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2381089-83-2

2381089-83-2 Structure

2381089-83-2 Structure
IdentificationBack Directory
[Name]

Retatrutide
[CAS]

2381089-83-2
[Synonyms]

LY3437943
Retatrutide
GIPR/GLP-1R
[EINECS(EC#)]

200-001-8
Chemical PropertiesBack Directory
[storage temp. ]

-20°C
[solubility ]

Acetonitrile: Slightly soluble
DMSO: Sparingly Soluble: 1-10mg/mLPBS (pH 7.2): Sparingly Soluble: 1-10mg/mL
Water: Slightly soluble
[form ]

powder
[color ]

White lyophilized
[Water Solubility ]

Soluble in water (5mg/ml).
Hazard InformationBack Directory
[Description]

Retatrutide is a novel triple agonist peptide of the glucagon receptor (GCGR), glucose-dependent insulinotropic polypeptide receptor (GIPR) and glucagon-like peptide-1 receptor (GLP-1R). Retatrutide inhibits human GCGR, GIPR and GLP-1R with EC50 values of 5.79, 0.0643 and 0.775 nM, respectively and mouse GCGR, GIPR, and GLP-1R with EC50 values of 2.32, 0.191 and 0.794 nM, respectively. It is an important tool for obesity research.
Retatrutide potently activates the GLP-1R signaling pathway to stimulate glucose-dependent insulin secretion through activity at the GIP receptor (GIPR) or the GLP-1R.
Retatrutide is a synthetic peptide with glucose-lowering effects. It is an antidiabetic agent against type 2 diabetes (T2D), stimulating insulin and suppressing glucagon secretion in a glucose-dependent manner.
Retatrutide was also shown to delay gastric emptying, lower fasting and postprandial glucose concentration, decrease food intake and reduce body weight in patients with type 2 diabetes.
[History]

Retatrutide (LY-3437943) was discovered by the American pharmaceutical company Eli Lilly and Company. It is a triple glucagon hormone receptor agonist (GLP-1, GIP, and GCGR receptors) for obesity. The 2024 Lasker~DeBakey Clinical Medical Research Award has been given to Joel Habener and Svetlana Mojsov for their discovery of a new hormone GLP-1(7-37) and to Lotte Knudsen for her role in developing sustained acting versions of this hormone as a treatment for obesity.
[Uses]

Retatrutide is a once-weekly triple hormone receptor agonist developed by Eli Lilly and Company. It is a single-molecule peptide consisting of 39 amino acids with a molecular weight of approximately 4,731.33 Da. Its amino acid sequence has been optimised to achieve balanced agonist activity at the glucose-dependent insulinotropic polypeptide receptor (GIPR), glucagon-like peptide-1 receptor (GLP-1R), and glucagon receptor (GCGR). By simultaneously targeting all three receptors, retatrutide provides a multifaceted approach to metabolic regulation. Activation of the GLP-1 pathway suppresses appetite and delays gastric emptying, GIP signalling enhances insulin sensitivity and supports lipid metabolism, while GCGR activation increases energy expenditure and promotes hepatic fat oxidation. The complementary actions of these pathways enable comprehensive regulation of energy intake, metabolic efficiency, and energy expenditure, contributing to substantial weight loss and metabolic improvement.
[Biological Activity]

Retatrutide (LY3437943), a single peptide conjugated to a lipid diacid molecule, exerts a powerful agonist effect on the human glucagon‐receptor (GCGR), GIPR, and GLP‐1R. In comparison with the human glucagon and glucagon‐like peptide 1 (GLP‐1), retatrutide exhibits reduced potency (by a factor of 0.3 and 0.4, respectively) on the GCGR and GLP‐1R while displaying enhanced potency at the human GIPR (by a factor of 8.9) when compared to the glucose‐dependent insulinotropic polypeptide (GIP)[1].
[Mechanism of action]

When injected into mice suffering from diabetes-induced kidney injury, retatrutide was found to markedly reduce albuminuria levels while also increasing renal filtration rate. This was attributed to its ability to activate GLP-1R/GR-dependent signalling pathways, which then produced anti-inflammatory and antiapoptotic effects that protected the kidneys from further damage. Additionally, it has been shown to directly modulate glomerular permeability, thus leading to improved urinary concentration. Initial results indicate that the peptide can induce marked improvements in albuminuria levels within just four weeks of treatment when compared to other treatments for chronic kidney disease such as ACE inhibitors or angiotensin receptor blockers (ARBs). Moreover, retatrutide has demonstrated a greater effect than either ACE inhibitors or ARBs at reducing systolic blood pressure without inducing significant side effects.
[Side effects]

