Peptide YY (PYY)
/ Endogenous 36-residue peptide YY; pancreatic polypeptide family; Y2 receptor preferred (especially PYY 3-36)ALIAS · Peptide YY · PYY 3-36 · PYY-36 · Native PYY
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Tier 3. Foundational gut satiety peptide isolated by Tatemoto in 1980. The bioactive truncated form PYY 3-36 (generated by DPP-4 cleavage of the parent PYY 1-36) is a Y2-receptor-selective agonist with proposed satiety actions. Several Y2-selective PYY analogs are in clinical development for obesity (Novo Nordisk NN9748 / amycretin and others) but none are FDA-approved.
PYY is a 36-residue C-terminally amidated peptide of the pancreatic polypeptide family (alongside NPY and pancreatic polypeptide). It is co-stored and co-secreted with GLP-1 from intestinal L cells in response to nutrient ingestion. The full-length PYY 1-36 binds all Y-family receptors (Y1, Y2, Y4, Y5) with broad pharmacology; the predominant circulating bioactive form is PYY 3-36, generated by N-terminal cleavage by dipeptidyl peptidase-4 (DPP-4) and selective for the Y2 receptor.
Y2-receptor activation in the arcuate nucleus of the hypothalamus inhibits NPY/AgRP orexigenic neurons, producing satiety. Peripheral Y2 signalling also slows gastric emptying. The Y2-selectivity of PYY 3-36 distinguishes it functionally from full-length PYY and from the related NPY peptide (which is Y1/Y5-preferring at orexigenic sites).
The pharmacology has driven development of long-acting Y2-selective PYY analogs (engineered for half-life extension and Y2 selectivity) as candidate obesity therapeutics - frequently in combination with GLP-1 analogs to leverage co-secretion biology.
Tier 3 for the native peptide. The Batterham 2003 NEJM study reported that intravenous infusion of PYY 3-36 reduced ad libitum food intake by ~30% in lean and obese volunteers - a foundational result that motivated the analog drug-development programs. Attempted independent replications produced mixed results. No Phase 3 development of the native peptide. Engineered Y2-selective PYY analogs are in early clinical development.
Native PYY 3-36 infusion in research settings has been associated with nausea (the dominant adverse effect, dose-related) and brief gastrointestinal discomfort. No long-term human safety database exists. Chronic Y2-receptor activation safety is uncharacterised.
Regulatory status
- FDA status:
- Not FDA-approved
The Batterham 2003 result has been described as difficult to replicate in subsequent studies, with various groups reporting smaller-than-original effects on food intake. The original effect size and the mechanistic clarity nonetheless launched the PYY-analog development programs that continue today.
Vendor-sold 'PYY' material may be supplied as either full-length PYY 1-36 or the truncated PYY 3-36, with very different receptor pharmacology. Buyers cannot assume the labelled form matches the bioactive form without checking the certificate of analysis - and vendor identity testing of peptides in this family has historically been variable.