EP 041:09

One gene, two tissues: the biology of GLP-1

GLP-1 comes from the same gene as glucagon, lasts about two minutes in the blood, and was re-engineered to last a week.

Transcript and sources
  1. Your gut and your pancreas read the same gene, and make signals that do opposite jobs.
  2. The gene makes one long chain, called proglucagon, a hundred and eighty building blocks long.
  3. In the pancreas, the chain is cut to release glucagon, which raises blood sugar between meals.
  4. In the gut, the same chain is cut in different places. Out comes GLP-1, and its sibling, GLP-2.
  5. GLP-1 and its partner GIP are why a meal releases more insulin than the same sugar given straight into a vein. Scientists call this the incretin effect.
  6. But natural GLP-1 lasts only about two minutes. An enzyme called DPP-4 snips it, and the kidneys clear the rest.
  7. So chemists rebuilt it: one swapped building block to dodge the enzyme, and a fatty tail that grips a blood protein. Two minutes became a week.
  8. One gene, cut two ways, and rebuilt by chemists, became today's GLP-1 medicines.
  9. See how every GLP-1 medicine compares, at peplexicon.com.

Sources

  1. UniProt P01275: Pro-glucagon (human), processed peptides
  2. Holst JJ. The physiology of glucagon-like peptide 1. Physiol Rev. 2007
  3. Nauck M et al. Reduced incretin effect in type 2 (non-insulin-dependent) diabetes. Diabetologia. 1986
  4. Deacon CF et al. Both subcutaneously and intravenously administered glucagon-like peptide I are rapidly degraded from the NH2-terminus. Diabetes. 1995
  5. Ozempic (semaglutide) prescribing information, DailyMed
Go deeperRead the GLP-1 guide