pe
pep-10646 v1 CC-BY-SA-4.0

CGRP-II: nerve signaling peptide in the calcitonin family (β-CGRP)

A natural peptide made in nerves and the thyroid, part of the calcitonin family; used only as a lab research tool to study how the calcitonin receptor works.

statussynthesized targetCALCR length37 aa refs6
status 4 / 5
prediction metrics openfold3-mlx 0.3.1
ipTM0.572
pTM0.651
avg pLDDT41.9
ranking score0.723
STRUCTURE · PEP-10646 × CALCR
ranking0.723
target interface 4.5Å peptide drag rotate · ctrl+scroll zoom · right-click pan
openfold3-mlx 0.3.1 · mmCIF ↓ download
sequence37 aa
1510152025303537
SCNTATCVTHRLAGLLSRS GGVVKSNFVPTDVGSEAF
in the news 11 articles
overview readme

What this is

Calcitonin gene-related peptide II (CGRP-II, also called β-CGRP) is a 37-amino acid signalling peptide belonging to the calcitonin/CGRP family — a group that includes calcitonin, α-CGRP (CGRP-I), amylin, and adrenomedullin, all of which act through class B G protein-coupled receptors (Hay and colleagues, British Journal of Pharmacology, 2018). CGRP-II is encoded by a separate gene from CGRP-I and differs from it by a small number of residues; both forms are expressed in neural tissue and the thyroid. The stored 37-residue sequence represents the backbone of equine CGRP-II, as cloned and characterized by Toribio and colleagues (Molecular and Cellular Endocrinology, 2003). Like all CGRP-family peptides, the active form carries a disulfide bond between the cysteine residues at positions 1 and 7, forming a ring at the N-terminus, and a C-terminal amide — neither modification is represented in the raw sequence shown here.

History

The existence of a second CGRP peptide, CGRP-II, was established when investigators found that the calcitonin/CGRP gene family was larger than the single CALC-I locus encoding calcitonin and α-CGRP: a separate gene (CALCB in humans) encodes β-CGRP. Comparative genomic work extended this characterization to non-human species; Toribio and colleagues reported the molecular cloning and tissue expression of equine calcitonin, CGRP-I, and CGRP-II in 2003, establishing that all three peptides are expressed in equine thyroid tissue with distinct patterns (Toribio and colleagues, Molecular and Cellular Endocrinology, 2003). The receptor pharmacology of the broader calcitonin/CGRP family was systematically reviewed and updated in the IUPHAR Review 25 by Hay and colleagues (British Journal of Pharmacology, 2018), which codified the nomenclature for CTR- and CLR-based receptor complexes that mediate the signalling of all family members.

What it does

CGRP-II acts through the same class B GPCR receptor systems as CGRP-I and calcitonin: the calcitonin receptor (CTR) and the calcitonin receptor-like receptor (CLR), whose pharmacological profiles are reshaped by heterodimerization with receptor activity-modifying proteins (RAMP1, RAMP2, or RAMP3). CTR paired with RAMP1, RAMP2, or RAMP3 generates the AMY1, AMY2, and AMY3 amylin receptor subtypes, respectively, and CLR paired with RAMP1 constitutes the canonical CGRP receptor (Hay and colleagues, 2018; Barwell and colleagues, British Journal of Pharmacology, 2012). Because CGRP-II's receptor selectivity profile closely parallels that of CGRP-I, it engages this same combinatorial receptor landscape. The calcitonin/CGRP receptor family has documented therapeutic relevance across a range of conditions including osteoporosis, migraine, cardiovascular disease, obesity, and diabetes (Barwell and colleagues, 2012). As a research tool, CGRP-II is used to probe receptor binding and compare activity against other calcitonin-family ligands including amylin; Lee and colleagues examined these cross-ligand interaction mechanisms at the calcitonin and amylin receptor systems at the molecular level (Journal of Biological Chemistry, 2016).

