Gcc agonist

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Guanylyl cyclase C is a receptor expressed in the intestinal tract, where it regulates fluid secretion and prevents tumor formation. Beyond its function in the healthy intestine, it is expressed in colorectal tumors, and other types of cancer, where it regulates transformation. Therefore, guanylyl cyclase C can serve as a useful target in ...The respondents also reported that when GCC agonist was used to treat their patients with constipation, their patients least likely complained of abdominal pain and bloating (Figure 4). We believe that this is the underlying reason the respondents find using GCC agonist the most satisfying in treating their patients with CIC and IBS-C (Figure 2).Preclinical models suggest that oral GUCY2C agonists stimulate GUCY2C signaling, opposing tumorigenesis. However, translation of these observations appears …2.1. GLP-1R and GCGR dual-agonist design. Endogenous glucagon-like peptide 1 (GLP-1) is a derivative peptide of pro-glucagon which ends at a C-terminal amide or acid 26.Glucagon (GCG) is a C-terminal peptide derivated from pro-glucagon 27.Since GLP-1 is highly selective for its receptor whereas GCG is a weak agonist of GLP-1 … Abstract. Background: Guanylate cyclase C (GC-C) receptor is a transmembrane receptor, predominantly expressed in intestinal epithelial cells, which is considered to play a main role in homeostasis and function of the digestive tract. The endogenous ligands for this receptor are the paracrine hormones uroguanylin and guanylin. Results: Established non-pharmacological treatments for IBS pain include the low FODMAP diet, probiotics and psychological interventions, especially hypnotherapy. Tricyclics remain the best evidenced pharmacological approach with GCC agonists, tenapanor, lubiprostone, eluxadoline and 5HT3 antagonists second line according to patient ...The GCC agonist formulations of the invention can be administered either alone or in combination with one or more additional therapeutic agents, preferably an inhibitor of cGMP-dependent phosphodiesterase or a laxative. Processing Please wait... 1. WO2010065751 - FORMULATIONS OF GUANYLATE CYCLASE C AGONISTS AND …guanylyl cyclase C (GC-C), a single transmembrane protein that is expressed exclusively in the brush border of intestinal epithe-lial cells from the duodenum to the rectum in adult humans (5–10). Toxin interaction with the extracellular domain activates the cytoplasmic catalytic domain of GC-C, inducing accumula-

This is the first meta-analysis evaluating GCC agonists, linaclotide and plecanatide, for the treatment of CIC and IBS-C. Comprehensive data about the odds of achieving therapeutic response and diarrhea-associated adverse events are provided. Also, detailed data on study design and secondary efficacy endpoints are presented systematically.The respondents also reported that when GCC agonist was used to treat their patients with constipation, their patients least likely complained of abdominal pain and bloating (Figure 4). We believe that this is the underlying reason the respondents find using GCC agonist the most satisfying in treating their patients with CIC and IBS-C (Figure 2).Linaclotide is an agonist for the guanylate cyclase C (GCC) receptor (18), an intestinally expressed receptor which increases the production of the second messenger cyclic guanosine monophosphate ...Linaclotide is a potent agonist of the guanylyl cyclase C (GC-C) receptor, which is located on the luminal surface of intestinal epithelial cells (ICE) throughout the gut mucosa (Li and Goy 1993). This first-in-class synthetic GC-C agonist is composed of a 14 amino acid peptide that is converted in vivo by carboxypeptidase A into a 13 amino ...Jan 30, 2018 · Linaclotide and plecanatide are guanylate cyclase-C (GCC) agonists for the treatment of chronic idiopathic constipation (CIC) and irritable bowel syndrome with constipation (IBS-C). Our objective is to evaluate the efficacy and tolerability of GCC agonists based on data from multiple randomized controlled trials (RCTs).

