Amylin structure–function relationships and receptor pharmacology: implications for amylin mimetic drug development
Open accessAbstract
Amylin is an important, but poorly understood, 37 amino acid glucoregulatory hormone with great potential to target metabolic diseases. A working example that the amylin system is one worth developing is the FDA‐approved drug used in insulin‐requiring diabetic patients, pramlintide. However, certain characteristics of pramlintide pharmacokinetics and formulation leave considerable room for further development of amylin‐mimetic compounds. Given that amylin‐mimetic drug design and development is an active area of research, surprisingly little is known about the structure/function relationships of amylin. This is largely due to the unfavourable aggregative and solubility properties of the native peptide sequence, which are further complicated by the composition of amylin receptors. These are complexes of the calcitonin receptor with receptor activity‐modifying proteins. This review explores what is known of the structure–function relationships of amylin and provides insights that can be drawn from the closely related peptide, CGRP. We also describe how this information is aiding the development of more potent and stable amylin mimetics, including peptide hybrids.
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Each receptor combination typically binds one calcitonin-family peptide with high affinity, while other family members bind same receptor dimer with lower affinities.
“Pharmacological studies of the interactions between peptides of the calcitonin family and their receptors have shown that each of the receptor combinations typically binds one of the calcitonin-family peptides with high affinity, whereas other members of the family can bind to the same receptor dimer with lower affinities (21).”
From The Activity of Peptides of the Calcitonin Family in Bone (2019) · cites this paper as [21]
The Amylin receptors and Amylin receptor pharmacology sections describe calcitonin-family peptides binding GPCR–RAMP receptor combinations and identify amylin as a high-affinity ligand at AMY1 and AMY3 receptors. They do not establish a general rule that each combination favors one peptide while all other family members bind with lower affinity: the pharmacology section reports that CGRP is also a potent agonist at some AMY receptors, with responses varying by RAMP and species (page not available in our copy). (LLM, conf=0.86)
Experimental — accuracy not yet measuredNH2-terminal and COOH-terminal are highly conserved among calcitonin, CGRP, and amylin, while middle region is more divergent.
“The NH 2 -terminal and COOH-terminal are highly conserved among calcitonin, CGPR, and amylin, whereas the middle region is more divergent (21).”
From The Activity of Peptides of the Calcitonin Family in Bone (2019) · cites this paper as [21]
Experimental — accuracy not yet measuredLinear peptides truncated at NH2-terminal, including amylin 8-37, alphaCGRP 8-37, and adrenomedullin 22-52, act as antagonists because they bind receptors but do not activate them.
“Thus, linear peptides produced by truncation of the NH 2terminal domains, including amylin 8 -37 , ␣CGRP 8 -37 , and adrenomedullin 22-52 , have been used as antagonists of the parent molecules, as they bind the receptors but fail to activate them (21).”
From The Activity of Peptides of the Calcitonin Family in Bone (2019) · cites this paper as [21]
IAPP is believed to interact with the calcitonin receptor (CALCR) but expression of CALCR is negligible in both mouse and human β-cells.
“IAPP is believed to interact with the calcitonin receptor (Calcr/CALCR) (84) but the expression of Calcr/CALCR expression is negligible in both mouse and human β-cells (Appendix Figure 12A).”
From Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men (2018) · cites this paper as [84]
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He, J., Dai, J., Li, J., Peng, X., & Niemi, A. J. (2015) · The Journal of Chemical Physics · doi:10.1063/1.4905586 · Cited by 8 · see citing works
Miyazato, M., Nakazato, M., Shiomi, K., Kangawa, K., Matsuo, H., & Matsukura, S. (1994) · Regulatory Peptides · doi:10.1016/0167-0115(94)90142-2 · Cited by 7 · see citing works
Synthesis and Structure‐Activity Analysis of Fragments and Analogs of CGRP8‐37a
Mimeault, M., St-Pierre, S. A., Quirion, R., Dumont, Y., & Fournier, A. (1992) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1992.tb22790.x · Cited by 5 · see citing works
Biotinyl analogues of amylin as biologically active probes for amylin/CGRP receptor recognition
Chantry, A., FOOT, E. A., Leighton, B., Day, A. J., & Willis, A. C. (1992) · FEBS Letters · doi:10.1016/0014-5793(92)80362-k · Cited by 3 · see citing works
Barbero (2014) · doi:10.1016/j · Cited by 1 · see citing works
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Anti-obesity drug discovery: advances and challenges
Müller, T. D., Blüher, M., Tschöp, M. H., & DiMarchi, R. D. (2022) · Nature Reviews Drug Discovery · doi:10.1038/s41573-021-00337-8 · Cited by 1,021 · see citing works
Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men
Rorsman, P., & Ashcroft, F. M. (2018) · Physiological Reviews · doi:10.1152/physrev.00008.2017 · Cited by 793 · see citing works
Update on the pharmacology of calcitonin/CGRP family of peptides: IUPHAR Review 25
Hay, D. L., Garelja, M. L., Poyner, D. R., & Walker, C. S. (2017) · British Journal of Pharmacology · doi:10.1111/bph.14075 · Cited by 375 · see citing works
“…two peptides, the first residues N-terminal to the disulphide bond do not appear to be necessary for biological activity, and the AM and AM2/IMD peptides can be considered as functional ~40 amino acid peptides (Bailey and Hay, 2006; Hong et al., 2012; Watkins et al., 2013; Bower and Hay, 2016).”
