://en.wikipedia.org/wiki/Incretin incretin]that functions to lower blood glucose levels upon binding to its receptor. Its precursor, [https://en.wikipedia.org/wiki/Proglucagon proglucagon], was first discovered in 1983. GLP-1 was then isolated from proglucagon in 1986. GLP-1 is released from L cells in the intestine and its receptor can be found in the pancreas, GI tract, brain, and cardiovascular system. <ref name="Mayendraraj">PMID:35065096</ref> The <scene name='10/1037490/Whole_protein/12'>GLP-1R structure</scene> was discovered using electron microscopy. Upon binding to the receptor, GLP-1 stimulates insulin secretion from pancreatic 𝛽 cells, making GLP-1R agonists a viable treatment for [https://en.wikipedia.org/wiki/Type_2_diabetes Type 2 Diabetes Mellitus]. The first GLP-1R agonist for diabetes was created in 2005. GLP-1 has various other biological roles, including regulation of bone metabolism, memory, and cardiac function. <ref name="Seino">PMID:24843404</ref> Because GLP-1 stimulates [https://en.wikipedia.org/wiki/Insulin insulin] release, inhibits [https://en.wikipedia.org/wiki/Glucagon glucagon] secretion, and decreases food intake through promoting satiation, GLP-1R agonists are also currently being used for weight loss purposes. <ref name="Mayendraraj"/>
References for GLP-1R structure.
References for GLP-1R structure.
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==Structure==
==Structure==
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The GLP-1 receptor is made up of <scene name='10/1037490/Transmembrane_domains/5'>three domains</scene>. It has four main components that make up its structure: a <scene name='10/1037490/Components/12'>7 pass helix</scene>, a <scene name='10/1037490/Components/11'>G-protein</scene> with 𝛼, 𝛽, and 𝛾 subunits, and a <scene name='10/1037490/Components/9'>nanobody and SCV fragment 16</scene>. The nanobody and SCV fragment 16 are not part of GLP-1R’s actual structure; they were put in place to help identify the rest of the receptor during electron microscopy. GLP-1 itself is a helical incretin that can exist as either a non-amidated, 31 residue peptide or a C terminus amidated, 30 residue peptide. While both forms of the peptide exert similar effects on the body through GPCR signaling, the amidated form is more prevalent and exists in roughly a 3:1 ratio naturally. <ref name=”Seino”>PMID:24843404</ref>
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The GLP-1 receptor is made up of <scene name='10/1037490/Transmembrane_domains/5'>three domains</scene>. It has four main components that make up its structure: a <scene name='10/1037490/Components/12'>7 pass helix</scene>, a <scene name='10/1037490/Components/11'>G-protein</scene> with 𝛼, 𝛽, and 𝛾 subunits, and a <scene name='10/1037490/Components/9'>nanobody and SCV fragment 16</scene>. The nanobody and SCV fragment 16 are not part of GLP-1R’s actual structure; they were put in place to help identify the rest of the receptor during electron microscopy. GLP-1 itself is a helical incretin that can exist as either a non-amidated, 31 residue peptide or a C terminus amidated, 30 residue peptide. While both forms of the peptide exert similar effects on the body through GPCR signaling, the amidated form is more prevalent and exists in roughly a 3:1 ratio naturally. <ref name="Seino"/>
<scene name='10/1037490/Components/10'>Beta propeller</scene>
<scene name='10/1037490/Components/10'>Beta propeller</scene>
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===Binding Interactions of GLP1===
===Binding Interactions of GLP1===
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GLP-1 makes several stabilizing interactions with the GLP-1R, including several hydrogen bonds. The N terminus of GLP-1 binds within the transmembrane region of GLP-1R, and the C terminus of GLP-1 binds to the <scene name='10/1037487/Nterm_residues/14'>N terminus</scene> of GLP-1R. Upon GLP-1 binding, a signal cascade is triggered beginning with an elevation in cAMP levels. Increased intracellular cAMP levels activate PKA and EPAC2 leading to several downstream signaling effects including increased ATP production, increased insulin production and secretion, and membrane depolarization. <ref