Tirzepatide
Two receptorsThe discovery
Eli Lilly scientists described it in 2018 as a peptide with a fatty acid attached, a chemical change that keeps it in circulation longer. They tested it in cells carrying each receptor, then in mice, then in a first small study in people [2].
How it works on each receptor
A 2020 study measured how strongly tirzepatide switches on each receptor in cells grown to carry them. It works harder on the GIP receptor than on the GLP-1 receptor, which is what the paper means by "imbalanced." At the GLP-1 receptor it triggers some signals inside the cell more than others, which is what "biased" means [3].
What it looks like in the receptor
A 2022 structure study produced detailed pictures of tirzepatide sitting in each of its two receptors, to see how one molecule can fit two different locks [4]. A 2024 study looked at what happens in fat cells when the GIP receptor stays switched on for a long time, using human fat cells in a dish and mice [5].