BackgroundInfluentialSelf-citationThe Activity of Peptides of the Calcitonin Family in Bone
Naot, D., Musson, D. S., & Cornish, J. (2019) · Physiological Reviews · doi:10.1152/physrev.00066.2017 · Cited by 141 · see citing works
“The NH2-terminal and COOH-terminal are highly conserved among calcitonin, CGPR, and amylin, whereas the middle region is more divergent (21).”
BackgroundBoyle, C. N., Lutz, T. A., & Le Foll, C. (2018) · Molecular Metabolism · doi:10.1016/j.molmet.2017.11.009 · Cited by 142 · see citing works
“On the other hand, transfected cell system studies show that amylin signaling also involves cAMP, intracellular Ca2þ, and beta-arrestin [17,22].”
BackgroundHargreaves, R. J., & Olesen, J. (2019) · Headache The Journal of Head and Face Pain · doi:10.1111/head.13510 · Cited by 129 · see citing works
Expression of the CGRP Family of Neuropeptides and their Receptors in the Trigeminal Ganglion
Edvinsson, L. I., Grell, A.-S., & Warfvinge, K. (2020) · Journal of Molecular Neuroscience · doi:10.1007/s12031-020-01493-z · Cited by 93 · see citing works
Molecular Signature for Receptor Engagement in the Metabolic Peptide Hormone Amylin
Bower, R. L., Yule, L. R., Rees, T. A., Deganutti, G., Hendrikse, E. R., Harris, P. W. R., Kowalczyk, R., Ridgway, Z. M., Wong, A. G., Swierkula, K., et al. (2018) · ACS Pharmacology & Translational Science · doi:10.1021/acsptsci.8b00002 · Cited by 80 · see citing works
Self-citationCalcitonin and Bone Physiology: In Vitro, In Vivo, and Clinical Investigations
Xie, J., Guo, J., Kanwal, Z., Wu, M., Lv, X., Ibrahim, N. A., Li, P., Buabeid, M. A., Arafa, E. A., & Sun, Q. (2020) · International Journal of Endocrinology · doi:10.1155/2020/3236828 · Cited by 73 · see citing works
“Among all calcitonin, CGPR, and amylin, the NH2 and COOH terminal remain preserved, while the middle area grows in a different direction [49].”
BackgroundIslet Amyloid Polypeptide: A Partner in Crime With Aβ in the Pathology of Alzheimer's Disease
Raimundo, A., Ferreira, S., Martins, I. C., & Menezes, R. (2020) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2020.00035 · Cited by 71 · see citing works
“To yield the mature active form of the hormone, IAPP suffers amidation of the Cterminal end, and a disulphide bond is formed between cysteines at positions two and seven (Westermark et al., 2011; Akter et al., 2016; Bower and Hay, 2016).”
BackgroundBoccia, L., Gamakharia, S., Coester, B., Whiting, L., Lutz, T. A., & Le Foll, C. (2020) · Peptides · doi:10.1016/j.peptides.2020.170366 · Cited by 70 · see citing works
“The amylin peptide sequence is very well conserved across species [6] and the difference in amino acid sequence between humans and cats versus rodents prevents rodents amylin to aggregate [7].”
Lutz, T. A. (2022) · Appetite · doi:10.1016/j.appet.2022.105965 · Cited by 59 · see citing works
Amylin and Leptin: Co-Regulators of Energy Homeostasis and Neuronal Development
Levin, B. E., & Lutz, T. A. (2016) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2016.11.004 · Cited by 49 · see citing works
Hay, D. L. (2017) · Headache The Journal of Head and Face Pain · doi:10.1111/head.13077 · Cited by 42 · see citing works
“Nevertheless, the conserved threonine at position 6 in all calcitonin family peptides is essential for receptor activation in CGRP at the CGRP and AMY1 receptors.(3,22) This supports the hypothesis that both are endogenous CGRP receptors.”
