Dual incretin agonists, such as tirzepatide (a GLP1R–GIPR agonist), show excellent efficacy for type 2 diabetes and obesity therapy. Research identifies the cells and neurons in the pancreas and brain that are targeted by dual agonists, providing further details on their modes of action.
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References
Campbell, J. E. et al. GIPR/GLP-1R dual agonist therapies for diabetes and weight loss—chemistry, physiology, and clinical applications. Cell Metab. 35, 1519–1529 (2023). A review article that discusses mechanisms of action of dual agonists.
Pyke, C. & Knudsen, L. B. The glucagon-like peptide-1 receptor-or not? Endocrinology 154, 4–8 (2013). A news and views article on the pitfalls of GLP1R detection using antibodies.
Ast, J. et al. Super-resolution microscopy compatible fluorescent probes reveal endogenous glucagon-like peptide-1 receptor distribution and dynamics. Nat. Commun. 11, 467 (2020). A research article that details LUXendins, the foundation for daLUXendins described here.
Hartig, S. M. & Cox, A. R. Paracrine signaling in islet function and survival. J. Mol. Med. 98, 451–467 (2020). A review article detailing paracrine circuits that underlie regulated pancreatic islet function and survival.
Willard, F. S. et al. Tirzepatide is an imbalanced and biased dual GIP and GLP-1 receptor agonist. JCI Insight 5, e140532 (2020). A research article showing that GIPR–GLP1R imbalance and signal balance are key to dual agonist efficacy.
Zhao, F. et al. Structural insights into multiplexed pharmacological actions of tirzepatide and peptide 20 at the GIP, GLP-1 or glucagon receptors. Nat. Commun. 13, 1057 (2022). A research article reporting the cryo-EM structure of the non-acylated tirzepatide-bound human GLP1R-Gs complex.
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This is a summary of: de Bray, A. et al. Fluorescent GLP1R/GIPR dual agonist probes reveal cell targets in the pancreas and brain. Nat. Metab. https://doi.org/10.1038/s42255-025-01342-6 (2025).
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Lighting up targets of dual agonist therapies for diabetes and obesity. Nat Metab 7, 1507–1508 (2025). https://doi.org/10.1038/s42255-025-01346-2
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DOI: https://doi.org/10.1038/s42255-025-01346-2