name="Mayendraraj"/> Beginning at the N terminus of GLP-1, <scene name='10/1037487/Nterm_residues/15'>GLP-1 E9</scene> forms a salt bridge with GLP-1R R190 and a hydrogen bond with GLP-1R Y152. Next, <scene name='10/1037487/Nterm_residues/16'>GLP-1 T13</scene> hydrogen bonds to GLP-1R K197. Towards the middle of the peptide chain, <scene name='10/1037487/Nterm_residues/17'>GLP-1 S17</scene> hydrogen bonds with GLP-1R R299 and GLP-1 E21 hydrogen bonds with GLP-1R Y205. At the <scene name='10/1037487/Cterm_glp/6'>C terminus</scene>, <scene name='10/1037487/Cterm_glp/7'>GLP-1 E27</scene> hydrogen bonds with GLP-1R Q210. Right above this, there is a pi stacking interaction between GLP-1 F28 and W31 with GLP-1R W214. <ref name=”Zhao”>PMID:35217653</ref>
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GLP-1 makes several stabilizing interactions with the GLP-1R, including several hydrogen bonds. The N terminus of GLP-1 binds within the transmembrane region of GLP-1R, and the C terminus of GLP-1 binds to the <scene name='10/1037487/Nterm_residues/14'>N terminus</scene> of GLP-1R. Upon GLP-1 binding, a signal cascade is triggered beginning with an elevation in cAMP levels. Increased intracellular cAMP levels activate PKA and EPAC2 leading to several downstream signaling effects including increased ATP production, increased insulin production and secretion, and membrane depolarization. <ref name="Mayendraraj"/> Beginning at the N terminus of GLP-1, <scene name='10/1037487/Nterm_residues/15'>GLP-1 E9</scene> forms a salt bridge with GLP-1R R190 and a hydrogen bond with GLP-1R Y152. Next, <scene name='10/1037487/Nterm_residues/16'>GLP-1 T13</scene> hydrogen bonds to GLP-1R K197. Towards the middle of the peptide chain, <scene name='10/1037487/Nterm_residues/17'>GLP-1 S17</scene> hydrogen bonds with GLP-1R R299 and GLP-1 E21 hydrogen bonds with GLP-1R Y205. At the <scene name='10/1037487/Cterm_glp/6'>C terminus</scene>, <scene name='10/1037487/Cterm_glp/7'>GLP-1 E27</scene> hydrogen bonds with GLP-1R Q210. Right above this, there is a pi stacking interaction between GLP-1 F28 and W31 with GLP-1R W214. <ref name="Zhao">PMID:35217653</ref>
===Binding Interactions of Tirzepatide===
===Binding Interactions of Tirzepatide===
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Several residues have been selectively and intentionally modified during Tirzepatide drug design. <scene name='10/1037487/Interesting_tirz_modifications/3'>Aib</scene>, aminoisobutyric acid, is located at position 2 and 13 with the purpose of preventing DPP-4 cleavage. K20 of Tirzepatide has a lipid modification, specifically a C20 fatty diacid moiety, that serves to enhance binding to the protein carrier albumin and increase the half-life of the drug in the body. <ref name=”Sun”>PMID:35333651</ref>
Several residues have been selectively and intentionally modified during Tirzepatide drug design. <scene name='10/1037487/Interesting_tirz_modifications/3'>Aib</scene>, aminoisobutyric acid, is located at position 2 and 13 with the purpose of preventing DPP-4 cleavage. K20 of Tirzepatide has a lipid modification, specifically a C20 fatty diacid moiety, that serves to enhance binding to the protein carrier albumin and increase the half-life of the drug in the body. <ref name=”Sun”>PMID:35333651</ref>
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Similarly to GLP-1 forming several stabilizing interactions with GLP-1R, Tirzepatide also forms many key <scene name='10/1037490/Tirzepatidebonding/9'>stabilizing interactions</scene>. Beginning at the N terminus of Tirzepatide (Tirz), <scene name='10/1037490/Tirzepatidebonding/11'>Tirz E3</scene> forms a salt bridge with GLP-1R R190 and a hydrogen bond with GLP-1R Y152. Additionally, Tirz T7 hydrogen bonds with GLP-1R K197. These interactions are nearly identical to the interactions GLP-1 E9 and T13 make with the receptor. Towards the middle of the peptide, <scene name='10/1037490/Tirzepatidebonding/10'>Tirz D15</scene> forms a hydrogen bond with Y205, yet another similar interaction to GLP-1 binding. <ref name=”Zhao”>PMID:35217653</ref> Looking at the sequence comparison of GLP-1 and Tirzepatide, GLP-1 E21 is located at the same position as Tirz D15.