Self-citationMetal-dependent hormone function: the emerging interdisciplinary field of metalloendocrinology
Stevenson, M. J., Uyeda, K. S., Harder, N. H. O., & Heffern, M. C. (2018) · Metallomics · doi:10.1039/c8mt00221e · Cited by 41 · see citing works
Amylin, Another Important Neuroendocrine Hormone for the Treatment of Diabesity
Eržen, S., Tonin, G., Jurišić‐Eržen, D., & Klen, J. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25031517 · Cited by 38 · see citing works
“In blood, it can be found in non-glycosylated and glycosylated forms, with the latter inactive in blood [12,13].”
BackgroundPrediction Methods of Herbal Compounds in Chinese Medicinal Herbs
Han, K., Zhang, L., Wang, M., Zhang, R., Wang, C., & Zhang, C. (2018) · Molecules · doi:10.3390/molecules23092303 · Cited by 38 · see citing works
Majumder, P., Chanda, K., Das, D., Singh, B. K., Chakrabarti, P., Jana, N. R., & Mukhopadhyay, D. (2021) · Biochemical Journal · doi:10.1042/bcj20210175 · Cited by 38 · see citing works
“Amylin is a Calcitonin family peptide and it tends to interact with GPCRs of class B [25] in non-disease conditions.”
Human islet amyloid polypeptide: A therapeutic target for the management of type 2 diabetes mellitus
Roham, P. H., Save, S. N., & Sharma, S. (2022) · Journal of Pharmaceutical Analysis · doi:10.1016/j.jpha.2022.04.001 · Cited by 37 · see citing works
CGRP, Amylin, Immunology, and Headache Medicine
Taylor, F. R. (2018) · Headache The Journal of Head and Face Pain · doi:10.1111/head.13432 · Cited by 30 · see citing works
Rea, B. J., Davison, A., Ketcha, M.-J., Smith, K. J., Fairbanks, A. M., Wattiez, A., Poolman, P., Kardon, R. H., Russo, A. F., & Sowers, L. P. (2021) · Pain · doi:10.1097/j.pain.0000000000002537 · Cited by 30 · see citing works
Amylin in Alzheimer's disease: Pathological peptide or potential treatment?
Mietlicki‐Baase, E. G. (2017) · Neuropharmacology · doi:10.1016/j.neuropharm.2017.12.016 · Cited by 29 · see citing works
“RAMP1) and AMY3A (CTR-A/RAMP3) are most well characterized (Bailey et al., 2012; Bower and Hay, 2016).”
BackgroundAmylin Receptor: A Potential Therapeutic Target for Alzheimer’s Disease
Fu, W., Patel, A., Kimura, R., Soudy, R., & Jhamandas, J. H. (2017) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2017.06.003 · Cited by 28 · see citing works
Lima, L. M. T. R. (2017) · Anais da Academia Brasileira de Ciências · doi:10.1590/0001-3765201720160394 · Cited by 27 · see citing works
Patrick, S., Corrigan, R. R., Grizzanti, J., Mey, M., Blair, J., Pallàs, M., Camins, A., Lee, H., & Casadesús, G. (2019) · Journal of Alzheimer s Disease · doi:10.3233/jad-180421 · Cited by 27 · see citing works
“…correlation between plasma and cerebrospinal fluid amylin levels and cognitive function in T2DM [28], AD, and MCI patients [29, 30]; pre-clinical studies also demonstrated the neuroprotective benefits of amylin and pramlintide (PRAM), a non-aggregating synthetic analogue derived from rat amylin [31].”
Arrigoni, S., Foll, C. L., Cabak, A., Lundh, S. H., Raun, K., John, L. M., & Lutz, T. A. (2021) · European Journal of Neuroscience · doi:10.1111/ejn.15376 · Cited by 27 · see citing works
“Amylin is a centrally acting peptide hormone coproduced and cosecreted with insulin by pancreatic β cells in response to nutrient influx in the gastrointestinal tract (Bower & Hay, 2016; Cooper, 1994).”
BackgroundAmylin: From Mode of Action to Future Clinical Potential in Diabetes and Obesity
Volčanšek, Š., Koceva, A., Jensterle, M., Janež, A., & Muzurović, E. M. (2025) · Diabetes Therapy · doi:10.1007/s13300-025-01733-8 · Cited by 26 · see citing works
“Furthermore, the ability of amylin receptors to interact with other peptides, such as CT and CGRP, adds another layer of complexity to their signaling and functional roles [29, 30, 33].”
