Target intelligence / Profile preview

Glucagon-like peptide 1 receptor (GLP-1R)

Target
GLP-1R
Molecular classification
G protein-coupled receptor (GPCR)
01

Overview

The Glucagon-like peptide 1 receptor (GLP-1R) is a G protein-coupled receptor that binds glucagon-like peptide 1, an incretin hormone central to metabolic regulation. GLP-1R activation stimulates glucose-dependent insulin release, inhibits glucagon secretion, delays gastric emptying, and promotes satiety. While primarily targeted for type 2 diabetes and obesity, GLP-1R also modulates gallbladder function. Agonism of GLP-1R can delay gallbladder emptying, which is associated with an increased risk of gallstone formation and cholecystitis, representing a notable safety concern for GLP-1R agonist therapies.

Other names
GLP1RGlucagon-like peptide-1 receptor
02

Mechanism of action

Agonism at the Glucagon-like peptide 1 receptor (GLP-1R) activates downstream signaling pathways (e.g., cAMP), leading to glucose-dependent insulin secretion, glucagon suppression, delayed gastric emptying, and increased satiety. In the context of gallbladder function, GLP-1R agonism contributes to delayed gallbladder emptying, affecting bile flow and potentially leading to gallstone formation.

03

Biological functions

Gallbladder motility regulationInsulin secretion stimulationGlucagon secretion suppressionGastric emptying delayAppetite and satiety regulationGlucose homeostasis
04

Disease associations

Type 2 diabetesObesityGallstone disease (as a drug-induced side effect)Cholecystitis (as a drug-induced side effect)
05

Safety considerations

Delayed gallbladder emptyingIncreased risk of gallstonesCholecystitisPancreatitisThyroid C-cell tumors (observed in rodents, clinical relevance for humans debated)Gastrointestinal adverse events (nausea, vomiting, diarrhea, constipation)
06

Interacting drugs

3 more in the full profile.

07

Biomarkers

Endogenous GLP-1 levelsHbA1c (for diabetes efficacy)Body weight (for obesity efficacy)Gallbladder ejection fraction (as a measure of motility impact)Cholecystokinin (CCK) levels (indirectly related to gallbladder function)

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