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Guanylate cyclase-C agonist

Plecanatide

Plecanatide is a synthetic 16-amino-acid analog of the human peptide uroguanylin that activates intestinal guanylate cyclase-C. Increased cyclic GMP promotes chloride and bicarbonate secretion, softening stool, and it is an approved therapeutic for chronic idiopathic constipation and IBS with constipation. This page is educational and not medical advice.

By The Peptides Codex Editorial TeamReviewed July 10, 2026
Length
16 aa
Class
Guanylate cyclase-C agonist
Function
Intestinal guanylate cyclase-C receptor agonist
Context
Approved for chronic idiopathic constipation and irritable bowel syndrome with constipation

A uroguanylin analog engineered for pH-dependent activity in the gut.

Also known as: Trulance

Part of the Metabolic & GLP-1 peptides cluster

Overview

Plecanatide is a synthetic 16-amino-acid analog of the human peptide uroguanylin that activates intestinal guanylate cyclase-C. Increased cyclic GMP promotes chloride and bicarbonate secretion, softening stool, and it is an approved therapeutic for chronic idiopathic constipation and IBS with constipation. This page is educational and not medical advice.

Source & context

Biological / chemical source: Synthetic 16-amino-acid uroguanylin analog

Primary research or clinical context: Approved for chronic idiopathic constipation and irritable bowel syndrome with constipation

Uroguanylin mimicry

Plecanatide is modeled on uroguanylin, which is most active in the slightly acidic environment of the upper small intestine. This pH-sensitive design aims to concentrate activity where fluid regulation begins, distinguishing it mechanistically from linaclotide.

Two-disulfide fold

Two disulfide bonds between paired cysteines stabilize the peptide against digestion so it works locally with minimal absorption. Like linaclotide it belongs to the guanylate cyclase-C agonist class widely studied for constipation-predominant bowel disorders.

Sequence

One-letter sequence commonly cited for Plecanatide (educational; isoforms and modifications may differ):

NDECELCVNVACTGCL

NDECELCVNVACTGCL

N1D2E3C4E5L6C7V8N9V10A11C12T13G14C15L16
Helical wheel projection

Residues plotted ~100° apart around an α-helix — clustering of one color reveals an amphipathic face.

Analyze sequences in the playground →

FAQ about Plecanatide

What is Plecanatide?+

Plecanatide is a synthetic 16-amino-acid analog of the human peptide uroguanylin that activates intestinal guanylate cyclase-C. Increased cyclic GMP promotes chloride and bicarbonate secretion, softening stool, and it is an approved therapeutic for chronic idiopathic constipation and IBS with constipation. This page is educational and not medical advice.

Is Plecanatide an approved medicine?+

Plecanatide: Approved for chronic idiopathic constipation and irritable bowel syndrome with constipation. Always follow licensed medical guidance for approved products.

What is the typical length of Plecanatide?+

Plecanatide is commonly described as approximately 16 amino acids (Guanylate cyclase-C agonist).

Related peptides

References & further reading

  1. 1.Wikipedia — Plecanatide
  2. 2.PubChem — compound summary for Plecanatide (CID 70693500)
Disclaimer: Educational content only. Not medical advice. Not instructions for human use. Research peptides and unapproved products may be restricted or illegal to market for human consumption in your jurisdiction. Consult qualified professionals and applicable law.
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Cite this: Peptides Codex — Plecanatide educational profile.
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