InfluentialGeisler, C. E., Décarie-Spain, L., Loh, M. K., Trumbauer, W., Gaisinsky, J., Klug, M. E., Pelletier, C., Davis, J. F., Schmidt, H. D., Roitman, M. F., et al. (2023) · Biological Psychiatry · doi:10.1016/j.biopsych.2023.07.011 · Cited by 24 · see citing works
Akter, R., Bower, R. L., Abedini, A., Schmidt, A. M., Hay, D. L., & Raleigh, D. P. (2018) · ACS Chemical Biology · doi:10.1021/acschembio.8b00690 · Cited by 23 · see citing works
Self-citationDistributed amylin receptor signaling and its influence on motivated behavior
Kern, K. A., & Mietlicki‐Baase, E. G. (2020) · Physiology & Behavior · doi:10.1016/j.physbeh.2020.112958 · Cited by 20 · see citing works
Structural insight into selectivity of amylin and calcitonin receptor agonists
Cao, J., Belousoff, M. J., Gerrard, E. J., Danev, R., Fletcher, M. M., Maso, E. D., Schreuder, H., Lorenz, K., Evers, A., Tiwari, G., et al. (2023) · Nature Chemical Biology · doi:10.1038/s41589-023-01393-4 · Cited by 20 · see citing works
“The single lysine substitution at position 20, 21 or 22 had little effect on the potency of analogs for either receptor.”
InfluentialSkovbjerg, G., Roostalu, U., Hansen, H. H., Lutz, T. A., Foll, C. L., Salinas, C. G., Skytte, J. L., Jelsing, J., Vrang, N., & Hecksher‐Sørensen, J. (2021) · European Journal of Neuroscience · doi:10.1111/ejn.15254 · Cited by 19 · see citing works
“Development of amylin analogues for treatment of metabolic diseases is complicated by the complex receptor biology of amylin (Bower & Hay, 2016).”
BackgroundPhysico-chemical properties of co-formulated fast-acting insulin with pramlintide
da Silva, D. C., & Lima, L. M. T. R. (2018) · International Journal of Pharmaceutics · doi:10.1016/j.ijpharm.2018.06.039 · Cited by 19 · see citing works
“Others amylin analogues, hybrids and receptors agonists are currently found in pipeline of development (Bower and Hay, 2016; Riddle and Drucker, 2006), demonstrating the interest and importance of amylin physiology and pharmacology.”
BackgroundRubinić, I., Kurtov, M., & Likić, R. (2024) · Pharmacology Research & Perspectives · doi:10.1002/prp2.1243 · Cited by 22 · see citing works
“192-194 The main limitation of human amylin is its short half-life, a result of renal clearance and proteolysis, 195 as well as its propensity to aggregate into fibrils that have no therapeutic value and are even harmful.”
Backgrounddo Nascimento, C. V. M. F., Sinézia, C., Sisnande, T., Lima, L. M. T. R., & Lacativa, P. G. S. (2019) · Peptides · doi:10.1016/j.peptides.2019.04.004 · Cited by 18 · see citing works
Fremanezumab for the preventive treatment of migraine in adults
Lionetto, L., Curto, M., Cisale, G. Y., Capi, M., Cipolla, F., Guglielmetti, M., & Martelletti, P. (2019) · Expert Review of Clinical Pharmacology · doi:10.1080/17512433.2019.1635452 · Cited by 18 · see citing works
“Amylin (AMY) or islet amyloid polypeptide (IAPP) is a neuroendocrine hormone produced by beta cells of pancreatic islets in co-secretion with insulin [28].”
BackgroundKalafateli, A. L., Aranäs, C., & Jerlhag, E. (2020) · Hormones and Behavior · doi:10.1016/j.yhbeh.2020.104885 · Cited by 18 · see citing works
Safety, tolerability and pharmacokinetic characterisation of DACRA KBP‐042 in healthy male subjects
Henriksen, K., Broekhuizen, K., de Boon, W. M. I., Karsdal, M. A., Bihlet, A. R., Christiansen, C., Dillingh, M. R., de Kam, M., Kumar, R., Burggraaf, J., et al. (2021) · British Journal of Clinical Pharmacology · doi:10.1111/bcp.14921 · Cited by 17 · see citing works
“Twelve (12) subjects were excluded based on the inclusion and exclusion criteria.”
Salmon Calcitonin Attenuates Some Behavioural Responses to Nicotine in Male Mice
Aranäs, C., Vestlund, J., Witley, S., Edvardsson, C. E., Kalafateli, A. L., & Jerlhag, E. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.685631 · Cited by 17 · see citing works
The Calcitonin/Calcitonin Gene-Related Peptide Family in Invertebrate Deuterostomes
Sekiguchi, T. (2018) · Frontiers in Endocrinology · doi:10.3389/fendo.2018.00695 · Cited by 17 · see citing works
“Comparisons of each CT/CGRP family peptide members in the same vertebrate spices show low primary amino acid sequence identity, whereas these peptides share common secondary amino acid structures such as the N-terminal circular structure formed by a disulfide bond, α-helical structure following the N-terminal region,…”
BackgroundThe Structural Refinement of Glucagon for Therapeutic Use.
