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database / incretin

Exenatide

also known as Byetta, exendin-4

approved incretin metabolicendocrine modified — mass check n/a
SOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOONNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH
295 heavy atoms · 585 bonds · drag to pan, scroll to zoom C184O60N50S1

Skeletal structure drawn from the computed atomic coordinates in PubChem CID 45588096. Carbons are implicit vertices; hydrogens on carbon are suppressed, as in any structural formula. Nothing here is estimated — every atom sits where PubChem placed it.

Research reference only. The observations below are recorded in the cited literature. Nothing here is advice or a recommendation, and no dosing information is published on this site.

Sequence

HGEGTFTSDLSKQMEEEAVRLFIEWLKNGGPSSGAPPPS

His-Gly-Glu-Gly-Thr-Phe-Thr-Ser-Asp-Leu-Ser-Lys-Gln-Met-Glu-Glu-Glu-Ala-Val-Arg-Leu-Phe-Ile-Glu-Trp-Leu-Lys-Asn-Gly-Gly-Pro-Ser-Ser-Gly-Ala-Pro-Pro-Pro-Ser

1. His — Histidine · positive · hydropathy -3.2 · charge 0H12. Gly — Glycine · glycine · hydropathy -0.4 · charge 0G3. Glu — Glutamic acid · negative · hydropathy -3.5 · charge −1E4. Gly — Glycine · glycine · hydropathy -0.4 · charge 0G5. Thr — Threonine · polar · hydropathy -0.7 · charge 0T6. Phe — Phenylalanine · aromatic · hydropathy 2.8 · charge 0F67. Thr — Threonine · polar · hydropathy -0.7 · charge 0T8. Ser — Serine · polar · hydropathy -0.8 · charge 0S9. Asp — Aspartic acid · negative · hydropathy -3.5 · charge −1D10. Leu — Leucine · hydrophobic · hydropathy 3.8 · charge 0L11. Ser — Serine · polar · hydropathy -0.8 · charge 0S1112. Lys — Lysine · positive · hydropathy -3.9 · charge +1K13. Gln — Glutamine · polar · hydropathy -3.5 · charge 0Q14. Met — Methionine · hydrophobic · hydropathy 1.9 · charge 0M15. Glu — Glutamic acid · negative · hydropathy -3.5 · charge −1E16. Glu — Glutamic acid · negative · hydropathy -3.5 · charge −1E1617. Glu — Glutamic acid · negative · hydropathy -3.5 · charge −1E18. Ala — Alanine · hydrophobic · hydropathy 1.8 · charge 0A19. Val — Valine · hydrophobic · hydropathy 4.2 · charge 0V20. Arg — Arginine · positive · hydropathy -4.5 · charge +1R21. Leu — Leucine · hydrophobic · hydropathy 3.8 · charge 0L2122. Phe — Phenylalanine · aromatic · hydropathy 2.8 · charge 0F23. Ile — Isoleucine · hydrophobic · hydropathy 4.5 · charge 0I24. Glu — Glutamic acid · negative · hydropathy -3.5 · charge −1E25. Trp — Tryptophan · aromatic · hydropathy -0.9 · charge 0W26. Leu — Leucine · hydrophobic · hydropathy 3.8 · charge 0L2627. Lys — Lysine · positive · hydropathy -3.9 · charge +1K28. Asn — Asparagine · polar · hydropathy -3.5 · charge 0N29. Gly — Glycine · glycine · hydropathy -0.4 · charge 0G30. Gly — Glycine · glycine · hydropathy -0.4 · charge 0G31. Pro — Proline · proline · hydropathy -1.6 · charge 0P3132. Ser — Serine · polar · hydropathy -0.8 · charge 0S33. Ser — Serine · polar · hydropathy -0.8 · charge 0S34. Gly — Glycine · glycine · hydropathy -0.4 · charge 0G35. Ala — Alanine · hydrophobic · hydropathy 1.8 · charge 0A36. Pro — Proline · proline · hydropathy -1.6 · charge 0P3637. Pro — Proline · proline · hydropathy -1.6 · charge 0P38. Pro — Proline · proline · hydropathy -1.6 · charge 0P39. Ser — Serine · polar · hydropathy -0.8 · charge 0S39

Modified molecule. C-terminal amide. Synthetic version of exendin-4, originally characterised from Heloderma suspectum venom.

Backbone carries modifications, so computed backbone mass is not comparable to the reported mass of the complete molecule.

Molecular data

Chemical fields come from the PubChem compound record; computed values are derived from the sequence shown above.
molecular formulaC184H282N50O60S
molecular weight4187 Da (PubChem)
computed backbone mass4187.61 Da
length39 residues
net charge (pH 7.4)-3
mean hydropathy-0.69
half-lifenot characterised
delivery routesubcutaneous
PubChem CID45588096
PDBnot characterised
UniProt parentnot characterised

Mechanism

GLP-1 receptor agonist resistant to DPP-4 cleavage.

