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Proglucagon (revision 18)

Old revision·11:21, 2 Mar 2025·IpamorelinIsold

This is an old revision of this page, as it stood at 11:21, 2 Mar 2025, saved by IpamorelinIsold with the summary split §Physiology from §Pharmacological exploitation. It may differ substantially from the current revision, and any error it contains may since have been corrected.
ProglucagonProhormone
HAEGTFTSDVSSN-terminusC-terminus
A single 160-residue precursor yielding different products in pancreatic and intestinal tissue.
GeneGCG
Length160 residues (preproglucagon 180)
Processing enzymesProhormone convertase 1/3 and 2
Principal products
Pancreatic alpha cellGlucagon, glicentin-related pancreatic polypeptide
Intestinal L cellGLP-1, GLP-2, oxyntomodulin, glicentin
BrainstemGLP-1, GLP-2
Topic infobox · conventions

Proglucagon is the single precursor protein from which glucagon, Glucagon-like peptide-1 (GLP-1), glucagon-like peptide-2, oxyntomodulin and glicentin are all derived. It is encoded by one gene, GCG, and transcribed identically in the pancreatic alpha cell, the intestinal L cell and a population of neurons in the caudal brainstem.[1]

The products differ between those tissues because the processing enzymes do. Prohormone convertase 2 predominates in the alpha cell and liberates glucagon; prohormone convertase 1/3 predominates in the L cell and the brainstem and liberates GLP-1 and GLP-2 instead. A single transcript therefore yields a hyperglycaemic hormone in one tissue and a hypoglycaemic one in another.[2]

This arrangement has direct therapeutic consequences. The structural relatedness of the products is why a single engineered peptide can be designed to act at two or three receptors of the family at once — the basis of the dual and triple agonists — and why measuring "glucagon" by an antibody raised against a shared epitope has generated a long history of unreliable data.[1]

Gene and transcript

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GCG lies on human chromosome 2 and comprises six exons. A single mRNA species is produced in all expressing tissues; there is no tissue-specific splicing in humans. Translation yields preproglucagon of 180 residues, from which the 20-residue signal peptide is removed co-translationally to give the 160-residue prohormone.[1]

Transcription in the alpha cell is suppressed by insulin and by glucose, and stimulated during fasting — the arrangement expected of a counter-regulatory hormone. In the L cell, transcription responds instead to luminal nutrients and to short-chain fatty acids produced by colonic fermentation, and is comparatively insensitive to circulating glucose.[2]

Tissue-specific processing

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Processing is directed by which prohormone convertase is expressed.

TissueDominant convertasePrincipal products
Pancreatic alpha cellPC2Glucagon, GRPP, major proglucagon fragment
Intestinal L cellPC1/3GLP-1, GLP-2, oxyntomodulin, glicentin
Caudal brainstemPC1/3GLP-1, GLP-2

The boundaries are not absolute. Alpha cells upregulate PC1/3 under metabolic stress and can secrete GLP-1 directly, a phenomenon described in islets from donors with type 2 diabetes and in rodent models of beta-cell injury. The physiological importance of islet-derived GLP-1 in humans is debated; the quantities are small relative to intestinal secretion but are delivered locally, where concentration at the receptor may matter more than circulating concentration.[3]

Oxyntomodulin, a 37-residue product of L-cell processing, is a weak agonist at both the glucagon receptor and the GLP-1 receptor. It is the natural template for the dual glucagon/GLP-1 agonists now in development, and its existence is why such a molecule was thought plausible in the first place.[1]

Consequences for measurement

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Immunoassays for the products of proglucagon are notoriously cross-reactive. Antisera raised against the C-terminus of glucagon detect glicentin and oxyntomodulin, both of which contain the glucagon sequence; assays raised against the N-terminus detect the major proglucagon fragment. Reported fasting glucagon concentrations vary several-fold between published methods.[2]

Sandwich assays using two antibodies against opposite ends of the mature glucagon sequence, and LC-MS methods, have improved the position substantially.[4] Any comparison of glucagon data across studies should establish which assay was used before the numbers are treated as commensurable — this is a frequent source of apparent contradiction in the incretin literature.[3]

See also

References

  1. ^ a b c d Sandoval DA, D'Alessio DA. "Physiology of proglucagon peptides: role of glucagon and GLP-1 in health and disease." Physiological Reviews 95(2):513–548 (2015). DOI:10.1152/physrev.00013.2014. PMID 25834231.
  2. ^ a b c Holst JJ. "The physiology of glucagon-like peptide 1." Physiological Reviews 87(4):1409–1439 (2007). PMID 17928588.
  3. ^ a b Campbell JE, Drucker DJ. "Pharmacology, physiology, and mechanisms of incretin hormone action." Cell Metabolism 17(6):819–837 (2013). PMID 23684623.
  4. ^ Wewer Albrechtsen NJ, Hartmann B, Veedfald S, et al. "Hyperglucagonaemia analysed by glucagon sandwich ELISA: nonspecific interference or truly elevated levels?" Diabetologia 57(9):1919–1926 (2014). DOI:10.1007/s00125-014-3283-z. PMID 24891019.