Chabenne, J. R., Mroz, P., Mayer, J., & DiMarchi, R. (2019) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.9b01493 · Cited by 14 · see citing works
Foll, C. L., & Lutz, T. A. (2020) · Comprehensive physiology · doi:10.1002/cphy.c190034 · Cited by 27 · see citing works
Pramlintide an Adjunct to Insulin Therapy: Challenges and Recent Progress in Delivery
Pradyuth, K. S., Kumar, A., Chitkara, D., & Mittal, A. (2023) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.123.001679 · Cited by 13 · see citing works
Babych, M., Garelja, M. L., Nguyen, P. T., Hay, D. L., & Bourgault, S. (2024) · Journal of the American Chemical Society · doi:10.1021/jacs.4c05297 · Cited by 13 · see citing works
Self-citationThe story of amylin: from physiology to therapy
Secher, A., Lutz, T. A., & Raun, K. (2026) · Nature Metabolism · doi:10.1038/s42255-026-01465-4 · Cited by 12 · see citing works
“As mentioned, native amylin has a strong propensity to aggregate into amyloid fibrils, complicating its formulation and stability 33,197 , and overcoming this fibrillation tendency has been central to designing clinically viable analogues 43,198 .”
Zhang, Y., Nathan, J. B., Moreno, A., Merkel, R., Kahng, M. W., Hayes, M. R., Reiner, B. C., Crist, R. C., & Schmidt, H. D. (2023) · Neuropsychopharmacology · doi:10.1038/s41386-023-01634-z · Cited by 12 · see citing works
The calcitonin receptor is the main mediator of LAAMA's body weight lowering effects in male mice
Gamakharia, S., Foll, C. L., Rist, W., Baader-Pagler, T., Baljuls, A., & Lutz, T. A. (2021) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2021.174352 · Cited by 11 · see citing works
“It is important to consider that even though the increase of intracellular cAMP after LAAMA or amylin treatment means that the receptor has been activated in vitro (Bower and Hay, 2016), it is not always accompanied by an anorectic effect in vivo (Hay et al.”
BackgroundInfante, M., & Ricordi, C. (2023) · Expert Review of Endocrinology & Metabolism · doi:10.1080/17446651.2023.2168645 · Cited by 10 · see citing works
“islet amyloid polypeptide or IAPP) which is co-secreted with insulin by pancreatic beta cells in response to meals and at a molar ratio of approximately 1:100 (amylin-to-insulin) [71,72].”
BackgroundHuman IAPP is a contributor to painful diabetic peripheral neuropathy
Albariqi, M. M. H., Versteeg, S., Brakkee, E. M., Coert, J., Elenbaas, B. O. W., Prado, J., Hack, C., Höppener, J., & Eijkelkamp, N. (2021) · bioRxiv · doi:10.1172/jci156993 · Cited by 8 · see citing works
“Since hIAPP has a very short half-life (few minutes) (13), these data indicate that a short but strong rise in systemic hIAPP concentration is sufficient to cause long-lasting changes in peripheral sensory neurons.”
BackgroundFoll, C. L., & Lutz, T. A. (2020) · Comprehensive physiology · doi:10.1002/j.2040-4603.2020.tb00140.x · Cited by 10 · see citing works
“Amylin receptor pharmacology is complex because several distinct amylin receptor subtypes have been described (10, 41, 104); the prototypical amylin receptors 1 to 3 are thought to be derived from the co-expression of the calcitonin core receptor (CTR) with receptor-activity modifying proteins…”
The processing intermediate of human amylin, pro-amylin(1–48), has in vivo and in vitro bioactivity
Mazzini, G., Foll, C. L., Boyle, C. N., Garelja, M. L., Zhyvoloup, A., Miller, M. E. T., Hay, D. L., Raleigh, D. P., & Lutz, T. A. (2024) · Biophysical Chemistry · doi:10.1016/j.bpc.2024.107201 · Cited by 9 · see citing works
Self-citationRole of amylin in feeding and satiation
Lutz, T. A. (2025) · Neuropharmacology · doi:10.1016/j.neuropharm.2025.110587 · Cited by 9 · see citing works
“…receptor specificity and affinity; further, they may also be involved in controlling the transport of the receptor complexes to the cell surface(Bower and Hay, 2016; Christopoulos et al., 1999; Fischer et al., 2002; Fletcher et al., 2021; Hay et al., 2005, 2015, 2016; Keov et al., 2024; Le…”
In Silico Comparative Study of Human and Porcine Amylin
Alves, N. A., & Frigori, R. B. (2018) · The Journal of Physical Chemistry B · doi:10.1021/acs.jpcb.8b09363 · Cited by 9 · see citing works
Update on: effects of anti-diabetic drugs on bone metabolism
Mabilleau, G., & Bouvard, B. (2020) · Expert Review of Endocrinology & Metabolism · doi:10.1080/17446651.2020.1831911 · Cited by 9 · see citing works
Yang, T., Filippov, I., Manathunga, L., Baghai, A., Maréchal, A., Raleigh, D. P., & Zhyvoloup, A. (2024) · Biophysical Chemistry · doi:10.1016/j.bpc.2023.107168 · Cited by 8 · see citing works
Role of mass spectrometry in the study of interactions between amylin and metal ions
Moracci, L., Crotti, S., Traldi, P., Agostini, M., Cosma, C., & Lapolla, A. (2021) · Mass Spectrometry Reviews · doi:10.1002/mas.21732 · Cited by 8 · see citing works
Islet amyloid polypeptide does not suppress pancreatic cancer
Taylor, A. J., Panzhinskiy, E., Orban, P. C., Lynn, F. C., Schaeffer, D. F., Johnson, J. D., Kopp, J. L., & Verchere, C. B. (2023) · Molecular Metabolism · doi:10.1016/j.molmet.2023.101667 · Cited by 7 · see citing works
“IAPP receptors are generated through heterodimerization of the calcitonin receptor (CALCR; CTR) with one of three receptor activitymodifying protein family members (RAMP-1,-2, or-3) which increase specificity of the receptors for IAPP [31].”