Reported targets: GLP-1R

Experimental structure

No experimental structure of this peptide is deposited in the PDB. Nothing is rendered here — a predicted fold would not be a structure, and this site does not draw one.

Reported effects

Each row is an outcome described in the literature indexed for this peptide. Reported in the cited work — not a claim, not a recommendation.

Reported observations and the corpus they are drawn from.
reported outcomewhere it appears
glycaemic controlExendin-4 improves neurodevelopmental outcome after neonatal germinal matrix… Cell death & disease 2026
weight lossExendin-4 as a multi-target therapy for Fetal Inflammatory Response Syndrome… Frontiers in neurology 2026

Registered trials

Records from ClinicalTrials.gov. Listed for reference — this project sponsors no trial and is not involved in any of them.
NCTtitlestatusphase
NCT01270191The Effects of Short-Term Exenatide Therapy in Newly Diagnosed Type 2 Diabetic PatientsUNKNOWNPHASE4
NCT06256419Association of Gene Polymorphism With Susceptibility to T2DM and the Therapeutic Responses tRECRUITINGNA
NCT02584075Evaluate the Effect of Exenatide Treatment on Coronary Artery Endothelial FunctionUNKNOWNPHASE4
NCT00917267A Study to Examine the Effects of Exenatide Once-Weekly Injection on Glucose Control and SafCOMPLETEDPHASE3
NCT01855490Study of the Acute Metabolic Effect of Exenatide in Type 1 DiabetesCOMPLETEDPHASE1

Literature (8)

Exendin-4 improves neurodevelopmental outcome after neonatal germinal matrix hemorrhage — Cell death & disease 2026

abstract not reproduced — this record is not open-access, so it is linked rather than copied.

publisher record ↗ · PMID 42618557 · DOI 10.1038/s41419-026-09189-9

Exendin-4 as a multi-target therapy for Fetal Inflammatory Response Syndrome-induced brain injury — Frontiers in neurology 2026

abstract not reproduced — this record is not open-access, so it is linked rather than copied.

publisher record ↗ · PMID 42661740 · DOI 10.3389/fneur.2026.1848474

M14 substitutions in exanatide modulate alpha-synuclein aggregation — The FEBS journal 2026

abstract not reproduced — this record is not open-access, so it is linked rather than copied.

publisher record ↗ · PMID 41206637 · DOI 10.1111/febs.70321

Acute glucagon-like peptide-1 receptor agonist, semaglutide, attenuates cue-, drug-, and stress-induced fentanyl seeking in male Sprague-Dawley rats — Behavioural pharmacology 2026

abstract not reproduced — this record is not open-access, so it is linked rather than copied.

publisher record ↗ · PMID 42228850 · DOI 10.1097/fbp.0000000000000880

Exendin-4 improves high glucose-induced mitochondrial dysfunction of pancreatic β-cells via PKA/Drp1 signaling — The Journal of endocrinology 2026

abstract not reproduced — this record is not open-access, so it is linked rather than copied.

publisher record ↗ · PMID 42454501 · DOI 10.1530/joe-26-0023

The novel GLP-1/GIP dual receptor agonist DA5-CH is superior to tirzepatide and exendin-4 in the 6-OHDA Parkinson rat model — Frontiers in endocrinology 2026

IntroductionParkinson's disease (PD) is a progressive neurodegenerative disorder for which there is no cure. Diabetes is one of the risk factors for developing PD. Tirzepatide is a novel long-acting glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) receptor agonist that is on the market as a treatment for diabetes. Importantly, two phase II trials in PD patients showed good effects with the GLP-1 receptor agonists Exendin-4 and Lixisenatide.MethodsWe have developed a dual GLP-1/GIP receptor agonist (DA5-CH) that can cross the blood-brain barrier (BBB) at a higher rate than Tirzepatide. Here, we tested Exendin-4, Tirzepatide and DA5-CH in the 6-OHDA-lesion rat model of PD. The drug treatment was daily ([dose redacted], ip.) for 30 days.ResultsDA5-CH was more effective than Tirzepatide or Exendin-4. In the substantia nigra, dopaminergic neurons were protecte…

open access ↗ · PMID 42165019 · DOI 10.3389/fendo.2026.1825379

GLP-1R and GIPR crosstalk modulates insulinotropic signaling pathways — Cell chemical biology 2026

abstract not reproduced — this record is not open-access, so it is linked rather than copied.

publisher record ↗ · PMID 42419304 · DOI 10.1016/j.chembiol.2026.06.003

A glucose-responsive dual-nanoparticle-hydrogel-based microneedle patch for co-delivery of insulin and exendin-4 — Biomaterials science 2026

abstract not reproduced — this record is not open-access, so it is linked rather than copied.

publisher record ↗ · PMID 42148925 · DOI 10.1039/d6bm00181e

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