Evidence

  • Human: No clinical trials of exogenous CGRP-II administration have been identified in the dossier. The broader CGRP receptor system — primarily via CGRP-I and its therapeutic blockers — has been extensively studied in human migraine and cardiovascular contexts.
  • Animal: Equine CGRP-II was cloned from thyroid tissue and its expression pattern relative to CGRP-I and calcitonin was characterized in equine tissue (Toribio and colleagues, 2003). The calcitonin receptor (CTR) and related receptor complexes have been extensively studied in rodent models, including during osteoclast differentiation where RANKL-driven upregulation of CTR was documented in mouse bone marrow macrophages (Granholm and colleagues, Journal of Cellular Biochemistry, 2008).
  • In vitro: Peptide interaction mechanisms at the calcitonin receptor and amylin receptor complexes, relevant to the CGRP-II binding context, have been characterized at the molecular level (Lee and colleagues, Journal of Biological Chemistry, 2016). CTR signalling downstream of calcitonin-family ligand binding — including cAMP and calcium pathway activation — has been described in cell-based systems (Pondel, International Journal of Experimental Pathology, 2000).

Known effects

  • CTR and CLR receptor binding — Mechanistic; CGRP-II engages the same class B GPCR family members as other calcitonin-family peptides (Hay and colleagues, 2018; Barwell and colleagues, 2012)
  • Cross-ligand pharmacology with amylin — Characterized at the receptor level for calcitonin/amylin receptor complexes (Lee and colleagues, 2016)
  • Expression in thyroid and neural tissue — Demonstrated for equine CGRP-II by molecular cloning and tissue expression analysis (Toribio and colleagues, 2003)

Mechanism

CGRP-II signals through class B (secretin-family) GPCRs, sharing its receptor architecture with the rest of the calcitonin/CGRP family. The key feature of this family is that receptor pharmacology is determined not by the GPCR alone but by which RAMP it is co-expressed with: CTR/RAMP1, CTR/RAMP2, and CTR/RAMP3 give rise to the AMY1, AMY2, and AMY3 amylin receptor subtypes with different ligand selectivities, while CLR/RAMP1 constitutes the canonical CGRP receptor (Hay and colleagues, 2018). RAMP1 is upregulated during osteoclast differentiation alongside CTR; CLR and RAMP2/3 are expressed in M-CSF-stimulated macrophage precursors, with RANKL modifying the expression balance (Granholm and colleagues, 2008). CTR activation by calcitonin-family ligands stimulates cAMP and calcium signalling in osteoclasts, contributing to the regulation of bone resorption; this pathway was reviewed by Pondel (2000) in the context of calcitonin receptor biology. The molecular interactions between CGRP peptides, calcitonin, and amylin at shared receptor complexes — including the structural basis for cross-reactivity — were examined by Lee and colleagues (2016). Calcitonin-family receptor pharmacology more broadly — including the roles of CTR and CLR in osteoporosis, diabetes, obesity, lymphatic insufficiency, migraine, and cardiovascular disease — was reviewed comprehensively by Barwell and colleagues (2012).

Related peptides

  • α-CGRP (CGRP-I) — The closely related paralog encoded by CALC-I; primary endogenous agonist at the CLR/RAMP1 CGRP receptor; central pharmacological target in migraine biology.
  • Beta-CGRP (rat) — The rat β-CGRP isoform; shares receptor targets with the equine CGRP-II sequence on this card; differs by one residue from rat α-CGRP.
Hypotheses3 directions▾ collapse

Research directions for this peptide, selected from the current sources — hypotheses you can explore and model. None of it is proven yet; tap any one to see the full thinking.

openupdated 2026-06-05

Could equine beta-CGRP be used as the reference molecule to develop CGRP-blocking treatments tailored for horses?

If true, horses with painful vascular conditions like laminitis could eventually be treated with CGRP-targeting drugs designed for their own biology, rather than repurposed human medicines of uncertain efficacy.

