While the top of TM6 and ECL3 could not be confidently modelled for the exendin-4 complex, the portion of TM6 and TM7 that were modelled, along with the weak density corresponding to ECL3 supports a backbone conformation more similar to GLP-1 and oxyntomodulin bound receptors, rather than exendin-P5, albeit it likely that this region is more conformationally dynamic
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Phase 2 trials reported primarily gastrointestinal side effects
doi: 10.1089/ars.2016.6925 132 RizzutoR.De StefaniD.RaffaelloA.MammucariC
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This is also a good time to look at the inside of the pen