Target intelligence / Profile preview

Amylin receptor 2 (AMY2) (AMY2)

Target
AMY2
Molecular classification
G protein-coupled receptor, Class B GPCR, Heterodimeric receptor complex
01

Overview

The Amylin receptor 2 (AMY2) is a heterodimeric G protein-coupled receptor (GPCR) complex formed by the association of the calcitonin receptor (CTR) and the receptor activity-modifying protein 2 (RAMP2) [1, 2]. It functions as a high-affinity receptor for the peptide hormone amylin, which is co-secreted with insulin by pancreatic beta cells to assist in postprandial glucose regulation [3]. Upon binding its ligand, AMY2 activates Gs-protein signaling pathways, leading to an increase in intracellular cyclic AMP (cAMP) levels [2, 4]. Biologically, the receptor is expressed in key brain regions like the area postrema, where it mediates satiety signals to reduce food intake and body weight [5]. Additionally, AMY2 activation slows gastric emptying and suppresses the secretion of glucagon, effectively lowering postprandial blood glucose excursions [3, 6]. Because of these metabolic effects, AMY2 is a primary therapeutic target for treating type 2 diabetes and obesity [6]. Drugs such as the synthetic amylin analog pramlintide and the long-acting agonist cagrilintide utilize this receptor to improve glycemic control and induce weight loss in clinical settings [7, 8].

Other names
CTR/RAMP2 complexCALCR/RAMP2Amylin receptor subtype 2
02

Mechanism of action

Agonism of the AMY2 receptor complex, which is a heterodimer of the calcitonin receptor and RAMP2, leads to the activation of Gs-mediated signaling, increasing intracellular cAMP levels to regulate satiety and glucose metabolism [2, 4].

03

Biological functions

Satiety signalingInhibition of glucagon secretionSlowing of gastric emptyingRegulation of calcium homeostasis
04

Disease associations

Type 2 diabetes mellitusObesityOsteoporosis
05

Safety considerations

Gastrointestinal side effects such as nausea and vomitingRisk of severe hypoglycemia when used in combination with insulinPotential injection site reactions
06

Interacting drugs

Pramlintide

4 more in the full profile.

07

Biomarkers

Glycated hemoglobin (HbA1c)Body weightPostprandial glucose levelsPlasma glucagon concentrations

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