Background To determine whether glucagon-like peptide 1 receptor agonists (GLP-1RAs) have cardiovascular and renal protective effects in patients with advanced diabetic kidney disease (DKD) with an estimated glomerular filtration rate (eGFR) < 30 mL/min per 1.73 m2. Methods In this cohort study, patients with type 2 diabetes …Also, in 2017, plecanatide was the second GCC agonist approved for the treatment of CIC (3 mg daily) and the supplemental new drug application was recently accepted for IBS-C (3 mg or 6 mg daily). Activation of GCC receptors leads to an increase in cyclic guanosine-3’, 5’-monophosphate in both the intracellular and extracellular space. Guanylate cyclase-C agonists are a class of medications used to treat constipation associated with irritable bowel syndrome (IBS) and chronic constipation of unknown cause (idiopathic constipation) in adults. IBS causes stomach pain or cramps, bloating, and infrequent or difficult passage of stools. T32 GM008562/GM/NIGMS NIH HHS/United States. The GUCY2C biomarker has multi-faceted utility in medicine. Developmental investment of GUCY2C as a diagnostic and therapeutic biomarker offers a variety of options taking the molecular characteristics of cancer into account. From GUCY2C-targeted therapies, namely cancer vaccines, CAR-T cells, and m ….Immunotherapies have revolutionized the field of cancer therapeutics, yet a substantial subset of patients fail to respond. Recent efforts have focused on identifying targets that could elicit or augment anti-tumor immune responses. One such novel target is STING or stimulator of interferon (IFN) genes, an endoplasmic protein that induces the ...Unimolecular dual agonists for the glucagon-like peptide 1 receptor (GLP1R) and glucagon receptor (GCGR) are emerging as a potential new class of important therapeutics in type 2 diabetes (T2D).

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In The Lancet Diabetes & Endocrinology, Søren Kristensen and colleagues present a new, up-to-date systematic review and meta-analysis1 of cardiovascular outcome trials evaluating glucagon-like peptide-1 (GLP-1) receptor agonists in patients with type 2 diabetes—a timely update after the recent reporting of the primary results from the …Occasionally one may find that the PD effect influences the PK and vice-versa. For example, LXR agonists are known to have an agonistic effect on PXR due to very high homology between the two receptors, and consequently result in an induction of the CYP3A4 enzyme (Shenoy et al., 2004).Abstract. Agonists of the transmembrane intestinal receptor guanylyl cyclase C (GCC) have recently attracted interest as promising human therapeutics. Peptide ligands that can specifically induce GCC signaling in the intestine include endogenous hormones guanylin and uroguanylin, diarrheagenic bacterial enterotoxins (ST), and synthetic drugs ...Our data suggest that USP33 constitutively deubiquitinates the GCGR, whereas both STAMBP and USP33 deubiquitinate agonist-activated GCGRs at early endosomes. A mutant GCGR with all five intracellular lysines altered to arginines remains deubiquitinated and shows augmented trafficking to Rab4a recycling endosomes compared with the WT, thus ...Here we discuss the mechanisms by which GC-C agonists target the GC-C/cyclic guanosine-3',5'-monophosphate (cGMP) pathway, resulting in visceral analgesia as well as clinically relevant relief of abdominal pain and other sensations in IBS patients. Due to the preponderance of evidence we focus on linaclotide, a 14-amino acid GC-C agonist with ...Based on published studies, the most prevalent asthma treatment in these countries are fixed dose combinations (FDC) of inhaled corticosteroid and long-acting beta-agonist (ICS/LABA). This study is a rapid review of the literature on: (a) factors associated with asthma control in the GCC countries and (b) generalisability of ICS/LABA FDC …

Receptor guanylyl cyclase C (GC-C) is the target for the gastrointestinal hormones, guanylin, and uroguanylin as well as the bacterial heat-stable enterotoxins. The major site of expression of GC-C is in the gastrointestinal tract, although this receptor and its ligands play a role in ion secretion in other tissues as well. GC-C shares the domain organization seen in other members of the ...Treatment of Apc Min/+ mice with the receptor guanylyl-cyclase C (GCC) agonist linaclotide, or the phosphodiesterase-5 (PDE5) inhibitor sildenafil, significantly reduced the number of polyps per mouse (67% and 50%, respectively). Neither of the drugs affected mean polyp size, or the rates of apoptosis and proliferation.1. A process of