BackgroundAmylin and the amylin receptors in migraine: Is there another pathway to target?
Moreno‐Ajona, D., Gosalia, H., Hoffmann, J., & Goadsby, P. J. (2025) · Cephalalgia · doi:10.1177/03331024251340066 · Cited by 7 · see citing works
“It is a high-af fi nity ligand for the AMY 1 and AMY 3 receptors, variable of AMY 2 (6,10) .”
Patch, R. J., Zhang, R., Edavettal, S. C., Macielag, M. J., Eckardt, A. J., Li, J., Rives, M., Edwards, W., Hinke, S. A., Qiu, X., et al. (2022) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2022.114330 · Cited by 7 · see citing works
Synergistic long-range effects of mutations underlie aggregation propensities of amylin analogues
Alves, N. A., Dias, L. G., & Frigori, R. B. (2019) · Journal of Molecular Modeling · doi:10.1007/s00894-019-4137-x · Cited by 7 · see citing works
Long-acting amylin-related peptides as therapies for obesity and type 2 diabetes
Bailey, C. J., Flatt, P. R., & Conlon, J. M. (2026) · Peptides · doi:10.1016/j.peptides.2026.171480 · Cited by 6 · see citing works
Type‐2 Diabetes, Pancreatic Amylin, and Neuronal Metabolic Remodeling in Alzheimer's Disease
Leibold, N. S., Bain, J. R., & Despa, F. (2023) · Molecular Nutrition & Food Research · doi:10.1002/mnfr.202200405 · Cited by 6 · see citing works
Amylin Pharmacology in Alzheimer’s Disease Pathogenesis and Treatment
Casadesus, G., Corrigan, R. R., & Piontkivska, H. (2021) · Current Neuropharmacology · doi:10.2174/1570159x19666211201093147 · Cited by 6 · see citing works
“Additional sites of amylin of binding as well as amylin uptake, confirmed amylin-labeled radioactivity include: ventral tegmental area (VTA), hypothalamus, NAc, subfornical organ (SFO), amygdala, bed nucleus of the stria terminalis (BNST), locus coeruleus, thalamus pons, medulla, hippocampus, striatum, as well as fron…”
Ooi, S. A., Valli, D., Kuska, M. I., Marí, H., Chaudhary, H., Wahlgren, W. Y., Westenhoff, S., Tietze, A. A., Novials, A., Servitja, J., et al. (2025) · Journal of Molecular Biology · doi:10.1016/j.jmb.2025.169405 · Cited by 5 · see citing works
“16 Consequently, the search for improved formulation is still on-going, with new promising IAPP analogs undergoing clinical trials.”
