How do GLP-1 drugs affect gene expression?
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES
03/2026
GLP-1s are building a reputation as “wonder drugs.” First characterized for their ability to improve insulin release and treat diabetes, the drugs were later found to promote weight loss and improve cardiovascular health. In addition to those bonus benefits, GLP-1 drugs can improve pancreatic beta cell health. But how, exactly, are they doing that?
In the lab of Marc Montminy, MD, PhD, scientists are burrowing into the mechanistic details behind how GLP-1 drugs promote viability and stress resistance in pancreatic beta cells. Since cellular performance adaptations arise from gene expression changes, the team screened for regulatory proteins that can switch on gene programs responsible for the beneficial effects of prolonged use of GLP-1 therapeutics. They identified a protein called Med14—part of a larger protein complex called Mediator—that enables the GLP-1-dependent changes in gene expression that lead to pancreatic health benefits.