preparing a peptide comprising a GCC agonist sequence selected from the group consisting of SEQ ID NOs: 1-249, wherein the GCC agonist sequence is n amino acid units in length, with the N-terminal unit at position 1 and the C-terminal unit at position n, the process comprising: providing a first fragment having a first sequence of amino …While STING agonists have proven to be effective preclinically as anti-tumor agents, these promising results have yet to be translated in the clinic. A STING agonist antibody–drug conjugate (ADC) could overcome current limitations by improving tumor accessibility, allowing for systemic administration as well as tumor-localized activation of …Agonists of the transmembrane intestinal receptor guanylyl cyclase C (GCC) have recently attracted interest as promising human therapeutics. Peptide ligands that can specifically induce GCC ... The transmembrane receptor guanylyl cyclase-C (GC-C), expressed on enterocytes along the intestine, is the molecular target of the GC-C agonist peptide linaclotide, an FDA-approved drug for treatment of adult patients with Irritable Bowel Syndrome with Constipation and Chronic Idiopathic Constipatio … Also, the secretory impetus of GCC agonist (linaclotide, Lc) in the intestine is clinically exploited to alleviate constipation in irritable bowel syndrome (IBS) patients (12, 13). F508del, the most common CF-causing mutation in CFTR, generates a pronounced processing defect and ER retention, transitioning it to a proteosomal degradation …Between Dec 18, 2019, and Dec 28, 2020, 210 people were screened, of whom 72 were enrolled, received at least one dose of study drug, and were included in safety analyses. 15 participants had placebo, five had dulaglutide 1·5 mg and, for LY3437943, nine had 0·5 mg, nine had 1·5 mg, 11 had 3 mg, 11 had 3/6 mg, and 12 had 3/6/9/12 mg. 29 participants discontinued the study prematurely.GLP‐1 receptor agonists for individualized treatment of type 2 diabetes mellitus. Nat Rev Endocrinol. 2012; 8:728–742. doi: 10.1038/nrendo.2012.140 Crossref Medline Google Scholar; 49 Ard JD, Fitch A, Fruh S, Herman L. Weight loss and maintenance related to the mechanism of action of glucagon‐like peptide 1 receptor …

Evidence for 5-HT3 antagonists, 5-HT4 agonists and GCC agonists, antispasmodics, and alosetron were suggestive for the treatment of IBS. However, owing to the risk of bias in randomization methods, the results for GCC should be …

Immunotherapies have revolutionized the field of cancer therapeutics, yet a substantial subset of patients fail to respond. Recent efforts have focused on identifying targets that could elicit or augment anti-tumor immune responses. One such novel target is STING or stimulator of interferon (IFN) genes, an endoplasmic protein that induces the ...WO2013138352 - FORMULATIONS OF GUANYLATE CYCLASE C AGONISTS AND METHODS OF USE. The invention provides low-dose formulations of guanylate cyclase-C ("GCC") agonist peptides and methods for their use. The formulations of the invention can be administered either alone or in combination with one or more additional therapeutic agents, preferably an ...Beta-glucosylceramide (β-GlcCer) is a naturally occurring glycolipid that specifically activates the macrophage-inducible C-type lectin (Mincle) receptor1. Mincle is a member of the Dectin-2 family, that recognizes a variety of exogenous and endogenous stimuli, such as mycobacteria and necrotic cells. β-GlcCer is an endogenous metabolite ...Dolcanatide (0-10 μM; 30 min) activates GC-C receptors to stimulate cGMP synthesis in a dose-dependent manner in T84 cells [2]. Dolcanatide (1 μM; 16 h) suppresses lipopolysaccharide-induced paracellular permeability in Caco-2 and T84 cells [1]. MedChemExpress (MCE) has not independently confirmed the accuracy of these methods.The transmembrane receptor guanylyl cyclase-C (GC-C), expressed on enterocytes along the intestine, is the molecular target of the GC-C agonist peptide linaclotide, an FDA-approved drug for treatment of adult patients with Irritable Bowel Syndrome with Constipation and Chronic Idiopathic Constipatio …The GLP-1/glucagon agonist cotadutide (MEDI0382) is the compound of this dual-receptor agonist class that is the most advanced in clinical development. In preclinical studies, cotadutide demonstrated a more pronounced loss of body weight, reduction in food intake, and superior improvement in glycemic parameters in rodents compared to a GLP …According to Boundless.com, muscles are arranged in groupings of agonist, antagonist and synergists that produce and modulate movement. There are three unique kinds of muscles in t...

