Peptide directoryBrain, hypothalamus & pituitary

Beta-CGRP

CGRP from a second gene, three residues different, strongest in the gut’s nerves.

Where it comes from

Made in
Enteric neurons of the gut, and sensory neurons alongside alpha-CGRP
Sent out by
Gut and sensory nerve activity
Acts on
  • Gut vessels and smooth muscle
  • Arteries

What it does

  • Dilates vessels like alpha-CGRP
  • The main CGRP of the enteric nervous system 4
  • Unlike alpha-CGRP, its blood level does not fall under the antibody treatments, and the two levels do not track each other at all 12

In medicine

  • The migraine medicines bind it as well as alpha-CGRP, so both should fall under treatment; in treated patients only the alpha level does 1
  • Assays that tell the two apart exist only in research, and the blood has to be drawn into protease inhibitors for either to be read reliably 2
  • No condition is diagnosed by its level and no medicine is aimed at it alone

Beyond the body’s own use

  • It is hardly ever studied apart from alpha-CGRP, which is why its own job is still open 4
  • As the CGRP of the gut’s own nerves it has been looked for in bowel disease: people newly diagnosed with inflammatory bowel disease carried lower blood levels than healthy controls in the one study that measured it 3
  • Nobody takes it and nothing copies it; the question being asked is whether a blocker that spared beta-CGRP would spare the gut

Sources

  1. Gárate et al., Serum alpha- and beta-CGRP in chronic migraine before and after CGRP antibodies, Annals of Neurology 2023
  2. de la Guerra-Sasián et al., Improving alpha- and beta-CGRP measurement in plasma, International Journal of Molecular Sciences 2025
  3. Pascual-Mato et al., Beta-CGRP in inflammatory bowel disease, BMC Gastroenterology 2024
  4. Russell et al., Calcitonin gene-related peptide: physiology and pathophysiology, Physiological Reviews 2014

This card describes what a medicine is for and what the evidence says; it recommends nothing. Talk to your clinician about anything you read here.