The most common side effects of retatrutide are gastrointestinal, including: Nausea, Diarrhea, Vomiting, and Constipation. At higher doses, researchers stated these symptoms were "mostly mild to moderate in severity" and typically treated by lowering the dosage. However, 7% of patients also experienced skin tingling. At 24 weeks of treatment, patients' heart rates on higher doses peaked but declined afterward.
[Synthesis]

Retatrutide is a 39-amino-acid peptide derived from the GIP backbone, synthesized using hydrophobic tag-assisted liquid-phase peptide synthesis (LPPS)[8].
[in vitro]

In vitro, Retatrutide demonstrates similar efficacy to natural glucagon in evoking glucose production within hepatocytes. Meanwhile, in adipocytes, it surpasses native GIP in inducing lipolysis. Retatrutide is effective in reducing weight in individuals with nonsyndromic obesity. Retatrutide demonstrates dosage‐dependent pharmacokinetics, featuring a favourable half‐life of nearly 6 days, enabling convenient weekly administration. Additionally, GLP‐1 and GCG are known to significantly delay GE in humans, while GIP may have no impact on GE. Delayed GE reduces food consumption and, therefore, leads to weight reduction[7].
[Clinical claims and research]

Drug Target(s) Mechanism of Action Advantages Representative Clinical Outcomes
Semaglutide GLP-1 Receptor Mimics endogenous GLP-1 by delaying gastric emptying, enhancing satiety, stimulating glucose-dependent insulin secretion, and suppressing glucagon release. Once-weekly administration, potent appetite suppression, and proven cardiovascular protection. Reduces the risk of major adverse cardiovascular events (MACE) by approximately 26% and promotes significant weight loss.
Tirzepatide GIP + GLP-1 Receptors Simultaneously activates GIP and GLP-1 receptors, improving insulin secretion, glucose regulation, and energy metabolism. Superior glucose-lowering and weight-loss efficacy compared with GLP-1 receptor agonists alone. Demonstrated greater efficacy than semaglutide in head-to-head studies and reduced the apnoea–hypopnoea index (AHI) by up to 62.8% in patients with obstructive sleep apnoea.
Mazdutide GLP-1 + GCGR Receptors Combines appetite suppression through GLP-1 receptor activation with increased energy expenditure and lipid oxidation through glucagon receptor activation. Particularly beneficial for metabolic dysfunction-associated steatotic liver disease (MASLD) and hyperuricaemia. Reported fatty liver remission rates of approximately 41%, alongside substantial weight reduction.
Retatrutide GIP + GLP-1 + GCGR Receptors Simultaneously activates three metabolic pathways, combining appetite suppression with enhanced calorie expenditure. Currently among the most potent incretin-based therapies for weight management. Achieved mean weight loss of up to 28.7% at 68 weeks and significantly improved obesity-related complications, including knee osteoarthritis symptoms.
[References]

1. LY3437943, a novel triple glucagon, GIP, and GLP-1 receptor agonist for glycemic control and weight loss: From discovery to clinical proof of concept: T. Coskun, et al.; Cell Metab. 34, 1234 (2022) DOI:10.1016/j.cmet.2022.07.013
2. The novel GIP, GLP-1 and glucagon receptor agonist retatrutide delays gastric emptying: S. Urva, et al.; Diabetes Obes. Metab. 25, 2784 (2023) DOI:10.1111/dom.15167
3. LY3437943, a novel triple GIP, GLP-1, and glucagon receptor agonist in people with type 2 diabetes: a phase 1b, multicentre, double-blind, placebo-controlled, randomised, multiple-ascending dose trial: S. Urva, et al.; Lancet 400, 1869 (2022) DOI:10.1016/S0140-6736(22)02033-5
4. Is retatrutide (LY3437943), a GLP-1, GIP, and glucagon receptor agonist a step forward in the treatment of diabetes and obesity? S.A. Doggrell; Expert Opin. Investig. Drugs 32, 355 (2023) DOI:10.1080/13543784.2023.2206560
5. Differentiation of human subcutaneous adipocytes and measurement of lipolytic function induced by GIP or LY3437943: A. Regmi & W. Roell; STAR Protoc. 4, 102304 (2023) DOI:10.1016/j.xpro.2023.102304
6. Gut hormone co-agonists for the treatment of obesity: from bench to bedside: R. Nogueiras, et al.; Nature Metab. 5, 933 (2023) (Review) DOI:10.1038/s42255-023-00812-z
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