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Similarly to GLP-1 forming several stabilizing interactions with GLP-1R, Tirzepatide also forms many key <scene name='10/1037490/Tirzepatidebonding/9'>stabilizing interactions</scene>. Beginning at the N terminus of Tirzepatide (Tirz), <scene name='10/1037490/Tirzepatidebonding/11'>Tirz E3</scene> forms a salt bridge with GLP-1R R190 and a hydrogen bond with GLP-1R Y152. Additionally, Tirz T7 hydrogen bonds with GLP-1R K197. These interactions are nearly identical to the interactions GLP-1 E9 and T13 make with the receptor. Towards the middle of the peptide, <scene name='10/1037490/Tirzepatidebonding/10'>Tirz D15</scene> forms a hydrogen bond with Y205, yet another similar interaction to GLP-1 binding. <ref name="Zhao"/> Looking at the sequence comparison of GLP-1 and Tirzepatide, GLP-1 E21 is located at the same position as Tirz D15.
[[Image:Sequence_Alignment Condensed3.png|400 px|right|thumb|Sequence alignment of GLP-1 and Tirzepatide.]]
[[Image:Sequence_Alignment Condensed3.png|400 px|right|thumb|Sequence alignment of GLP-1 and Tirzepatide.]]
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Through an <scene name='10/1037490/Overlay/7'>overlay</scene>, it is visible that GLP-1 and Tirzepatide bind similarly but not identically to the receptor. Some interactions seen in GLP-1 bound to GLP-1R are preserved with Tirzepatide, while others are altered. For example, the first residue of GLP-1 is a <scene name='10/1037487/Gvt_binding/6'>histidine</scene>, while the first residue of Tirzepatide is a <scene name='10/1037490/Gvt_binding/11'>tyrosine</scene>. <ref name=”Sun”>PMID:35333651</ref> The identity of this first residue can either favor or prevent specific GLP-1R interactions. With GLP-1 H7, <scene name='10/1037490/Gvt_binding/8'>GLP-1R R310</scene> <scene name='10/1037487/Gvt_binding/4'>GLP-1R R310</scene> and E373 are in close enough proximity to form a salt bridge. Additionally, GLP-1R W306 and D372 are positioned ideally for hydrogen bond formation. However, with Tirzepatide bound, Tirz Y1 causes greater steric clashing, pushing the <scene name='10/1037490/Gvt_binding/9'>GLP-1R R310</scene> <scene name='10/1037487/Gvt_binding/5'>GLP-1R R310</scene> and other residues further apart so they are unable to interact. <ref name=”Sun”>PMID:35333651</ref>
Through an <scene name='10/1037490/Overlay/7'>overlay</scene>, it is visible that GLP-1 and Tirzepatide bind similarly but not identically to the receptor. Some interactions seen in GLP-1 bound to GLP-1R are preserved with Tirzepatide, while others are altered. For example, the first residue of GLP-1 is a <scene name='10/1037487/Gvt_binding/6'>histidine</scene>, while the first residue of Tirzepatide is a <scene name='10/1037490/Gvt_binding/11'>tyrosine</scene>. <ref name=”Sun”>PMID:35333651</ref> The identity of this first residue can either favor or prevent specific GLP-1R interactions. With GLP-1 H7, <scene name='10/1037490/Gvt_binding/8'>GLP-1R R310</scene> <scene name='10/1037487/Gvt_binding/4'>GLP-1R R310</scene> and E373 are in close enough proximity to form a salt bridge. Additionally, GLP-1R W306 and D372 are positioned ideally for hydrogen bond formation. However, with Tirzepatide bound, Tirz Y1 causes greater steric clashing, pushing the <scene name='10/1037490/Gvt_binding/9'>GLP-1R R310</scene> <scene name='10/1037487/Gvt_binding/5'>GLP-1R R310</scene> and other residues further apart so they are unable to interact. <ref name=”Sun”>PMID:35333651</ref>
