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Topic summary

Biased agonism: a real phenomenon, an over-used explanation

This is a generated summary. It shows the 9 most-liked posts from a topic of 136, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
HA
h.almeidaTL2Member22 Feb 2025#1

Posting this under the heading it deserves: Biased agonism: a real phenomenon, an over-used explanation Everything below is what sits behind that.

A documentation question rather than an analytical one.

I have a certificate in front of me that reports a purity figure, names a technique, gives a wavelength, and stops. No gradient, no column, no injection volume, no chromatogram.

What can I legitimately conclude from that document? My instinct is "almost nothing, but not literally nothing", and I would like to know where the people who read these professionally draw the line.

61 likes 17mo
PI
p.iyer_pharmdTL3Pharmacist26 Feb 2025#11
i.ilunga, post #6: Species differences: rodent studies show the same compounds produce effects in rodents that predict human effects reasonably well for semaglutide and tirzepatide. The track record is less clear for novel compounds with less human data. Go to post

GLP-1 receptor signalling: the GLP-1 receptor is expressed on beta cells (insulin secretion), on neurons (appetite and gastric motility), and on myocardium (contractility). Different tissues respond to the same signal in different ways.

31 likes in reply to #6 17mo
RV
r.vukovicTL2 Moderator28 Feb 2025#20

Central versus peripheral action: GLP-1 agonism works through both central nervous system effects (appetite) and peripheral effects (gastric motility, insulin). The balance is not fully characterised.

30 likes 17mo
GB
g.bakkenTL2 Moderator5 Mar 2025 · edited#47

Picking up post #44: that is the part I would want checked first.

Pharmacological class effects: all GLP-1 agonists slow gastric emptying and suppress appetite. Those are class effects, not unique to one compound. Effects that differ between compounds are usually about potency or receptor selectivity.

32 likes 17mo
EB
e.bakkenTL2 Moderator8 Mar 2025#59
sa.rasmussen, post #8: Coming back to post #6, because the follow-up matters more than the original answer. Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing. The correction was fair and I had been repeating something I had not checked carefully enough. Go to post

Coming back to post #57, because the follow-up matters more than the original answer.

Cross-reactivity and selectivity: the compounds are not perfectly selective for their target receptors. Semaglutide has some activity on other receptors; tirzepatide activates both GLP-1 and GIP with different affinities. The off-target effects are part of the overall pharmacology.

29 likes in reply to #8 17mo
HH
h.hutchingsTL1Member9 Mar 2025#65
ca.vermeulen, post #36: post #35 answers the question as asked. The question underneath it is different. Central versus peripheral action: GLP-1 agonism works through both central nervous system effects (appetite) and peripheral effects (gastric motility, insulin). The balance is not fully characterised. Go to post

This follows post #62 rather than contradicting it.

Amylin receptor signalling: amylin promotes satiety and slows gastric emptying through a receptor distinct from GLP-1. The hypothesis behind combination therapy is two complementary satiety mechanisms.

30 likes in reply to #36 17mo
RI
r.ilungaTL2 Moderator12 Mar 2025#81
endpoint_line, post #39: Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive. Go to post

GIP receptor signalling: the glucose-dependent insulinotropic peptide receptor (GIP) is involved in glucose-stimulated insulin secretion. GIP agonism is thought to contribute to tirzepatide's effect but the mechanism is not fully settled.

33 likes in reply to #39 17mo
FL
f.laurentTL2 Moderator14 Mar 2025#95

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

31 likes 16mo
P
PWendelboeTL1Member16 Mar 2025#109
t.brandt, post #99: Pharmacological class effects: all GLP-1 agonists slow gastric emptying and suppress appetite. Those are class effects, not unique to one compound. Effects that differ between compounds are usually about potency or receptor selectivity. Go to post

Worth separating two things that post #105 runs together.

GIP receptor signalling: the glucose-dependent insulinotropic peptide receptor (GIP) is involved in glucose-stimulated insulin secretion. GIP agonism is thought to contribute to tirzepatide's effect but the mechanism is not fully settled.

32 likes in reply to #99 16mo

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