Metabolic and neuroendocrine
Triple GIP, GLP-1 and glucagon receptor signalling
Combined agonism of GIP, GLP-1 and glucagon receptors is intended to integrate appetite suppression, glucose-dependent insulinotropic effects and glucagon-linked energy-expenditure or hepatic actions.
Biological pathway
GIP receptor plus GLP-1 receptor plus glucagon receptor agonism → cyclic-AMP signalling in responsive tissues → coordinated effects on appetite, glucose handling and energy metabolism.
Evidence summary
Retatrutide has established triple-receptor pharmacology and randomized phase 2 human evidence, with phase 3 development continuing.
Limitations
The relative contribution of each receptor to efficacy and adverse effects is uncertain, and long-term outcome and safety evidence remains less mature than for licensed incretin therapies.