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Gastric inhibitory polypeptide receptor (GIPR) (GIPR)

Target
GIPR
Molecular classification
G protein-coupled receptor [4, 12], Class B GPCR [1, 6], Receptor [4]
01

Overview

The Gastric inhibitory polypeptide receptor (GIPR), also known as the glucose-dependent insulinotropic polypeptide receptor, is a Class B G protein-coupled receptor primarily expressed in pancreatic beta cells, adipose tissue, and the central nervous system [4, 7, 14]. Its primary physiological role is to mediate the "incretin effect," where the hormone GIP stimulates insulin secretion from the pancreas in response to oral nutrient intake [2, 14]. Beyond glycemic control, GIPR signaling influences lipid metabolism in adipose tissue and regulates energy balance through receptors in the brain's satiety centers [5, 11, 15]. In the context of disease, GIPR is a major therapeutic target for type 2 diabetes and obesity, where its modulation helps restore insulin sensitivity and promote weight loss [1, 6, 13]. Interestingly, both GIPR agonism (e.g., tirzepatide) and antagonism (e.g., maridebart cafraglutide) are being explored as therapeutic strategies, often in combination with GLP-1 receptor modulation [13, 17, 19]. While agonists enhance the insulinotropic response and central satiety, antagonists are thought to prevent GIP-mediated fat accumulation and potentially alleviate side effects like nausea [13, 19].

Other names
Glucose-dependent insulinotropic polypeptide receptor [4, 16]GIP-R [16]PGQTL2 [16]
02

Mechanism of action

Agonism of the GIPR stimulates adenylate cyclase, increasing intracellular cAMP and potentiating glucose-dependent insulin secretion [14, 18]. Pharmacological agonism or antagonism (often in combination with GLP-1R) also modulates central energy balance and peripheral lipid storage to treat metabolic disorders [6, 13, 19].

03

Biological functions

Signal transduction [7]Insulin secretion [14]Glucose homeostasis [2]Lipid metabolism [1, 11]Appetite regulation [5, 17]Bone formation [2, 8]
04

Disease associations

Type 2 diabetes mellitus [1, 14]Obesity [1, 14]Cardiovascular disease [1, 14]Osteoporosis [2, 8]Neurodegenerative disease [5]Neuroendocrine tumor [1, 8]
05

Safety considerations

Nausea [14, 17]Vomiting [14, 17]Diarrhea [14, 17]Pancreatitis [1, 14]Gallbladder disease [14]Potential risk of thyroid C-cell tumors [1, 14]Bone fracture risk with impaired signaling [8, 20]
06

Interacting drugs

Tirzepatide [1, 14]

3 more in the full profile.

07

Biomarkers

HbA1c [14, 23]Fasting blood glucose [14, 23]Body weight [14, 23]C-peptide [14]GIP levels [23]

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