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Treatment of Apc Min/+ mice with the receptor guanylyl-cyclase C (GCC) agonist linaclotide, or the phosphodiesterase-5 (PDE5) inhibitor sildenafil, significantly reduced the number of polyps per mouse (67% and 50%, respectively). Neither of the drugs affected mean polyp size, or the rates of apoptosis and proliferation. Agonists of the transmembrane intestinal receptor guanylyl cyclase C (GCC) have recently attracted interest as promising human therapeutics. Peptide ligands that can specifically induce GCC signaling in the intestine include endogenous hormones guanylin and uroguanylin, diarrheagenic bacterial enterotoxins (ST), and synthetic drugs linaclotide ... The transmembrane receptor guanylyl cyclase-C (GC-C), expressed on enterocytes along the intestine, is the molecular target of the GC-C agonist peptide linaclotide, an FDA-approved drug for treatment of adult patients with Irritable Bowel Syndrome with Constipation and Chronic Idiopathic Constipatio … Linaclotide is an agonist for the guanylate cyclase C (GCC) receptor (18), an intestinally expressed receptor which increases the production of the second messenger cyclic guanosine monophosphate ... The GUCY2C agonist linaclotide is FDA approved for other indications and a phase I clinical trial examining its use for colorectal cancer prevention is underway. GUCY2C is overexpressed in colorectal cancer metastases and several immunotherapies targeting GUCY2C are being explored, including adoptive T-cell therapy with GUCY2C-targeted …Background. Glucagon‐like peptide‐1 receptor agonists (GLP‐1RAs) are an established treatment for patients with type 2 diabetes (T2D). Differences between GLP‐1RAs in pharmacokinetics, dosing regimens and clinical effects, including cardiovascular (CV) outcomes, mean there may be benefits to switching from one to …Results: Optimized triagonists normalize body weight in DIO mice and enhance energy expenditure in a manner superior to that of GLP-1R mono-agonists and GLP-1R/GIPR co-agonists. Conclusions: These pre-clinical data suggest unimolecular poly-pharmacology as an effective means to target multiple mechanisms contributing to obesity and further ...Chronic constipation (CC) and irritable bowel syndrome with constipation (IBS-C) are two functional gastrointestinal disorders that are associated with constipation. CC and IBS-C affect approximately 20% of the general population including the elderly, impairing quality of life. Patients not respond … ….

On the day of GnRH agonist or hCG administration, estradiol concentrations and the number of follicles 1.5 cm or larger were the same in both groups. Mean serum LH and FSH levels were elevated for ...Immunotherapies have revolutionized the field of cancer therapeutics, yet a substantial subset of patients fail to respond. Recent efforts have focused on identifying targets that could elicit or augment anti-tumor immune responses. One such novel target is STING or stimulator of interferon (IFN) genes, an endoplasmic protein that induces the ...Beta-glucosylceramide (β-GlcCer) is a naturally occurring glycolipid that specifically activates the macrophage-inducible C-type lectin (Mincle) receptor1. Mincle is a member of the Dectin-2 family, that recognizes a variety of exogenous and endogenous stimuli, such as mycobacteria and necrotic cells. β-GlcCer is an endogenous metabolite ...Summary. Guanylyl cyclase C (GCC) is the receptor expressed by intestinal cells for the paracrine hormones guanylin and uroguanylin that coordinate mucosal homeostasis and its silencing contributes to intestinal transformation. It orchestrates proliferative and metabolic circuits by limiting the cell cycle and programming metabolic transitions ...Beta-2 adrenergic agonists are a drug class used as a mainstay treatment for respiratory diseases such as bronchial asthma and chronic obstructive pulmonary disease (COPD). They replicate the functions of catecholamines such as epinephrine, norepinephrine, and dopamine in producing different autonomic responses within the …The invention provides low-dose formulations of guanylate cyclase-C ("GCC") agonist peptides and methods for their use. The formulations of the invention can be administered either alone or in combination with one or more additional therapeutic agents, preferably an inhibitor of cGMP-dependent phosphodiesterase or a laxative. ...On the day of GnRH agonist or hCG administration, estradiol concentrations and the number of follicles 1.5 cm or larger were the same in both groups. Mean serum LH and FSH levels were elevated for ...Need a digital marketing company in Mexico? Read reviews & compare projects by leading digital agencies. Find a company today! Development Most Popular Emerging Tech Development La... Gcc agonist, GLP-1 RAs may be a suitable alternative for patients who are overweight or obese. ASCVD indicates atherosclerotic cardiovascular disease; CKD, chronic kidney disease; GLP-1 RA, glucagon-like peptide-1 receptor agonist; HF, heart failure; SGLT-2i, sodium glucose cotransporter type 2 inhibitor; and T2DM, type 2 diabetes mellitus., The early GLP-1R agonist has many defects, such as multiple injections and a high incidence of adverse reactions in the digestive tract, which limits its clinical application. PEX-168 is a new agent of long-acting GLP-1R agonist, which is molecularly modified from EX via amino acid modification and PEGylation ( 119 ), the first GLP-1R …, Mar 21, 2018 ... Agonist binding to the extracellular domain of GC-C activates ... 50 As a GC-C agonist, lina- ... Loss of guanylyl cyclase C (GCC) signaling leads ..., Induction of GCC signaling with two membrane-permeant cGMP analogs or the bacterial enterotoxin ST, a potent GCC agonist inducing cytostasis by increasing intracellular cGMP , significantly diminished the accumulation of the MMP-9 pro-form (pro-MMP-9, 92 kDa) in the media conditioned by human colon cancer cells (Fig. 1A)., Since 37.5 mg/kg of the LA-Agonist (equivalent to 239.5 nmol/kg LA-Agonist) is a supra-pharmacological dose, we confirmed that both DA-GIP and the peptide portion of the LA-Agonist both at 250 ..., Agonists of the transmembrane intestinal receptor guanylyl cyclase C (GCC) have recently attracted interest as promising human therapeutics. Peptide ligands that can specifically induce GCC ..., We here review recent experimental evidence that agonist-induced internalization of the two receptors differs markedly and that modifications of the ligand structures, as in co-agonists, profoundly influence these cellular processes and may explain that an antagonist may activate while an agonist may block receptor signaling., In this context, the intestinal receptor, guanylyl cyclase C (GUCY2C), has emerged as a promising target. Areas covered: GUCY2C regulates a tumor-suppressive signaling axis that is silenced through loss of its endogenous ligands at the earliest stages of tumorigenesis., ... agonist residues, including lateral flow ... agonist residue detection ... GCC [2022] 042-1). Institutional Review Board ..., The GUCY2C agonist linaclotide is FDA approved for other indications and a phase I clinical trial examining its use for colorectal cancer prevention is underway. GUCY2C is overexpressed in colorectal cancer metastases and several immunotherapies targeting GUCY2C are being explored, including adoptive T-cell therapy with GUCY2C-targeted …, Linzess is a guanylate cyclase C ( GCC; GUCY2C) agonist. In addition to Linzess, Ironwood is developing IW-9179, a GCC agonist that is in Phase II testing to treat functional dyspepsia. At Sept. 30, 2013, the company had $242.4 million in cash and a nine-month operating loss of $205.3 million., Guanylyl cyclase (also known as guanylate cyclase) is an enzyme that catalyzes the synthesis of cyclic guanosine 3′,5′-monophosphate (cGMP) from guanosine 5' triphosphate (GTP). Guanylyl cyclase exists in both a membrane-bound and soluble form in the cell. The membrane-bound form is a plasma membrane receptor, while soluble forms of guanylyl cyclase undergo activation by nitric oxide ..., The role of GCC as a tumor suppressor and the universal loss of its hormones in transformation suggest a paradigm in which colorectal cancer is a disease of paracrine hormone insufficiency. Indeed, GCC signaling reverses the tumorigenic phenotype of human colon cancer cells by regulating proliferation and metabolism. These data …, Treatment of Apc Min/+ mice with the receptor guanylyl-cyclase C (GCC) agonist linaclotide, or the phosphodiesterase-5 (PDE5) inhibitor sildenafil, significantly reduced the number of polyps per mouse (67% and 50%, respectively). Neither of the drugs affected mean polyp size, or the rates of apoptosis and proliferation. , T32 GM008562/GM/NIGMS NIH HHS/United States. The GUCY2C biomarker has multi-faceted utility in medicine. Developmental investment of GUCY2C as a diagnostic and therapeutic biomarker offers a variety of options taking the molecular characteristics of cancer into account. From GUCY2C-targeted therapies, namely cancer vaccines, CAR-T cells, and m …., Mottu has evolved its model and does much more than just rent motorcycles. It also provides credit, insurance, maintenance and 24-hour support for its renters. Mottu, a São Paulo-b..., Guanylyl cyclase C. Linaclotide functions through engagement of its receptor, guanylyl cyclase C (GUCY2C) in the intestine. GUCY2C is a particulate guanylyl cyclase receptor expressed primarily in intestinal epithelial cells 7-9 and in the brain. 