Target intelligence / Profile preview

Liver-expressed antimicrobial peptide 2 (LEAP2)

Target
LEAP2
Molecular classification
Antimicrobial peptide, Hepatokine, Endogenous GHSR antagonist, Cationic peptide, Host defense peptide
01

Overview

Liver-expressed antimicrobial peptide 2 (LEAP2) is a small, cationic, cysteine-rich peptide primarily expressed in the liver, and is cleaved from a 77-residue precursor to form an active 40-residue peptide[2]. Originally discovered for its weak direct antimicrobial effects via disruption of bacterial membranes, its physiological concentrations suggest a more significant role as an endocrine regulator. LEAP2 is now recognized as an endogenous antagonist and inverse agonist of the growth hormone secretagogue receptor (GHSR), thereby counteracting ghrelin signaling and regulating energy intake, glucose metabolism, and overall metabolic homeostasis[3][4][6]. Its functions extend to host immune defense, although its antimicrobial potency is modest at physiological levels[1][3][5]. LEAP2’s secretion is responsive to metabolic status, nutritional cues, and inflammation, making it a potential target in obesity and metabolic disease research[4][6].

Other names
Liver-enriched antimicrobial peptide 2LEAP-2LEAP2
02

Mechanism of action

Antagonism/Inverse agonism at the growth hormone secretagogue receptor (GHSR), suppressing ghrelin-induced receptor signaling; Disruption of microbial cell membranes at supraphysiological concentrations[1][3][6]

03

Biological functions

Regulation of energy metabolismAntagonism/Inverse agonism of growth hormone secretagogue receptor (GHSR)Immune defense against pathogens (antimicrobial activity)Modulation of food intake and glucose homeostasis
04

Disease associations

ObesityInfectionInflammationMetabolic disorders
05

Safety considerations

No major safety concerns documented in available literature. The main therapeutic challenges are specificity, delivery, and off-target effects due to broad metabolic roles[6].
06

Interacting drugs

No approved drugs directly targeting LEAP2; research is mainly focused on peptide analogues or modulators of the ghrelin system[6].
07

Biomarkers

Plasma LEAP2 levels may serve as biomarkers for metabolic status (e.g., obesity, post-bariatric surgery), but clinical use is not established[4].

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