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Another example of a difference in receptor confirmation can be seen with GLP-1R R299. With GLP-1 bound, <scene name='10/1037487/Glp1_comparison/2'>GLP-1R R299</scene> faces the peptide and is able to hydrogen bond with either GLP-1 S17 or E21. When Tirzepatide is bound, <scene name='10/1037487/Tirzepatide/6'>GLP-1R R299</scene> flips away from the peptide and can no longer hydrogen bond with any Tirzepatide residues. <ref name=”Sun”>PMID:35333651</ref> Additionally, differential binding of GLP-1 and Tirzepatide modifies how the transmembrane domain interacts with the G-alpha subunit to initiate a signal cascade. For example, when GLP-1 is bound to the receptor, <scene name='10/1037487/G_alpha_glp/2'>GLP-1R F257</scene> is able to participate in a pi stacking interaction with G-alpha F376. When Tirzepatide is bound, <scene name='10/1037487/G_alpha_tirz/3'>GLP-1R 257</scene> is oriented facing away from the G-alpha subunit. <ref name=”Zhao”>PMID:35217653</ref>
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Another example of a difference in receptor confirmation can be seen with GLP-1R R299. With GLP-1 bound, <scene name='10/1037487/Glp1_comparison/2'>GLP-1R R299</scene> faces the peptide and is able to hydrogen bond with either GLP-1 S17 or E21. When Tirzepatide is bound, <scene name='10/1037487/Tirzepatide/6'>GLP-1R R299</scene> flips away from the peptide and can no longer hydrogen bond with any Tirzepatide residues. <ref name=”Sun”>PMID:35333651</ref> Additionally, differential binding of GLP-1 and Tirzepatide modifies how the transmembrane domain interacts with the G-alpha subunit to initiate a signal cascade. For example, when GLP-1 is bound to the receptor, <scene name='10/1037487/G_alpha_glp/2'>GLP-1R F257</scene> is able to participate in a pi stacking interaction with G-alpha F376. When Tirzepatide is bound, <scene name='10/1037487/G_alpha_tirz/3'>GLP-1R 257</scene> is oriented facing away from the G-alpha subunit. <ref name="Zhao"/>
Referencing the sequence alignment, GLP-1 F28 and W31 are in the same position as Tirzepatide F22 and W25, indicating that the phenylalanine and tryptophan residues are conserved among the two sequences. As discussed previously in the GLP-1 binding interactions subsection, <scene name='10/1037487/Cterm_glp/8'>GLP-1 F28</scene> and W31 participate in a pi stacking interaction with GLP-1R W214. Similarly, <scene name='10/1037487/Tirzepatide/5'>Tirz F22</scene> and W25 are also able to interact aromatically with GLP-1R W214.
Referencing the sequence alignment, GLP-1 F28 and W31 are in the same position as Tirzepatide F22 and W25, indicating that the phenylalanine and tryptophan residues are conserved among the two sequences. As discussed previously in the GLP-1 binding interactions subsection, <scene name='10/1037487/Cterm_glp/8'>GLP-1 F28</scene> and W31 participate in a pi stacking interaction with GLP-1R W214. Similarly, <scene name='10/1037487/Tirzepatide/5'>Tirz F22</scene> and W25 are also able to interact aromatically with GLP-1R W214.

