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Nature | Deng Cheng’s Team Reveals the Role of Constitutively Active GCGR in Avian Glucose-Lipid Metabolism and Energy Adaptations

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Prof. Deng Cheng’s team, from Center for High Altitude Medicine, West China Hospital, Sichuan University (SCU), published in Nature an article titled "Constitutively Active Glucagon Receptor Drives High Blood Glucose in Birds". From the perspectives of molecular evolution and physiological adaptation, this research innovatively proposes the perpetual motion molecular model of avian GCGR (glucagon receptor), revealing how constitutively active GCGR involved in glucose-lipid and energy metabolic adaptations in birds.

 

Blood glucose levels in animals are primarily regulated by the glucagon receptor (GCGR) family, which maintains high sequence similarity and functional conservation across vertebrates. While birds and reptiles share similar glucose-lipid metabolic processes with mammals (including humans), they exhibit significant evolutionary differences.

 

In vertebrates, carbohydrate homeostasis is critical for energy requirements and overall health. Blood glucose levels are tightly regulated within metabolic homeostasis and maintained through species-specific feedback mechanisms. However, this homeostasis is disrupted in birds. As early as 1893, German physician Minkowski and colleagues observed that birds have significantly higher blood glucose levels than other vertebrates. However, for over a century, the molecular mechanisms underlying this hyperglycemia have remained an unsolved scientific mystery.

 

Through molecular evolution analyses and constitutive activity screening of GCGR across vertebrates, researchers discovered that avian GCGR exhibits high constitutive activity and is highly expressed in the liver. Among vertebrates, placental mammals lack constitutive GCGR activity but exhibit high hepatic expression levels. Non-placental mammals have weak constitutive GCGR activity and high hepatic level. Most non-mammalian vertebrates express GCGR at low levels in the liver but possess strong constitutive activity. Only birds and Agamidae lizards (e.g., bearded dragons) have high hepatic expression of constitutively active GCGR.

 

The study also identified eSNPsin promoter regions that potentially regulate GCGR gene expression.

 

The team conducted cellular experiments and in vivo studies across multiple vertebrate species, including zebrafish, bearded dragons, leopard geckos, budgerigars, chickens, white-rumped munia and mice. They employed AAV-based gene delivery and genetic editing to confirm that both overexpression and knockdown of constitutively active GCGR alter blood glucose levels in different vertebrates. Additionally, the study identified a naturally occurring point mutation (hsGCGRH339R) in the ICL3 region of the human GCGR, which exhibits weak constitutive activity. When overexpressed in the liver of mice, this mutation resulted in hyperglycemia and weight loss.

 

This research significantly advances our understanding of adaptive evolution in biological systems. The team proposed that glucose, as the primary short-term fuel for avian flight, enhances rapid carbohydrate energy supply during takeoff, enabling flight bursts. The GCGR-driven hyperglycemia in birds provides a large energy reservoir for sustained flight. Birds utilize this constitutively active GCGR-mediated energy supply to support flight while evolving additional strategies such as migration to adapt to environmental changes.

 

From a molecular evolution and physiological adaptation perspective, the study also deciphers the downstream mechanisms of constitutively active GCGR, providing critical insights into metabolic homeostasis. These findings may offer theoretical foundations and potential therapeutic targets for treating diabetes, obesity, and metabolic liver diseases.

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Zhang Chang and Xiang Xiangying, two Ph.D. candidates from West China Hospital, are the co-first authors of the paper, with Prof. Deng Cheng as the corresponding author.

 

Paper link: https://www.nature.com/articles/s41586-025-08811-8