A newly discovered peptide could rival Ozempic — but with fewer side effects and a more targeted approach to weight loss.
Stanford Medicine
Scientists at Stanford Medicine have identified a naturally occurring molecule that appears to mimic some of the weight loss effects of semaglutide, the drug widely known as Ozempic. In animal studies, the molecule reduced appetite and body weight while avoiding several common side effects such as nausea, constipation, and muscle loss.
The molecule, called BRP, works through a different but
related biological pathway and activates distinct groups of neurons in the
brain. This suggests it may offer a more precise way to control appetite and
metabolism.
"The receptors targeted by semaglutide are found in the
brain but also in the gut, pancreas and other tissues," said assistant
professor of pathology Katrin Svensson, PhD. "That's why Ozempic has
widespread effects including slowing the movement of food through the digestive
tract and lowering blood sugar levels. In contrast, BRP appears to act
specifically in the hypothalamus, which controls appetite and metabolism."
Svensson, the senior author of the study published in Nature,
has also co-founded a company that plans to begin human clinical trials in the
near future. The study's lead author is senior research scientist Laetitia
Coassolo, PhD.
How Artificial Intelligence Led to the Discovery
The discovery relied heavily on artificial intelligence to
sort through a large group of molecules known as prohormones. These molecules
are initially inactive but can be cut into smaller fragments called peptides,
some of which function as hormones that influence processes like metabolism in
the brain and body.
Because each prohormone can be split in many different ways,
identifying useful peptide hormones using traditional lab methods is extremely
challenging. Researchers often struggle to distinguish these rare signaling
molecules from the many inactive fragments created during normal protein
breakdown.
To narrow the search, the team focused on an enzyme called
prohormone convertase 1/3, which cuts proteins at specific locations and has
been linked to obesity. One well-known product of this process is glucagon-like
peptide 1, or GLP-1, which helps regulate appetite and blood sugar. Semaglutide
works by mimicking GLP-1.
"Peptide Predictor" Identifies Thousands of
Candidates
Instead of relying on traditional protein analysis methods,
the researchers developed a computer tool called Peptide Predictor. This
algorithm scanned all 20,000 human protein-coding genes to identify where
prohormones could be cut into peptides.
The team then narrowed their focus to proteins that are
secreted outside cells, a key feature of hormones, and that contain multiple
potential cleavage points. This reduced the list to 373 prohormones suitable
for further testing.
"The algorithm was absolutely key to our
findings," Svensson said.
From these proteins, the system predicted 2,683 possible
peptides. Researchers selected 100 of them, including GLP-1, and tested how
they affected lab-grown brain cells.
A Tiny Peptide With Powerful Effects
As expected, GLP-1 significantly increased activity in the
neurons. However, one much smaller peptide, made up of only 12 amino acids,
produced an even stronger response, boosting activity tenfold compared to
control cells.
This peptide was named BRP, after its parent molecule
BPM/retinoic acid inducible neural specific 2, or BRINP2
(BRINP2-related-peptide).
Animal Studies Show Reduced Appetite and Fat Loss
When tested in lean mice and minipigs (which more closely
mirror human metabolism and eating patterns than mice do), BRP significantly
reduced food intake. A single injection before feeding lowered consumption by
up to 50% within an hour.
In obese mice, daily injections over 14 days led to an
average weight loss of 3 grams, primarily from fat. In contrast, untreated mice
gained about 3 grams during the same period. The treated animals also showed
improvements in glucose and insulin tolerance.
Importantly, the animals did not show changes in movement,
water intake, anxiety-like behavior, or digestion. Additional analyses
confirmed that BRP works through different brain and metabolic pathways than
GLP-1 or semaglutide.
A More Targeted Approach to Weight Loss
The researchers are now working to identify the specific
receptors that interact with BRP and to better understand how it functions in
the body. They are also exploring ways to extend its effects so it could be
used more conveniently if it proves effective in people.
"The lack of effective drugs to treat obesity in humans
has been a problem for decades," Svensson said. "Nothing we've tested
before has compared to semaglutide's ability to decrease appetite and body
weight. We are very eager to learn if it is safe and effective in humans."
Collaboration and Funding
The research involved scientists from the University of
California, Berkeley; the University of Minnesota; and the University of
British Columbia. Funding came from the National Institutes of Health (grants
R01DK125260, P30DK116074, K99AR081618 and GM113854), along with several
Stanford programs, the American Heart Association, the Carlsberg Foundation,
and the Wu Tsai Human Performance Alliance.
Svensson and Coassolo are listed as inventors on patents
related to BRP peptides for metabolic disorders, and Svensson is a co-founder
of Merrifield Therapeutics.
Journal Reference:
- Laetitia
Coassolo, Niels B. Danneskiold-Samsøe, Quennie Nguyen, Amanda Wiggenhorn,
Meng Zhao, David Cheng-Hao Wang, David Toomer, Jameel Lone, Yichao Wei,
Aayan Patel, Irene Liparulo, Deniz Kavi, Lianna W. Wat, Saranya
Chidambaranathan Reghupaty, Julie Jae Kim, Tina Asemi, Ewa
Bielczyk-Maczynska, Veronica L. Li, Maria Dolores Moya-Garzon, Nicole A.
J. Krentz, Andreas Stahl, Danny Hung-Chieh Chou, Liqun Luo, Katrin J.
Svensson. Prohormone cleavage prediction uncovers a non-incretin
anti-obesity peptide. Nature, 2025; 641 (8061): 192
DOI: 10.1038/s41586-025-08683-y