Revision as of 13:11, 25 April 2024

=GLP-1R Homo Sapiens=

An overview of the entire GLP-1 protein as a spinning cartoon. GLP-1 is shown in green, the GLP-1 receptor in turquoise, and the G-alpha, G-beta, and G-gamma subunits shown in pink, orange, and red respectively. PDB: 6X18

Drag the structure with the mouse to rotate

References

  1. 1.0 1.1 1.2 Mayendraraj A, Rosenkilde MM, Gasbjerg LS. GLP-1 and GIP receptor signaling in beta cells interactions and co-stimulation. Peptides. 2022 May;151:170749. PMID:35065096 doi:10.1016/j.peptides.2022.170749
  2. 2.0 2.1 Seino Y, Fukushima M, Yabe D. GIP and GLP-1, the two incretin hormones: Similarities and differences. J Diabetes Investig. 2010 Apr 22;1(1-2):8-23. PMID:24843404 doi:10.1111/j.2040-1124.2010.00022.x
  3. Zhang X, Belousoff MJ, Zhao P, Kooistra AJ, Truong TT, Ang SY, Underwood CR, Egebjerg T, Šenel P, Stewart GD, Liang YL, Glukhova A, Venugopal H, Christopoulos A, Furness SGB, Miller LJ, Reedtz-Runge S, Langmead CJ, Gloriam DE, Danev R, Sexton PM, Wootten D. Differential GLP-1R Binding and Activation by Peptide and Non-peptide Agonists. Mol Cell. 2020 Nov 5;80(3):485-500.e7. PMID:33027691 doi:10.1016/j.molcel.2020.09.020
  4. 4.0 4.1 4.2 Zhao F, Zhou Q, Cong Z, Hang K, Zou X, Zhang C, Chen Y, Dai A, Liang A, Ming Q, Wang M, Chen LN, Xu P, Chang R, Feng W, Xia T, Zhang Y, Wu B, Yang D, Zhao L, Xu HE, Wang MW. Structural insights into multiplexed pharmacological actions of tirzepatide and peptide 20 at the GIP, GLP-1 or glucagon receptors. Nat Commun. 2022 Feb 25;13(1):1057. PMID:35217653 doi:10.1038/s41467-022-28683-0
  5. Sun B, Willard FS, Feng D, Alsina-Fernandez J, Chen Q, Vieth M, Ho JD, Showalter AD, Stutsman C, Ding L, Suter TM, Dunbar JD, Carpenter JW, Mohammed FA, Aihara E, Brown RA, Bueno AB, Emmerson PJ, Moyers JS, Kobilka TS, Coghlan MP, Kobilka BK, Sloop KW. Structural determinants of dual incretin receptor agonism by tirzepatide. Proc Natl Acad Sci U S A. 2022 Mar 29;119(13):e2116506119. PMID:35333651 doi:10.1073/pnas.2116506119
  6. Sun B, Willard FS, Feng D, Alsina-Fernandez J, Chen Q, Vieth M, Ho JD, Showalter AD, Stutsman C, Ding L, Suter TM, Dunbar JD, Carpenter JW, Mohammed FA, Aihara E, Brown RA, Bueno AB, Emmerson PJ, Moyers JS, Kobilka TS, Coghlan MP, Kobilka BK, Sloop KW. Structural determinants of dual incretin receptor agonism by tirzepatide. Proc Natl Acad Sci U S A. 2022 Mar 29;119(13):e2116506119. PMID:35333651 doi:10.1073/pnas.2116506119
  7. Sun B, Willard FS, Feng D, Alsina-Fernandez J, Chen Q, Vieth M, Ho JD, Showalter AD, Stutsman C, Ding L, Suter TM, Dunbar JD, Carpenter JW, Mohammed FA, Aihara E, Brown RA, Bueno AB, Emmerson PJ, Moyers JS, Kobilka TS, Coghlan MP, Kobilka BK, Sloop KW. Structural determinants of dual incretin receptor agonism by tirzepatide. Proc Natl Acad Sci U S A. 2022 Mar 29;119(13):e2116506119. PMID:35333651 doi:10.1073/pnas.2116506119
  8. Sun B, Willard FS, Feng D, Alsina-Fernandez J, Chen Q, Vieth M, Ho JD, Showalter AD, Stutsman C, Ding L, Suter TM, Dunbar JD, Carpenter JW, Mohammed FA, Aihara E, Brown RA, Bueno AB, Emmerson PJ, Moyers JS, Kobilka TS, Coghlan MP, Kobilka BK, Sloop KW. Structural determinants of dual incretin receptor agonism by tirzepatide. Proc Natl Acad Sci U S A. 2022 Mar 29;119(13):e2116506119. PMID:35333651 doi:10.1073/pnas.2116506119
  9. Sun B, Willard FS, Feng D, Alsina-Fernandez J, Chen Q, Vieth M, Ho JD, Showalter AD, Stutsman C, Ding L, Suter TM, Dunbar JD, Carpenter JW, Mohammed FA, Aihara E, Brown RA, Bueno AB, Emmerson PJ, Moyers JS, Kobilka TS, Coghlan MP, Kobilka BK, Sloop KW. Structural determinants of dual incretin receptor agonism by tirzepatide. Proc Natl Acad Sci U S A. 2022 Mar 29;119(13):e2116506119. PMID:35333651 doi:10.1073/pnas.2116506119

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