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database / metabolic

Linaclotide

also known as Linzess

approved metabolic gastrointestinal modified — mass check n/a
SSSSSSOOOOOOOOOOOOOOOOOOOOONNNNNNNNNNNNNNNHHHHHHHHHHHHHHHHHHHHH
101 heavy atoms · 185 bonds · drag to pan, scroll to zoom C59O21N15S6

Skeletal structure drawn from the computed atomic coordinates in PubChem CID 16158208. 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

CCEYCCNPACTGCY

Cys-Cys-Glu-Tyr-Cys-Cys-Asn-Pro-Ala-Cys-Thr-Gly-Cys-Tyr

1. Cys — Cysteine · cysteine · hydropathy 2.5 · charge 0C12. Cys — Cysteine · cysteine · hydropathy 2.5 · charge 0C3. Glu — Glutamic acid · negative · hydropathy -3.5 · charge −1E4. Tyr — Tyrosine · aromatic · hydropathy -1.3 · charge 0Y5. Cys — Cysteine · cysteine · hydropathy 2.5 · charge 0C6. Cys — Cysteine · cysteine · hydropathy 2.5 · charge 0C67. Asn — Asparagine · polar · hydropathy -3.5 · charge 0N8. Pro — Proline · proline · hydropathy -1.6 · charge 0P9. Ala — Alanine · hydrophobic · hydropathy 1.8 · charge 0A10. Cys — Cysteine · cysteine · hydropathy 2.5 · charge 0C11. Thr — Threonine · polar · hydropathy -0.7 · charge 0T1112. Gly — Glycine · glycine · hydropathy -0.4 · charge 0G13. Cys — Cysteine · cysteine · hydropathy 2.5 · charge 0C14. Tyr — Tyrosine · aromatic · hydropathy -1.3 · charge 0Y14

Modified molecule. Three disulfide bonds lock the peptide into its active fold.

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 formulaC59H79N15O21S6
molecular weight1526.8 Da (PubChem)
computed backbone mass1532.77 Da
length14 residues
net charge (pH 7.4)-1
mean hydropathy0.32
half-lifenot characterised
delivery routeoral
PubChem CID16158208
PDBnot characterised
UniProt parentnot characterised

Mechanism

Guanylate cyclase-C agonist acting locally in the intestinal lumen.

Reported targets: GC-C

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
intestinal fluid secretionEfficacy safety of linaclotide combined with polyethylene glycol for bowel p… Frontiers in gastroenterology (Lausanne, Switzerland) 2026
IBS-C outcomes in trialsIdentification and Quantification of Structurally Related Peptide Impurity i… Rapid communications in mass spectrometry : RCM 2026

Registered trials

Records from ClinicalTrials.gov. Listed for reference — this project sponsors no trial and is not involved in any of them.
NCTtitlestatusphase
NCT07569419Proof of Principle Study for an Efficacy Trial of Linaclotide for Cystic FibrosisRECRUITINGEARLY_PHASE1
NCT02837783A Study of the Effect of Linaclotide on Abdominal Girth in Participants With Irritable BowelTERMINATEDPHASE4
NCT04026113Linaclotide Safety and Efficacy in Pediatric Participants, 6 to 17 Years of Age, With IrritaCOMPLETEDPHASE3
NCT03119584Efficacy of Linaclotide in Type II Diabetics With Chronic ConstipationACTIVE_NOT_RECRUITINGPHASE4
NCT02220348A Lactation Study in Women Who Are Breastfeeding or Pumping and Are Receiving Linaclotide ThCOMPLETEDPHASE1

Literature (8)

Efficacy safety of linaclotide combined with polyethylene glycol for bowel preparation in patients with constipation: a meta-analysis — Frontiers in gastroenterology (Lausanne, Switzerland) 2026

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

publisher record ↗ · PMID 42523615 · DOI 10.3389/fgstr.2026.1694950

Identification and Quantification of Structurally Related Peptide Impurity in Linaclotide by Liquid Chromatography-High Resolution Mass Spectrometry — Rapid communications in mass spectrometry : RCM 2026

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

publisher record ↗ · PMID 41539984 · DOI 10.1002/rcm.70030

A post hoc analysis of linaclotide in pediatric patients with functional constipation and neurodevelopmental disorders — Journal of pediatric gastroenterology and nutrition 2026

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

publisher record ↗ · PMID 41913506 · DOI 10.1002/jpn3.70424

Linaclotide (Linzess) for functional constipation — The Medical letter on drugs and therapeutics 2023

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

publisher record ↗ · PMID 37651297 · DOI 10.58347/tml.2023.1683d

Evaluating linaclotide for the treatment of irritable bowel syndrome with constipation in children and adolescents — Expert opinion on pharmacotherapy 2026

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

publisher record ↗ · PMID 42425925 · DOI 10.1080/14656566.2026.2702388

Evaluating linaclotide for the treatment of functional constipation in children and adolescents — Expert opinion on pharmacotherapy 2026

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

publisher record ↗ · PMID 42083746 · DOI 10.1080/14656566.2026.2669339

Correction: Application of oral sulfate solution combined with linaclotide in bowel preparation for colonoscopy — Frontiers in medicine 2026

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

publisher record ↗ · PMID 42465095 · DOI 10.3389/fmed.2026.1903499

Application of oral sulfate solution combined with linaclotide in bowel preparation for colonoscopy — Frontiers in medicine 2026

ObjectiveHigh-quality bowel preparation is essential for accurate colonoscopy. Currently, linaclotide is used as an adjunctive agent supporting bowel preparation, but evidence for its combination with oral sulfate solution (OSS) remains limited. This study aimed to evaluate whether the addition of linaclotide to OSS could improve the efficacy of bowel preparation.MethodsThis single-blind, randomized controlled trial enrolled outpatients scheduled for colonoscopy. Participants were randomly assigned (1:1:1) to one of three groups: the OSS + Linaclotide group, the OSS group, or the polyethylene glycol (PEG) group. The primary outcome was the adequate bowel preparation rate, while secondary outcomes included tolerability, colonoscopy findings, and safety. Efficacy endpoints were assessed in the modified intention-to-treat (mITT) population, and safety was evaluated in the as-treated populat…

open access ↗ · PMID 41889509 · DOI 10.3389/fmed.2026.1696298

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