Target intelligence / Profile preview

Glucagon receptor mRNA (GCGR mRNA)

Target
GCGR mRNA
Molecular classification
Nucleic acid, Messenger RNA
01

Overview

Glucagon receptor (GCGR) mRNA is the messenger RNA transcript that encodes the glucagon receptor, a Class B G protein-coupled receptor primarily located on hepatocytes (Source: UniProt P47871). This mRNA serves as a therapeutic target for antisense oligonucleotides (ASOs) designed to treat metabolic disorders like type 2 diabetes by reducing the synthesis of the GCGR protein (Source: PubMed PMID: 25643358). By lowering the abundance of the glucagon receptor, these therapies decrease hepatic glucose production, which is often pathologically elevated in diabetic patients (Source: PubMed PMID: 29127220). Clinical evaluation of drugs targeting GCGR mRNA, such as IONIS-GCGRRx, has demonstrated significant reductions in glycated hemoglobin (HbA1c) and fasting blood glucose (Source: PubMed PMID: 29127220). However, the reduction in glucagon signaling leads to a compensatory increase in circulating glucagon levels and has been associated with potential safety concerns such as pancreatic alpha-cell hyperplasia and increases in liver fat or enzymes (Source: PubMed PMID: 30104248). The use of ligand-conjugated antisense technology (LICA) has been explored to improve the potency and liver-targeting specificity of these mRNA-targeted agents (Source: PubMed PMID: 29127220). Overall, GCGR mRNA represents a validated target for RNA-based therapeutics aiming to restore glucose balance in metabolic disease.

Other names
Glucagon receptor messenger RNAGCGR transcriptGCGR mRNA
02

Mechanism of action

Antisense oligonucleotide-mediated degradation of mRNA via RNase H, leading to reduced translation of the glucagon receptor protein.

03

Biological functions

TranslationRegulation of hepatic glucose productionGlucose homeostasis
04

Disease associations

Type 2 diabetes mellitusHyperglycemiaMetabolic syndrome
05

Safety considerations

HyperglucagonemiaPancreatic alpha-cell hyperplasiaIncreased LDL cholesterolElevated liver transaminasesPotential for hepatic steatosis
06

Interacting drugs

IONIS-GCGRRx

3 more in the full profile.

07

Biomarkers

HbA1cFasting plasma glucoseSerum glucagonGlucagon-like peptide 1 (GLP-1)Liver transaminases (ALT/AST)

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