The hypothesis
Equine β-CGRP, because it is expressed in both thyroid and neural tissue of a large-bodied species, could serve as a pharmacological reference standard for developing CGRP-targeted anti-migraine and vasodilatory therapies in veterinary equine medicine, where no species-matched CGRP antagonist currently exists.
Why it’s plausible
The Toribio 2003 study confirmed thyroid and neural expression of equine CGRP-II. CGRP is a potent vasodilator implicated in headache, cardiovascular regulation, and thermoregulation across mammalian species. Approved human anti-CGRP monoclonal antibodies (erenumab, fremanezumab) were developed against human α-CGRP epitopes; their cross-reactivity with equine CGRP-II bearing the unique D30 and S25 substitutions is unknown. A species-matched peptide standard is a prerequisite for developing equine-specific CGRP-blocking therapeutics for conditions such as laminitis or recurrent airway obstruction, where vascular dysregulation is a component.
Why it matters
Equine CGRP therapeutics represent an unmet veterinary need; having the accurate equine sequence and understanding its receptor pharmacology is the foundation for developing species-appropriate antagonists or antibodies.
Plausibility.60
Novelty.60
Impact.50
Basis · grounding1 paper · 2 computed/notes
[1]
noteToribio et al. (MCE 2003) confirmed equine CGRP-II expression in thyroid and neural tissue, establishing the physiological context
[2]
sequenceEquine β-CGRP carries S25 and D30 versus K25/N30 or N25/N30 in human/rat isoforms, meaning anti-human CGRP antibody epitopes may not cross-react
[3]
paper
CGRP receptor pharmacology review documents the broad cardiovascular and pain-signalling roles relevant to veterinary targets
doi: 10.1111/bph.14075
openupdated 2026-06-05

Does the single Asp substitution at position 30 in equine beta-CGRP make it weaker at activating its receptor than human or rat CGRP?

If confirmed, this would explain why equine CGRP behaves differently from its human counterpart and could guide design of stronger CGRP-based drugs by showing exactly which position to optimise.

The hypothesis
The unique D30 substitution in equine β-CGRP (position 30 is Asp vs Asn in human α-CGRP and rat β-CGRP) introduces a negatively charged residue in the mid-helix region of the C-terminal agonist domain and reduces receptor activation potency relative to all other known CGRP isoforms.
Why it’s plausible
Alignment of the four CGRP sequences in this dataset shows that position 30 is Asn (N) in pep-10645, pep-10644, and pep-10643, but is Asp (D) in pep-10646. The C-terminal alpha-helical segment of CGRP spanning residues 23-37 is the primary receptor-activation domain; contacts with the receptor extracellular loop region involve the backbone and side chains of this helix. Replacing an uncharged Asn with a charged Asp at position 30 would alter both helix dipole and potential receptor contact geometry. The lower ipTM of 0.57 for pep-10646 versus 0.82 for pep-10645 at CALCR is consistent with a less favourable interface, possibly partly driven by this substitution.
Why it matters
Identifying the functional consequence of D30 in equine β-CGRP would clarify whether species differences in CGRP potency are pharmacologically meaningful, with implications for cross-species extrapolation in drug target validation and for engineering higher-potency CGRP analogs.
Plausibility.50
Novelty.60
Impact.50
Basis · grounding1 paper · 2 computed/notes
[1]
sequenceAlignment: pep-10646 position 30 = D; pep-10645, pep-10644, pep-10643 position 30 = N, a unique charged substitution in the equine isoform
[2]
structurepep-10646 ipTM=0.57 vs pep-10645 ipTM=0.82, consistent with reduced interface quality potentially attributable to D30
[3]
paper
Dong et al. establish that the juxtamembranous region and agonist domain of CGRP family peptides are critical for receptor activation; side-chain substitutions in this region alter potency
doi: 10.1111/j.1476-5381.2011.01525.x
openupdated 2026-06-05

Do the two unique amino acids in equine beta-CGRP make it selectively active at CGRP receptors but weak at amylin receptors?