Corrigan, R. R., Labrador, L., Grizzanti, J., Mey, M., Piontkivska, H., & Casadesús, G. (2023) · Journal of Alzheimer s Disease · doi:10.3233/jad-221057 · Cited by 5 · see citing works
Febres-Aldana, A. J., Vanegas, O., Giammarresi, M., Gomes, C., Dı́az, E., & Ponte‐Sucre, A. (2018) · Infection Genetics and Evolution · doi:10.1016/j.meegid.2018.04.003 · Cited by 5 · see citing works
Mendes, W. S., Franco, O. L., de Alencar, S. A., & Porto, W. F. (2021) · Biochimica et Biophysica Acta (BBA) - General Subjects · doi:10.1016/j.bbagen.2021.129935 · Cited by 5 · see citing works
Molecular engineering of designer diabetes therapeutics
DeWolf, E. L., Webber, B., & Webber, M. J. (2026) · Journal of Controlled Release · doi:10.1016/j.jconrel.2026.114705 · Cited by 4 · see citing works
L’îlot pancréatique : ce que nous savons 150 ans après Langerhans
Mandarim-de-Lacerda, C. A. (2019) · Bulletin de l'Académie Nationale de Médecine · doi:10.1016/j.banm.2019.06.015 · Cited by 6 · see citing works
Zheng, N., Chen, R., Yang, L., Xu, P., Wang, X., Sun, X., Lin, Y.-X., Qiu, J., Su, X., Wang, Y., et al. (2025) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.5c02893 · Cited by 3 · see citing works
Naot, D., Musson, D. S., & Cornish, J. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-814841-9.00033-6 · Cited by 4 · see citing works
Impact of Gut and Metabolic Hormones on Feeding Reward
Klockars, A., Levine, A. S., Head, M. A., Perez‐Leighton, C. E., Kotz, C. M., & Olszewski, P. K. (2021) · Comprehensive physiology · doi:10.1002/cphy.c190042 · Cited by 5 · see citing works
Davargaon, R. S., Verma, N., Kotiya, D., Leibold, N. S., Velmurugan, G. V., Ly, H., Chen, K. C., Ruíz, D., Corces, V. G., Liu, H., et al. (2026) · iScience · doi:10.1016/j.isci.2026.115157 · Cited by 2 · see citing works
Rega, M., Petraglia, F. M., D’Ursi, L., Buonocore, M., Criscuolo, D., & Santoro, A. (2026) · Clinical bioenergetics · doi:10.3390/clinbioenerg2010005 · Cited by 2 · see citing works
“Amylin, also known as islet amyloid polypeptide (IAPP) or diabetes-associated peptide, is a member of the calcitonin (CT) family of peptides [100].”
Massively parallel quantification of mutational impact on IAPP amyloid formation
Badia, M., Batlle, C., & Bolognesi, B. (2026) · Nature Communications · doi:10.1038/s41467-026-70611-z · Cited by 2 · see citing works
“Different structural polymorphs have been described for fi brils formed by the two peptides in vitro or extracted from human tissue (8 for IAPP 14,19 – 23 and 10 for A β 42 24 – 29 ).”
Impact of Gut and Metabolic Hormones on Feeding Reward
Klockars, A., Levine, A. S., Head, M. A., Perez‐Leighton, C. E., Kotz, C. M., & Olszewski, P. K. (2021) · Comprehensive physiology · doi:10.1002/j.2040-4603.2021.tb00153.x · Cited by 2 · see citing works
Female mice exhibit a more sensitive automated squint response to pain induced by CGRP and amylinPreprint
Rea, B. J., Sowers, L. P., Davison, A., Fairbanks, A. M., Wattiez, A., Poolman, P., Kardon, R. H., & Russo, A. F. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.05.26.445893 · Cited by 2 · see citing works
“Human amylin has ~50% sequence identity with CGRP and the two peptides bind a shared receptor (AMY1) with equal affinity [2].”
BackgroundThe CGRP Family of Neuropeptides and their Receptors in the Trigeminovascular System
Edvinsson, L. I., & Warfvinge, K. (2021) · Headache · doi:10.1007/978-3-030-69032-8_1 · Cited by 1 · see citing works
Molecular and Cellular Mechanisms of CGRP Antagonists
Haanes, K. A., & Edvinsson, L. I. (2022) · Headache · doi:10.1007/978-3-030-95334-8_2 · Cited by 1 · see citing works
Tarhan, M., Hartl, T., Shchyglo, O., Colitti-Klausnitzer, J., Kuhla, A., Breuer, T. M., & Manahan‐Vaughan, D. (2024) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2024.1373477 · Cited by 1 · see citing works
“Amylin is a 37-amino acid neuroendocrine polypeptide hormone that is co-secreted with insulin from pancreatic β - cells (Westermark et al., 2011; Bower and Hay, 2016).”
