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4-CMTB (also known as AMG-7703) is a selective, small-molecule allosteric agonist and positive allosteric modulator (ago-PAM) of free fatty acid receptor 2 (FFA2/GPR43). Originally identified by Amgen, the compound binds to an allosteric site on FFA2 distinct from the orthosteric site of endogenous short-chain fatty acids (SCFAs), showing positive cooperativity with SCFAs like propionate and acetate. 4-CMTB stimulates intracellular calcium mobilization and inhibits cAMP accumulation through G protein-coupled signaling pathways. Although developed preclinically for the treatment of metabolic and inflammatory disorders (such as obesity and type 2 diabetes) by inhibiting lipolysis, its development was discontinued due to poor pharmacokinetic properties and low solubility. It is now widely utilized as a pharmacological research tool to study FFA2-mediated signaling and physiological functions.
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