8,10-12 The GUCY2C receptor possesses several cognate ligands which are all structurally similar peptides., While STING agonists have proven to be effective preclinically as anti-tumor agents, these promising results have yet to be translated in the clinic. A STING agonist antibody–drug conjugate (ADC) could overcome current limitations by improving tumor accessibility, allowing for systemic administration as well as tumor-localized activation of …, Methods: Linaclotide, a guanylate cyclase C agonist, was administered to adenine-induced renal failure (RF) mice and changes in renal function and levels of gut-derived uremic toxins, as well as the gut microbiota community, were analyzed using metabolomic and metagenomic methods to reveal its cardiorenal effect., Key advances. In the SURMOUNT-1 trial for obesity, adults with overweight or obesity without type 2 diabetes mellitus achieved placebo-subtracted weight loss of up to 20% after 72 weeks of the ..., The first GLP-1R agonist approved by the US Food and Drug Administration (FDA) for the treatment of T2D was exenatide in 2005, followed by others like liraglutide (2010), dulaglutide (2014 ..., Here we review the known contributions of the GUCY2C signaling axis to CRC, and relate them to a novel clinical strategy targeting tumor chemoprevention. Keywords: Colorectal cancer, Guanylin, Uroguanylin, Chemoprevention, Heat-stable enterotoxins, Cyclic guanosine monophosphate, Guanylyl cyclase C. Core tip: Guanylyl cyclase C (GUCY2C) is a ..., Objectives: Linaclotide and plecanatide are guanylate cyclase-C (GCC) agonists for the treatment of chronic idiopathic constipation (CIC) and irritable bowel syndrome with …, Among them, triple GLP-1/GIP/GCC receptor agonists are of particular interest (65, 66) and studies are currently underway to investigate the efficacy and safety of these combinations. LY3437943 is a novel triple agonist peptide at the glucagon receptor (GCGR), GIPR, and GLP-1R ., Sep 1, 2022 · Tirzepatide is the first dual GIP/GLP-1 receptor co-agonist approved for the treatment of type 2 diabetes in the USA, Europe, and the UAE. Tirzepatide is an acylated peptide engineered to activate the GIP and GLP-1 receptors, key mediators of insulin secretion that are also expressed in regions of the brain that regulate food intake. , The majority are head-to-head trials in which the GLP-1 agonist is compared to placebo or other treatments, such as an active comparator, mainly exenatide and liraglutide. Exenatide in both twice-daily doses of 5 μ g and 10 μ g and in the extended-release formulation and liraglutide 1.8 mg have shown a reduction in total cholesterol levels., GC-C receptor activation by its endogenous paracrine hormones uroguanylin and guanylin, and the resulting intracellular production of its downstream effector cyclic GMP, occurs in a pH-dependent manner and modulates key physiological functions., We would like to show you a description here but the site won’t allow us. , Clinical trials of GUCY2C (GCC) agonists for colorectal cancer prevention [abstract]. In: Proceedings of the Second Biennial NCI Meeting: Translational Advances in Cancer Prevention Agent Development (TACPAD); 2022 Sep 7-9., The primary agonist muscles used during a shoulder press are the anterior deltoids and the triceps brachii, while the primary antagonist muscles are the latissimus dorsi and the bi..., GCC agonist peptides and their fragments can be prepared using art recognized techniques such as molecular cloning, peptide synthesis, or site-directed mutagenesis. In addition to the conventional solution- or solid-phase peptide synthesis described above, the GCC agonist peptides or their fragments can be produced by modern cloning techniques., Unimolecular dual agonists for the glucagon-like peptide 1 receptor (GLP1R) and glucagon receptor (GCGR) are emerging as a potential new class of important therapeutics in type 2 diabetes (T2D)., Solid, stable formulations of linaclotide suitable for oral administration are described herein as are methods for preparing such formulations. The formulations described herein contain a polypeptide consisting of the amino acid sequence Cys Cys Glu Tyr Cys Cys Asn Pro Ala Cys Thr Gly Cys Tyr (“linaclotide”; SEQ ID NO:1) or a pharmaceutically acceptable salt …