BackgroundAlhazmi, A., & le Roux, C. W. (2026) · Diabetes Obesity and Metabolism · doi:10.1111/dom.71074 · Cited by 1 · see citing works
Noncardiovascular-derived therapeutic peptidomimetics in cardiovascular disease
Litmanovich, A., Ertracht, O., Blumberg, Y., Saad, M., Moady, G., & Qvit, N. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-820141-1.00013-3 · Cited by 1 · see citing works
Peripheral Modulators of Appetite in Eating Disorders
Procházková, P., Roubalová, R., & Papežová, H. (2023) · Springer eBooks · doi:10.1007/978-3-030-97416-9_113-1 · Cited by 1 · see citing works
Structural Analysis of Amylin and Amyloid β Peptide Signaling in Alzheimer’s Disease
Xie, L., Lockhart, C., Bowers, S. R., Klimov, D. K., & Jafri, M. S. (2025) · Biomolecules · doi:10.3390/biom15010089 · Cited by 1 · see citing works
Structure, Self-Association, and Aggregation Properties of a Long-Acting Amylin Receptor Agonist
Poulsen, C., Norrman, M., Thomsen, J. K., & Wahlund, P. (2025) · Molecular Pharmaceutics · doi:10.1021/acs.molpharmaceut.5c00161 · Cited by 1 · see citing works
Amylin and amylin receptors in Alzheimer's disease
Fu, W., & Jhamandas, J. H. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-815868-5.00020-7 · Cited by 1 · see citing works
An electrospray ionization study on complexes of amylin with Cu(II) and Cu(I)
Moracci, L., Crotti, S., Traldi, P., Cosma, C., Lapolla, A., Pucciarelli, S., & Agostini, M. (2021) · Journal of Mass Spectrometry · doi:10.1002/jms.4773 · Cited by 1 · see citing works
Chen, Y., Li, Q., Li, X., Liu, H., Li, P., Hai, R., Guo, Y., Wang, S., Wang, K., & Du, C. (2022) · Neuropeptides · doi:10.1016/j.npep.2022.102288 · Cited by 1 · see citing works
Physico-chemical properties of co-formulation of insulin with pramlintidePreprint
da Silva, D. C., & Lima, L. M. T. R. (2017) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/227363 · Cited by 1 · see citing works
“analogues, hybrids and receptors agonists are currently found in pipeline of development (24,25).”
BackgroundChuang, C.-L., & Hay, D. L. (2021) · Springer eBooks · doi:10.1007/978-3-030-57401-7_10021 · Cited by 1 · see citing works
Self-citationGarelja, M. L., & Hay, D. L. (2020) · Springer eBooks · doi:10.1007/978-3-030-21573-6_10055-1
Self-citationRole of Amylin in Thyroid Cancer
Abdalla, M. M. I. (2019) · Journal of Endocrinology and Thyroid Research · doi:10.19080/jetr.2019.04.555631
Garelja, M. L., & Hay, D. L. (2021) · Springer eBooks · doi:10.1007/978-3-030-57401-7_10055
Self-citationChuang, C.-L., & Hay, D. L. (2020) · Springer eBooks · doi:10.1007/978-3-030-21573-6_10021-1
Self-citationOral delivery of the amylin receptor agonist pramlintide
Sinézia, C., Sisnande, T., Icart, L. P., & Lima, L. M. T. R. (2024) · Peptide Science · doi:10.1002/pep2.24346
Peripheral Modulators of Appetite in Eating Disorders
Procházková, P., Roubalová, R., & Papežová, H. (2024) · Springer eBooks · doi:10.1007/978-3-031-46096-8_113
Coordination Chemistry of Diabetes‐Associated Islet Peptide Hormones
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“53 Second, the employed experimental ptOA model is not capable of fully recapitulating the multifactorial pathogenesis of human OA.”
Future Directions in the Medical Treatment of Obesity: A Narrative Review
Bassatne, A., & Rizo, I. M. (2026) · Advances in Therapy · doi:10.1007/s12325-026-03576-6 · Cited by 2 · see citing works
“Amylin is a 37-amino acid hormone co-secreted with insulin from pancreatic beta cells in response to nutrient stimuli [86].”
InfluentialQuesada, I. V., Belova, E., Jarrah, A., Mariano, M. C. C., Dahleh, Y., Lima, M. A., Costa, D. B. V., Francescone, R. A., III, Cukierman, E., Hodgson, L., et al. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.04.17.719233
- Authors
- Bower, R. L., & Hay, D. L.
- Affiliations
- University of Auckland (NZ)
- Corresponding author
- Hay, Debbie L
- ORCID
- Hay, Debbie L
- Venue
- British Journal of Pharmacology
- Publisher
- Wiley
- Published
- 2016-05-18
- Volume
- 173
- Issue
- 12
- Pages
- 1883-1898
- ISSN
- 0007-1188 (ISSN-L)
- 1476-5381
- PMC
- PMC4882495
- OpenAlex
- W2335911426
- Semantic Scholar
- cc043789091801cad46a9f84f624576696d57472
- Cited by
- 104
- References
- 90
- Citations by year
- 2026: 14 · 2025: 8 · 2024: 8 · 2023: 10 · 2022: 6 · 2021: 18 · 2020: 12 · 2019: 9 · 2018: 10 · 2017: 8 · 2016: 1
- FWCI
- 1.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of Pharmacology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Keywords
- amylin, structure-function relationship, pramlintide, amylin receptor, calcitonin receptor, receptor activity-modifying proteins, amylin aggregation, peptide solubility, calcitonin gene-related peptide, hybrid peptides, type 1 diabetes, drug development
- MeSH terms
- Animals, Humans, Structure-Activity Relationship, Drug Design, Islet Amyloid Polypeptide, Receptors, Islet Amyloid Polypeptide, Amylin Receptor Agonists
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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