Understanding this selectivity could help design drugs that target pain and blood-vessel widening without the metabolic side effects linked to amylin receptor cross-activation, benefiting patients on CGRP therapies.

The hypothesis
The combination of S25 (versus K25 in human α-CGRP) and D30 (versus N30) in equine β-CGRP shifts its relative potency at amylin receptors (CALCR/RAMP complexes) compared to the canonical CGRP receptor (CLR/RAMP1), because both substituted positions contact distinct receptor interface residues in the two receptor sub-types.
Why it’s plausible
Pharmacological data from Hay et al. 2018 show that relative potency at CLR/RAMP1 vs. AMY1/AMY2/AMY3 differs among CGRP-family members based on C-terminal helix sequence variation. The K25-to-S25 change removes a positively charged side chain in a position that faces outward in the helix and could interact with acidic receptor residues that differ between CLR and CALCR. Combined with D30, the equine isoform has a distinct charge distribution in its agonist domain. The ipTM of 0.57 against CALCR specifically (below values for other isoforms) supports differential receptor selectivity.
Why it matters
If equine β-CGRP is selectively weak at amylin receptors but active at CLR/RAMP1, it could be a useful tool for dissecting receptor subtype contributions to equine physiology and might be engineered into a CLR/RAMP1-selective agonist scaffold.
Plausibility.50
Novelty.60
Impact.50
Basis · grounding1 paper · 2 computed/notes
[1]
sequencepep-10646: S at position 25, D at position 30; pep-10645: N at position 25, N at position 30; these double-substitutions alter charge profile of the agonist helix
[2]
paper
Figure 7 in Hay et al. shows that cAMP potency of CGRP-family members differs across CLR/RAMP1, AM1, and AM2 receptors, demonstrating that sequence variation drives selectivity
doi: 10.1111/bph.14075
[3]
structureipTM=0.57 for pep-10646 at CALCR, supporting poor fit to the amylin/CALCR interface
details expand to inspect
full evidence table2 metrics
metricvaluetool
ipTM 0.5716715455055237 openfold3-mlx
ranking score 0.7234965562820435 openfold3-mlx
structural qualityopenfold3
0
metricvaluenote
gpde1.038global PDE — lower = better
disorder0.272fraction disordered
chain pair ipTM (A, B)0.572interface quality
3-letter notation
Ser-Cys-Asn-Thr-Ala-Thr-Cys-Val-Thr-His-Arg-Leu-Ala-Gly-Leu-Leu-Ser-Arg-Ser-Gly-Gly-Val-Val-Lys-Ser-Asn-Phe-Val-Pro-Thr-Asp-Val-Gly-Ser-Glu-Ala-Phe
recipeopenfold3-mlx 0.3.1
parametervalue
modelopenfold3-mlx 0.3.1
weightsaedd8f3eb814e392…
hardwareapple_m4_base_16gb
mlx version0.31.1
python3.14.3
random seed42
msa strategycolabfold
diffusion samples1
runtime463s
predicted bymlx@peptide
predicted at2026-04-24
python3 openfold3/run_openfold.py predict --query_json {query.json} --runner_yaml examples/example_runner_yamls/mlx_runner.yml --output_dir {output_dir} --num_diffusion_samples 1
citationbibtex
peptidemodel (2026). CGRP-II: nerve signaling peptide in the calcitonin family (β-CGRP) (pep-10646, v1). PeptideModel. https://peptidemodel.com/card/pep-10646
@peptide{pep10646,
  sequence = {SCNTATCVTHRLAGLLSRSGGVVKSNFVPTDVGSEAF},
  target   = {calcr},
  author   = {peptidemodel},
  year     = {2026},
  status   = {synthesized}
}
related peptides 5 by signal overlap
clinical trials 61 on ct.gov · checked 2026-05-09
ct.gov trials 61
with results 18
by phase
2phase 13phase 22phase 33no phase
by status
7completed2recruiting1terminated
references 6 papers
discussion no comments
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