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Exendin-4(1-32)K-Capric Acid, a Glucagon-Like Peptide-1 Receptor Agonist, Suppresses Food Intake via Arcuate Pro-Opiomelanocortin Neurons.

Endocrinol Metab (Seoul) · 2025

Last updated 2026-05-28

A study found that a GLP-1 drug called Ex-4c reduces appetite by activating specific brain cells called pro-opiomelanocortin (POMC) neurons in the hypothalamus. The drug works by stimulating these neurons through a pathway involving a protein called PKA, which helps control appetite. The effects were observed in experiments with animals, showing that Ex-4c directly influences these neurons to suppress food intake.

AI summary of the abstract below.

JournalEndocrinol Metab (Seoul), 2025
Citations1
Molecules
Conditions studied Obesity

Abstract

BACKGRUOUND: Glucagon-like peptide-1 (GLP-1) is an incretin known for its anti-obesity effects, and several effective drugs targeting GLP-1 receptors (GLP-1Rs) have recently been developed to treat obesity. Although GLP-1Rs are expressed by various populations of central neurons, it is still unclear which specific populations mediate the anti-obesity effects of GLP-1R agonists. METHODS: In this study, we utilized the previously reported GLP-1R agonist, exendin-4(1-32)K-capric acid (Ex-4c), and conducted whole-cell patch-clamp recordings, immunohistochemistry experiments, and in vivo food intake measurements. RESULTS: Our findings indicate that the appetite-suppressing effects of Ex-4c depend on pro-opiomelanocortin (POMC) neurons. Fos immunochemistry experiments and whole-cell patch-clamp recordings showed that Ex-4c activated POMC neurons in the arcuate nucleus of the hypothalamus. Additionally, we observed that Ex-4c stimulated GLP-1Rs and activated the protein kinase A (PKA)- dependent signaling pathway, which in turn closed putative adenosine triphosphate-sensitive K+ (KATP) channels, leading to the depolarization of POMC neurons. CONCLUSION: Our results demonstrate that the appetite-suppressing effects of Ex-4c are mediated through the activation of arcuate POMC neurons. Furthermore, the PKA-dependent closure of putative KATP conductance is identified as the cellular mechanism responsible for the activation of POMC neurons.

Verbatim abstract via PubMed 40223290 ↗